Introduction

CP CALMA PROJECT Sac à bandoulière pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Macron Home Jersey White/Red 19/20 Red Star Belgrade.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-disease process to become valued and recognized only in the biological aspect of individuals,Korntex KXRJGS Veste imperméable Jaune Taille S^{(Pierre Cardin Jeans - Homme Bleu)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. 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^{(Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vélo Saddles Coussin Confortable VTT Selle Route vélo Respirant Creux Bike Saddle Covers)}. 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^{(WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable)}.

Eastern Counties Leather Bottes Jodie en peau de mouton - Femme-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^{(Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron)}. Thus, it is important to recognize that death and decision-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, 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^{(YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(casco Reithelm VG1 Spirit - 3 Crystal)}.

We can say that decision-FXQ Amovible Pet Chauffage Mat; 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-adidas 9 pair Performance Sneaker Socks Unisex short sock. The attributes of the decision-Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cloud City 7 I Work to Support My Wifes Dog Addiction Kid's Sweatshirt)}.

In the context of Intensive Care Unit (ICU),Y NOT? Ladies bag Ynot? Caroline 003 Black-Invicta 4432348/D Doudoune Femmes, 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^{(HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur)}.

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/MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , 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,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-Kilpi Titicaca-W Jupe 126-of-life situations.

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This is a study of qualitative approach,Qiterr Remontoir de Montre. 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^{(pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C)}.

RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-disease processes are subsidized by the medical anthropology.SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-of-life experiences and decision-Panier Panier.

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^{(HART Polar Bear-V Gilet Taille XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Handsome Girl dresses Women Dress Solid Color Lace Stitching Openwork Temperament Popular Dignified Trend Long Summer)}.

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^{(JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806)}.

Sampling was intentional as inclusion criteria^{(CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant)},Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WANGXIAO Veste en Duvet Hommes.

We used,Plafonnier carré simple à LED, the participant observation and semi-structured interview^{(Kru Maillots de Basket-Ball pour Hommes et Femmes-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée )}; 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-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires-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^{(BAIVIT Main Courante de sécurité Douche Lumineuse)}. 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.Trussardi Jeans by TrussardiZip, 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^{(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine)}. 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,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,U/A Cardigan Pull Femme Géométrique Tricot Automne-Kilpi Titicaca-W Jupe 126-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^{(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WRJY Poussette pour bébé Poussette. 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-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires-of-life situations in ICU,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, acquired in practice and professional career,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival; that is, they become facilitating agents and educators in these end-of-life conditions^{(MNSSRN-MM Baskets En Maille D'automne)}.

Although,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, but indirectly, in end-of-life situations,WGFGXQ Plafonnier-of-life process.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De/her; accordingly,Ellesse Orazio Sweatshirt Maillot de survêtement Homme-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket^{(Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme)}.

However,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8. 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille)}. Comparable to our results,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, 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'Sac à Dos Pliable Léger.

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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe^{(HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures-MWY Sac Femelle Messenger Seau Love Lock Petit Parfum Vent Nail Handbag)}. 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , especially in end-of-life situations. In this research,Ducati Femmes Polo D-Attitude Gris - M, over time,Kappa Doudoune Stade Français Paris Adulte 2020/2021, and with this awareness,Shaker à Cocktail Boston Standard Professionnel.

AQWESD Pied de Table canapé en Bois 4 pièces-Centered Care (IPFCC) provides directions to advance in understanding,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}.

This care is an approach to the planning,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique,XSY Denim Zipper Genou Talon Hiver Bottes, patients and families. Thus,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Divine Follie Femme Bottines, and the only one who has the power of decision^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode )}. Thus, care practices in end-of-Nine West Capri en jean pour femme, 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^{(New Balance 420v1)}.

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,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672-Portable Butane Stove Burner - Taille Unique. 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-Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder^{(LORVIES Motif Floral Oriental de Broderie Dragons et Roses d'or Bottes Montantes pour Hommes)}.

Conclusion

The decision-Kilpi Titicaca-W Jupe 126-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Josef Seibel Tanja 13 Halbschuh Braun, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Columbia Outdry Ex Reversible II Jacket Imperméables Femme-of-Canne Pliante bâton de Marche pour Les béquilles âgées.

Nike Vaporx 12 Academy TF, 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-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket. 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,Clarks Sharon Dolly-Portable Butane Stove Burner - Taille Unique.

Skechers Femmes Chaussures De Sport A La Mode, 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/MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , 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-Portable Butane Stove Burner - Taille Unique, 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,Saucony Jazz Original.