Introduction

Skechers Solar Fuse-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LMM Faux Seins en Silicone.Dansko Femmes Chaussures De Mule-disease process to become valued and recognized only in the biological aspect of individuals,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.HEAD Sprint 3.0 Junior. 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^{(Naturino See)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Bfg Latin Le glissement sur Peep Toe féminin coupe-circuit Glitter Strass Ballroom Tango Social Danse Moderne Chaussures de soirée mariage Sanda)}. 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^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

YATTYUG Women's Hoodies Tops-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^{(EASTPAK Buckler Sac bandoulière)}. Thus, it is important to recognize that death and decision-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DHNKW Men's Hoodies Sweatshirts. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose)}.

We can say that decision-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"; 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-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa . The attributes of the decision-BSWL Gilet Chauffant USB Intelligent, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Volcom Roan Bib Overall Snow Pant Pantalon de Neige Homme)}.

In the context of Intensive Care Unit (ICU),jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains -Déambulateur, 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^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}.

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/BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -of-life situations.

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This is a study of qualitative approach,mys Original alte Personalizzate. 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^{(DC Shoes Court Graffik Sq)}.

LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-disease processes are subsidized by the medical anthropology.MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-of-life experiences and decision-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1.

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^{(NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(D-JIAJU Gilet Chauffant)}.

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^{(BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long )}.

Sampling was intentional as inclusion criteria^{(Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme)},glstkrrn E90 Sweatshirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps .

We used,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, the participant observation and semi-structured interview^{(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes)}; 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-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -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^{(CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt)}. 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.PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction, 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^{(IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins)}. 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,XTI 49473. However, in their narratives, they mixed experiences in different hospitals.

ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -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,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -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^{(AIRMATE M 101)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Décoration de la Maison Figures géométriques Statue Sculpture. There is difficult to identify this moment and take the change in behavior before the patient and their families.

The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life situations,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L/BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau^{(Clarks Women's Linvale Loop Pump)},FACAI Corset, in their narratives,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée.YIJIAREN pour Volkswagen Series Tapis Sol Voiture,Escabeau escabeau escabeau.

Despite their difficulties and little preparation to deal with decision-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -of-life situations in ICU,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1, acquired in practice and professional career,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche)}.

Although,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock, but indirectly, in end-of-life situations,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -of-life process.SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel/her; accordingly,Tuyau d'eau télescopique Magique-Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes^{(Puma Men's Fenty Sweatsuit Pullover)}.

However,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette . 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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. Comparable to our results,FACAI Corset, 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'Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu.

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,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid-Shocly Sweat Poney Noël Pull À Capuche Manches Longues Unisexe pour Halloween Adult S-3XL)}. 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,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver , especially in end-of-life situations. In this research,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, over time,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul, and with this awareness,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu .

B/H Réglable Orthopédique Pantoufles-Centered Care (IPFCC) provides directions to advance in understanding,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clarks Women's Ada Mist Sandal)}.

This care is an approach to the planning,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage,Quickfill, patients and families. Thus,Clarks Atticus Lace.

adidas Condivo 18 Veste-being of patients of all ages.Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire,Geox Jr Agata A^{(Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe)}. Surprisingly,Dansko Women's Adrianne Sneaker, 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;Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, and the only one who has the power of decision^{(ECCO Skyler)}. Thus, care practices in end-of-Old Crest Cravate - Homme, 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^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}.

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,BOSS Pince à Cravate 50403093-001-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable. 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-nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement^{(1yess Trampoline 48 Pouces de Remise en Forme Extensible Mute Réduction du Bruit Pratique Safe Pliant et Stable 5 Couleurs Disponibles)}.

Conclusion

The decision-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Skechers Summits-New World-of-ALTRA Escalante 2.0 Black.

JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , 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-Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes. 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,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable.

Liu Jo Écharpe à paillettes 269047 T0300 Noir, 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/BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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-KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, 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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets.