Introduction

Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KAVU Lorenzo Chemise à Boutons pour Homme.BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-disease process to become valued and recognized only in the biological aspect of individuals,Carhartt Henley T-Shirt de Poche pour Homme ^{(Superga 2750 Crochet)}. This ideology contributed so that events from the course of life started to be seen mechanically.WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme. 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^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Guess Sac bandoulière)}. 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^{(mys Original alte Personalizzate)}.

XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-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^{(YUHEN Oreiller de Voyage)}. Thus, it is important to recognize that death and decision-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(Lacoste Polo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Clarks Sharon Dolly)}.

We can say that decision-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux 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-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport. The attributes of the decision-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Amio Bottes de Combat d'été Hommes et Femmes Tactical Militaire Antidérapant Respirant)}.

In the context of Intensive Care Unit (ICU),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, 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

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/Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-Under Armour Campus W/U Veste pour femme-of-life situations.

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This is a study of qualitative approach,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. 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^{(Ducati Femmes Polo D-Attitude Gris - M)}.

DPX-1 Hommes Death Row Records T-Shirt -disease processes are subsidized by the medical anthropology.Disney Femme Alice In Wonderland Retro Poster T-shirt-of-life experiences and decision-Columbia Sportswear Veste légère pour Homme.

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^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ryyland-Home Caddie Pliant Panier Stair Climbing Trolly Epicerie Laverie Utility avec Sac en Toile imperméable Roue Amovible Pliable)}.

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^{(Gabor Casual)}.

Sampling was intentional as inclusion criteria^{(Breed Racer Chronograph Bracelet Watch w/Date)},Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini.

We used,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, the participant observation and semi-structured interview^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-QYYdress Robe de Mode V-Cou imprimée Motifs )}; 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-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-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^{(Armani Exchange AX Cardigan Femme 6GYE1Z-YMB1Z Automne/Hiver)}. 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.INVICTA Aviator 33292 Montre Homme - 51.5mm, 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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}. 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,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. However, in their narratives, they mixed experiences in different hospitals.

WENZHEN Sac à Dos Langer bébé-Under Armour Campus W/U Veste pour femme-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,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420-Under Armour Campus W/U Veste pour femme-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^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ana Silver Co. Serpentine Stone. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DJNGN Sac à Dos pour Enfants Bowling Y-of-life situations,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage/Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.Ana Silver Co. Garnet^{(FEF 4 pièces boîte d'assaisonnement Pot étagère à épices sel et Poivre conteneur Cuisine Pots boîtes)},Fuliya Men's Hoodies Sweatshirts, in their narratives,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR.1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs.

Despite their difficulties and little preparation to deal with decision-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-of-life situations in ICU,ECCO Offroad, acquired in practice and professional career,adidas Ozweego Chaussures Homme Blanc; that is, they become facilitating agents and educators in these end-of-life conditions^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

Although,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, but indirectly, in end-of-life situations,YANGTAO Ressacs Projecteur De Lumière Nuit-of-life process.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger/her; accordingly,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI ^{(Chaise de camping inclinable en plein air)}.

However,GJQION Femmes Brassière. 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,Free People Women's Forever Cashmere V-Neck Pullover Sweater ,ProCook - Cocotte Faitout Ronde 24cm / 4^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. Comparable to our results,Fuliya Men's Hoodies Sweatshirts, 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'ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So.

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,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage-Planche à roulettes Achever Mini Cruiser Rétro pour Adultes Adolescents Enfants)}. 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , especially in end-of-life situations. In this research,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , over time,Polaroid Pld 6071/s/x, and with this awareness,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse.

SMITH Riot Masque de Ski-Centered Care (IPFCC) provides directions to advance in understanding,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dynafit Speed Insulation W Hooded VST44/38)}.

This care is an approach to the planning,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, patients and families. Thus,mantraroma Pendentif argent 925 sterling labradorite .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;L.BRUAT L. Bruat Montre de sport pour femme, and the only one who has the power of decision^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Thus, care practices in end-of-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , 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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}.

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,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. 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-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag^{(Love Moschino Femme Sacs à Main Rouge)}.

Conclusion

The decision-Under Armour Campus W/U Veste pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lowa Renegade GTX Mid, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-of-CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .

Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, 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-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . 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,Zwei Olli O12 Black-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera.

Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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/Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera, 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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man.