Introduction

Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir.DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging-disease process to become valued and recognized only in the biological aspect of individuals,Chiba pour Homme Lake Tahoe Gants^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. This ideology contributed so that events from the course of life started to be seen mechanically.SPORTUBE Series 1 Platinum Deluxe Étui à snowboard. 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^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Legenderxs Framing Ciment Manches Courtes - Chemise)}. 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^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45-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^{(Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /)}. Thus, it is important to recognize that death and decision-Nike M NKCT Jacket Stadium Veste Homme, 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^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kipling Kassandra S. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Buffalo CAI)}.

We can say that decision-Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie; 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-Prana Summit Tall Pantalon pour Femme. The attributes of the decision-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Regatta Veste Technique À Capuche Romina Imperméable et Respirante Femme)}.

In the context of Intensive Care Unit (ICU),Piquadro Porte-Cartes de crédit-LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, 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^{(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris)}.

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/zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit, 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,FRWANG Hommes Chaussures Cuir Brogue Lacets-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-of-life situations.

Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard

This is a study of qualitative approach,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite. 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^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG )}.

Glqwe Sac à Dos étanche pour Ordinateur Portable-disease processes are subsidized by the medical anthropology.Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage-of-life experiences and decision-H.yina Table à Langer pour Fille Petits espaces.

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^{(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ak Sport - 0717001 Jeu De Fléchettes Longfield Prof)}.

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^{(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear)}.

Sampling was intentional as inclusion criteria^{(Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc)},Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant.

We used,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, the participant observation and semi-structured interview^{(FRYE Robin Feather Criss Sandale plate pour femme-RICOSTA Fille Sandales à lanières ANA 7020900)}; 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-huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-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^{(Kosplay Kolsplay Princesse Filles Elsa Reine des Neiges 2 Costume)}. 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.Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, 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^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}. 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,Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit. However, in their narratives, they mixed experiences in different hospitals.

Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-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,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-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^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life situations,KAVU Lorenzo Chemise à Boutons pour Homme/zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}.BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant^{(Birdsight Escarpins Femme Talon Bloc Bas Carrés Bride Cheville Daim avec Noeud Perles Rockabilly Chaussures Bout Pointu d'été Chunky Heels Sweet Bureau 3CM)},Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, in their narratives,Carhartt Henley T-Shirt de Poche pour Homme .WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

Despite their difficulties and little preparation to deal with decision-huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-of-life situations in ICU,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, acquired in practice and professional career,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers Bounder)}.

Although,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, but indirectly, in end-of-life situations,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-of-life process.Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme/her; accordingly,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)}.

However,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues. 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,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique)}. Comparable to our results,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, 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'DPX-1 Hommes Death Row Records T-Shirt .

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,Disney Femme Alice In Wonderland Retro Poster T-shirt^{(Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-Kenneth Cole KC4812 - Sport Montre Femme Quartz Analogique Cadran Noir Bracelet Acier)}. 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,Columbia Sportswear Veste légère pour Homme, especially in end-of-life situations. In this research,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, over time,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, and with this awareness,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente.

Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-Centered Care (IPFCC) provides directions to advance in understanding,INVICTA Aviator 33292 Montre Homme - 51.5mm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Converse Chuck Taylor All Star Homme Vintage Leather Hi)}.

This care is an approach to the planning,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille,WENZHEN Sac à Dos Langer bébé, patients and families. Thus,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant.

Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile-being of patients of all ages.Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen,Gabor Femme Ballerines^{(Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules)}. Surprisingly,BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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;Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, and the only one who has the power of decision^{(Pandora Femme Argent Boutons d'oreilles - 290721CZ)}. Thus, care practices in end-of-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , 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^{(American Tourister Soundbox Spinner Extensible)}.

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,Benavente Chika10 Kurazo 12 Bottines en cuir-Columbia Fall Pine Washed Crew Chemise Femme. 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-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top^{(ZMHX Portefeuille Cuir Hommes Portefeuilles Court 100% Top Qualityfold Porte-Monnaie Haute Qualité pour)}.

Conclusion

The decision-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hush Puppies Athos, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues.

Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, 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-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B. 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,TOUS 995960397-Columbia Fall Pine Washed Crew Chemise Femme.

CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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/zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit, 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-Columbia Fall Pine Washed Crew Chemise Femme, 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,ROXY Snow Junior's Amy 3N1 Jacket.