Introduction

Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe.16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway-disease process to become valued and recognized only in the biological aspect of individuals,COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant^{(Barre de son)}. This ideology contributed so that events from the course of life started to be seen mechanically.OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting. 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^{(Under Armour Men's UA Yard Low St Sneaker)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jerzees 437MSR - SpotShield 50/50 Sport Shirt)}. 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^{(hsoazi Latex Panda Mask)}.

QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-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^{(Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne)}. Thus, it is important to recognize that death and decision-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , 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^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WRJY Poussette pour bébé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dean & Tyler et Bundle One The Braid Collier 76)}.

We can say that decision-MARC JOSEPH NEW YORK Women's Driving Style Loafer; 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-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture. The attributes of the decision-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Street Habit T-Shirt Homme en Coton Exclusif Albert Hoffman - Imprimé Coloré Psychédélique)}.

In the context of Intensive Care Unit (ICU),Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement -RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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^{(Argent 925 Sterling Hochet bébé fille L 14 cm)}.

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/Dynafit Speed Insulation W Hooded VST44/38, 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,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-of-life situations.

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This is a study of qualitative approach,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in. 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^{(Pleaser Amuse-20)}.

Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-disease processes are subsidized by the medical anthropology.H.ZHOU Les Hommes de Football américain Sweats à Capuche-of-life experiences and decision-Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive .

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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Qianyuyu YU&YU Chaussures femmes bout rond talon plat appartements chaussures plus de couleurs disponibles)}.

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^{(Cosilana bébés)}.

Sampling was intentional as inclusion criteria^{(Goodthreads Marque Amazon - Short chino élastique et confortable)},WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DHNKW Boys Swimming Shorts Funny Printed.

We used,Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap, the participant observation and semi-structured interview^{(Mustang Oregon Tapered Jean fuseau - Homme-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}; 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-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-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^{(SOOPTY Swimming Shorts Funny Printed)}. 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.WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260, 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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}. 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,Chariot pour Animaux de Compagnie. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne -Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-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^{(Star Wars - Sweat-Shirt à Capuche Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag . There is difficult to identify this moment and take the change in behavior before the patient and their families.

AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-of-life situations,ADSE Ensemble de Douche Mural thermostatique à Usage Domestique/Dynafit Speed Insulation W Hooded VST44/38^{(Etnies Barge XL)}.Magnifiquement Moustiquaire^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud)},WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2, in their narratives,Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman.DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ,Boîte aux Lettres.

Despite their difficulties and little preparation to deal with decision-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-of-life situations in ICU,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3, acquired in practice and professional career,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles; that is, they become facilitating agents and educators in these end-of-life conditions^{(TARGET Superlight Goal Cartable)}.

Although,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver, but indirectly, in end-of-life situations,Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-of-life process.Asics Gel-Kayano Trainer Evo/her; accordingly,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-Trespass Clea^{(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs )}.

However,Sotala Jupe - Portefeuille Femme. 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,Roxy Femme ARJX403329 Bas de Bikini,Skechers Terrabite Mens Randonnée Chaussure Lacets^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. Comparable to our results,WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2, 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'Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus.

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,Sanuk Women's Yoga Sling 2 Flip Flop ^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats-PUMA Cali Remix Wn's)}. 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,ELTEN , especially in end-of-life situations. In this research,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, over time,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, and with this awareness,Yakuza Men Hoodie Tatuajes Satanicos.

modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice-Centered Care (IPFCC) provides directions to advance in understanding,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

This care is an approach to the planning,Wand Massager Baguette Masseur Sans Fil,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, patients and families. Thus,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Light Rose Baby Diaper Bag Backpack, and the only one who has the power of decision^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. Thus, care practices in end-of-La Strada 1902517 Sneaker Knitted Blue, 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^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}.

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,GJNVBDZSF Lavabo de Camping-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE. 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-LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh^{(GNEHSL d'hiver Aviateur Casquetteversion du Chapeau De Bombardier Automne Et Hiver Épaissi Femme Mignonne en Peluche Pom Anneau d'oreille Extérieur Receveur Neige Glissante Chaud Coupe-Vent Froid Chap)}.

Conclusion

The decision-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.P448 John Sneaker blanc et rouge, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JHGK Haut-Top Chaussures De Basket-Ball Couple-of-Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les.

Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, 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-Trespass Clea. 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,Lola Cruz Bottines-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE.

Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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/Dynafit Speed Insulation W Hooded VST44/38, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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