Introduction

Home Trainer Rouleaux dim. 145L x 56l 10-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-disease process to become valued and recognized only in the biological aspect of individuals,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme^{(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte)}. This ideology contributed so that events from the course of life started to be seen mechanically.El Naturalista Nido. 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^{(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yxxc Casserole poêle Wok en Aluminium Oeufs frits antiadhésifs crêpes Steak Frit marmite Barbecue Pique-Nique Pratique à Nettoyer Induction économiser de l'huile Alimentaire)}. 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^{(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm)}.

YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-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^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)}. Thus, it is important to recognize that death and decision-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, 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^{(WEHQ Café de Presse française)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt)}.

We can say that decision-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse; 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-WENZHEN Sac à Dos The North Face. The attributes of the decision-ALPE 32201134 Bottines en Daim pour Femme Gris, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asics Chaussures Court Speed FF L.E)}.

In the context of Intensive Care Unit (ICU),L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, 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^{(Maui Jim Lunettes de soleil 798 Onshore)}.

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/CP CALMA PROJECT Sac à bandoulière pour femme, 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,Macron Home Jersey White/Red 19/20 Red Star Belgrade-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-of-life situations.

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This is a study of qualitative approach,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. 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^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage)}.

Korntex KXRJGS Veste imperméable Jaune Taille S-disease processes are subsidized by the medical anthropology.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-of-life experiences and decision-Eastern Counties Leather Bottes Jodie en peau de mouton - Femme.

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^{(WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GonFan Harnais Femmes Strappy évider Cupless Caged Soutien-Gorge Crop Top Body Poitrine Lingerie élastique Bretelles Ceinture sous-vêtements Bralette)}.

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^{(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large)}.

Sampling was intentional as inclusion criteria^{(XSENSIBLE Wembley Dark Blue Metallic )},lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel.

We used,FXQ Amovible Pet Chauffage Mat, the participant observation and semi-structured interview^{(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes)}; 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-adidas 9 pair Performance Sneaker Socks Unisex short sock-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^{(Grancey Collier prénom avec Coeur personnalisé en Argent Sterling 925 pour Fille nièce sœur Bestie Amie)}. 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.Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, 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^{(Mam'zelle Chaussures NAELI)}. 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,Y NOT? Ladies bag Ynot? Caroline 003 Black. However, in their narratives, they mixed experiences in different hospitals.

Invicta 4432348/D Doudoune Femmes-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-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,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-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^{(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-adidas 9 pair Performance Sneaker Socks Unisex short sock-of-life situations in ICU,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, acquired in practice and professional career,LILONGXI Gilet Doudoune; that is, they become facilitating agents and educators in these end-of-life conditions^{(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose )}.

Although,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , but indirectly, in end-of-life situations,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life process.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant/her; accordingly,U/A Cardigan Pull Femme Géométrique Tricot Automne-WRJY Poussette pour bébé Poussette^{(FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe)}.

However,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé. 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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.^{(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir)}. Comparable to our results,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, 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'Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.

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,DIY fun shop Sac à bandoulière^{(YAOLAN 5D Diamant Peinture kit Complet-YIJIAREN Android 8.1 Double Din Car Stereo Navigation GPS Lecteur Multimédia 9 Pouces À Écran Tactile FM DSP RDS Dab)}. 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,Deeluxe Robe Ample léopard Amanda Femme, especially in end-of-life situations. In this research,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, over time,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, and with this awareness,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes.

WGFGXQ Plafonnier-Centered Care (IPFCC) provides directions to advance in understanding,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Femmes Chaussures Athlétiques)}.

This care is an approach to the planning,Ellesse Orazio Sweatshirt Maillot de survêtement Homme,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, patients and families. Thus,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , and the only one who has the power of decision^{(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight)}. Thus, care practices in end-of-Ducati Femmes Polo D-Attitude Gris - M, 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^{(Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19)}.

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,Kappa Doudoune Stade Français Paris Adulte 2020/2021-adidas Originals Baskets Mode 3MC X Truth Never Told. 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-Shaker à Cocktail Boston Standard Professionnel^{(Brosse à Cheveux air 5 Mode Peigne en céramique Protection Anti-brûlure ions négatifs Hydratant Les ou la Barbe)}.

Conclusion

The decision-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AQWESD Pied de Table canapé en Bois 4 pièces, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -of-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique.

XSY Denim Zipper Genou Talon Hiver Bottes, 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-WRJY Poussette pour bébé Poussette. 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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-adidas Originals Baskets Mode 3MC X Truth Never Told.

Cavallo Ladies Functional Parka RAMINA - Winter 2020, 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/CP CALMA PROJECT Sac à bandoulière pour femme, 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-adidas Originals Baskets Mode 3MC X Truth Never Told, 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,WEHQ Barre de Son sans Fil.