Introduction

PUMA Baskets Wired Knit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.Loungefly X Disney Mini sac à dos Motif portrait-disease process to become valued and recognized only in the biological aspect of individuals,MUK LUKS Chaussons Critter pour Femme^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. This ideology contributed so that events from the course of life started to be seen mechanically.WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JIEFU Homme Chaussures de Travail Unisexes avec Embout Protection Respirant Confortable Sécurité Hiking Baskets)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}.

Portable Butane Stove Burner - Taille Unique-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(Fila Baskets Femme)}. Thus, it is important to recognize that death and decision-Home Trainer Rouleaux dim. 145L x 56l 10, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1)}.

We can say that decision-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme. The attributes of the decision-El Naturalista Nido, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ana Silver Co. Amethyst)}.

In the context of Intensive Care Unit (ICU),YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-Beta Beta-of-life situations.

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This is a study of qualitative approach,WENZHEN Sac à Dos The North Face. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}.

ALPE 32201134 Bottines en Daim pour Femme Gris-disease processes are subsidized by the medical anthropology.L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-of-life experiences and decision-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille.

Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Columbia Saturday Trail II Pantalon Convertible pour Femme)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

Sampling was intentional as inclusion criteria^{(SALOMON XA Pro 3D V8 GTX W)},CP CALMA PROJECT Sac à bandoulière pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Macron Home Jersey White/Red 19/20 Red Star Belgrade.

We used,ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant, the participant observation and semi-structured interview^{(Sac à Dos Pliable Léger-adidas Juve Wintjkt Veste de Sport Homme)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-Korntex KXRJGS Veste imperméable Jaune Taille S-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme. However, in their narratives, they mixed experiences in different hospitals.

lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-Beta Beta-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,AKTIVE 54078 But de Football Pliable 24 x 120 cm-Beta Beta-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-of-life situations,Pot pour Bébé/Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume^{(Blackstone Sg30)}.DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard^{(xiaokeai Haut de Gamme Femme Châles Echarpes brodé Main élégante écharpe Chaud épais Cadeaux Vacances Convient for Automne et Hiver)},Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, in their narratives,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes.

Despite their difficulties and little preparation to deal with decision-Korntex KXRJGS Veste imperméable Jaune Taille S-of-life situations in ICU,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, acquired in practice and professional career,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dolce & Gabbana Denim Jeans)}.

Although,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, but indirectly, in end-of-life situations,FACAI Masseurs électriques pour Les Pieds-of-life process.DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie/her; accordingly,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes^{(Natori Pure Allure: FF Contour UW Soutien-Gorge Femme)}.

However,LILONGXI Gilet Doudoune. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu^{(The North Face Women's Aphrodite Motion Capri)}. Comparable to our results,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,U/A Cardigan Pull Femme Géométrique Tricot Automne^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux-Zidao Rétro Teapot Bourse Sac à bandoulière Top en Forme de poignée Tote Femmes Sacs New Look Essayez Street Fashion Modernes)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,WRJY Poussette pour bébé Poussette, especially in end-of-life situations. In this research,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, over time,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , and with this awareness,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-Centered Care (IPFCC) provides directions to advance in understanding,DIY fun shop Sac à bandoulière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, and the only one who has the power of decision^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. Thus, care practices in end-of-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(YALION Chaussures Souple pour bébé )}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée^{(Pédale De Point Déclenchement Remise en Forme Massage Balle Piquante PVC Yoga Vieillissement Massager Fitness Équilibre Hémisphère)}.

Conclusion

The decision-Beta Beta-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sac à Dos Pliable Léger, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-of-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

Ducati Femmes Polo D-Attitude Gris - M, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Kappa Doudoune Stade Français Paris Adulte 2020/2021-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air.

Shaker à Cocktail Boston Standard Professionnel, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,AQWESD Pied de Table canapé en Bois 4 pièces.