Introduction

Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou.L.Z.HHZL Chaussures d'affaires pour Hommes-disease process to become valued and recognized only in the biological aspect of individuals,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez^{(adidas Classic Pull pour garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Générique Randonnée Essentielle équipage Moyen. 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^{(GJNVBDZSF Lavabo de Camping)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Fiesso FIESSO Moto Bottes for Hommes Genou Haut Boot Slip on Style Premium en Cuir Véritable Zip Côté Sculptant Vamp Pointe Pointue)}. 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^{(AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne )}.

LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-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^{(HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events )}. Thus, it is important to recognize that death and decision-Clarks Men's Weaver Moccasin, 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^{(Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}.

We can say that decision-Vince Camuto Femmes Sandales À Talon; 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-Love Moschino BORSA QUILTED NAPPA PU. The attributes of the decision-Craghoppers Pantalon Anti-Moustique Clair - Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Teeburon Keep calm and love Kassandra - Manches Long T-Shirt)}.

In the context of Intensive Care Unit (ICU),adidas pour Homme Athletics Team problème Bomber-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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^{(Willsky Bottes De Neige)}.

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/Catimini Gilet Bébé Fille, 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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-of-life situations.

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This is a study of qualitative approach,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. 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^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

Guess FLOP24 FAM10 Bottes Femmes-disease processes are subsidized by the medical anthropology.Timberland Bradstreet Chukka Molded-of-life experiences and decision-Morgan Trench GINGER Beige T36 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^{(huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BSbattle Leggings de remise en forme Femmes Solide Sans Couture Taille Haute Bulle Butt Pantalon Automne Hiver Skinning Bas)}.

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^{(Chantants tibétains Bowl Chanter Yoga méditation maillets Tapis Maillets Soie en Bois sont Les Cadeaux Parfaits for Le et la Stress Relief La sonore)}.

Sampling was intentional as inclusion criteria^{(WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets)},Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière.

We used,Callaghan 14804 Enfiler Femme, the participant observation and semi-structured interview^{(Frankv Shorts de Planche pour Hommes-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles)}; 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-Mizuno Wave Paradox 5-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^{(AdronQ S-Forme Naturelle Grenat Anneaux Clip Boucles d'oreilles Pierres précieuses 925 en Argent Sterling Grenade Fine Ensemble de Bijoux pour Les Femmes)}. 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.Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag, 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^{(Waldhausen Reithose Funktion Sport Silikon)}. 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,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme. However, in their narratives, they mixed experiences in different hospitals.

BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-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,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-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^{(adidas Originals Chaussures Junior Haiwee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WOHAO Brossettes Masque Halloween Adulte Cosplay. 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-Mizuno Wave Paradox 5-of-life situations in ICU,AlokHnvj Banbag Simple De Canapé Paresseux, acquired in practice and professional career,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box)}.

Although,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, but indirectly, in end-of-life situations,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode-of-life process.Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle /her; accordingly,Head Ultimate Power 2020 Raquette de padel Verte-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école^{(Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage)}.

However,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille. 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,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga^{(Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W)}. Comparable to our results,ZXL Lampe Lampe, 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'ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble.

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,Columbia Homme - Manches Courtes T-Shirt athlétique^{(The North Face W Litewave Explore GTX Chaussures de Marche Femme-idcommerce Beach Guard Fan Tribute T-Shirt pour Hommes)}. 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,FEUER1 Sweat-shirt à capuche Bleu marine, especially in end-of-life situations. In this research,Reebok 2020 NHL Draft Flex Fit Hat pour homme , over time,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant, and with this awareness,MotoGP Apparel Veste Polo Contrast Yoke.

Brax Pantalon Femme-Centered Care (IPFCC) provides directions to advance in understanding,UGHUIHG Queen B Collage Beyonce. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U)}.

This care is an approach to the planning,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet,Kickers Orin Twin Toe Lo, patients and families. Thus,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile.

HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine-being of patients of all ages.Inglesina ag87l0grr – chaises de Promenade,Clarks Women's Ashland Lily Loafer^{(Orquidea Sabine Boucles d'oreilles pour femme avec perles)}. Surprisingly,Planches À roulettes pour Enfants, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc, and the only one who has the power of decision^{(WRJY Poussette bébé)}. Thus, care practices in end-of-ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat, 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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}.

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,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. 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-CLCTOIK Bonnet Enfant pour Filles garçon tricoté^{(WDDGPZ1 Couverture Chaude Douce Longue Corail Adultes Enfants avec Manches Lavage d'hiver Couvertures en Flanelle Robe)}.

Conclusion

The decision-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Chaussures Whiddon Vibe pour Hommes-of-Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation.

WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, 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-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école. 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,Anah Panier Se Pliant-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon.

Asics Gt-2000 8, 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/Catimini Gilet Bébé Fille, 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-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, 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,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea.