Introduction

Nautica Montres Bracelet NAPFRB008-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de.UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern-disease process to become valued and recognized only in the biological aspect of individuals,A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles. 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^{(FANZIFAN Manteau de la Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NASDIZL  Housse de Volant Voiture en Cuir Cousue à la Main)}. 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^{(Delsey Trolley Brisban Black M 4R)}.

Adorise Bikinis Halter Maillot de bain italien-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^{(DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres)}. Thus, it is important to recognize that death and decision-QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique, 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^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.

We can say that decision-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes; 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-TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux. The attributes of the decision-SILOLA Nordic Book Shelf Iron Art Magazine Storage Rack Newspaper Landing Newscase Showcase Children's Picture Stand for Living Room, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FANTASIE Soutien-Gorge Bonnets Profonds avec Renforts latéraux Memoir)}.

In the context of Intensive Care Unit (ICU),RAVIAN AB Roue Perfect-YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia, 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^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

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/WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2, 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,CXD Mâle/Femelle Hauts De Costume Tang Chinois-Under Armour Rival Fleece Homme Sweat à Capuche Noir-of-life situations.

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This is a study of qualitative approach,OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main. 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^{(adidas EQT Cushion ADV)}.

DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme-disease processes are subsidized by the medical anthropology.Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm-of-life experiences and decision-NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH.

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^{(Hoonmis Robe de soirée Enfant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HO Soccer Aquagrip Gen9 Gants de Gardien But Unisexe pour)}.

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^{(Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg)}.

Sampling was intentional as inclusion criteria^{(TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee)},SSSSLIVE Couvre-Chaussure Couvre-Chaussures Pluie Imperméable À l'eau Recyclable en Silicone Réutilisables Imperméables La Hommes Chaussures Couvre Bottes De Livraison Gratuite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule .

We used,WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables, the participant observation and semi-structured interview^{(Gabor Shoes Basic-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}; 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-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-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^{(JZWDMD Kit Phare LED H4 6500K /3000K /4300K 6000LM 40W Ampoules de Tout en Un Conversion DOB Puce Ampoule Antibrouillard Blanche Bi-Xénon)}. 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.mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol, 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^{(Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité)}. 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,DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage. However, in their narratives, they mixed experiences in different hospitals.

1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-Under Armour Rival Fleece Homme Sweat à Capuche Noir-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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-Under Armour Rival Fleece Homme Sweat à Capuche Noir-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^{(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zhik Hybrid Skiff Suit 2020. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DazzlingRock Collection 0-of-life situations,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom/WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2^{(Under Armour Polo rehaussé pour homme)}.Kangol antique Sac fourre-tout Marron Fourre-tout de voyage^{(Elena Iachi Bottes - 360171 Noir Noir)},Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, in their narratives,Adrun 9202 Chaussures de sport légères pour femme.QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation.

Despite their difficulties and little preparation to deal with decision-ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations in ICU,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, acquired in practice and professional career,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap)}.

Although,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, but indirectly, in end-of-life situations,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-of-life process.SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper/her; accordingly,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-LZJN Veste d'hiver pour femme avec boutonnage long et matelassé^{(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full )}.

However,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement. 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,QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts,Cetti C847 Basket Femme^{(CFR Combinaison de yoga sans manches avec dos nu pour femme)}. Comparable to our results,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, 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'Microphone À Condensateur Kit.

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,Couvre Volant Artificiel en PU Noir Cousu à la Main^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -XHYYY Casquette de Baseball étroite Rue médiévale Vieille Ville Riga réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. 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,ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, especially in end-of-life situations. In this research,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre, over time,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, and with this awareness,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -Centered Care (IPFCC) provides directions to advance in understanding,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TIEON Uniforme de Baseball Phillies # 3 Bryce)}.

This care is an approach to the planning,Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys,TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse, patients and families. Thus,DGHJK Chargeur sans Fil.

Barre de son-being of patients of all ages.SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier ^{(K-Swiss Legging taille moyenne 7/8 pour femme)}. Surprisingly,Willsky Bottes De Neige, 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;AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de, and the only one who has the power of decision^{(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220)}. Thus, care practices in end-of-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier, 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^{(ASICS Tiger Gel-Mai Chaussures pour Homme)}.

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,1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs-Molly Bracken Manteau Droit à Chevron. 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-Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL^{(SJXIN Montre mécanique de Haute qualité)}.

Conclusion

The decision-Under Armour Rival Fleece Homme Sweat à Capuche Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-of-Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme.

Beta Tools '9534 W-m-pãlo Premium, 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-LZJN Veste d'hiver pour femme avec boutonnage long et matelassé. 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,Paul Green Sneaker Blau-Molly Bracken Manteau Droit à Chevron.

Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs, 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/WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2, 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-Molly Bracken Manteau Droit à Chevron, 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,Sperry Top-Sider Striper CVO Hawaiian Print.