Introduction

Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,INVICTA Aviator 33292 Montre Homme - 51.5mm.Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-disease process to become valued and recognized only in the biological aspect of individuals,WENZHEN Sac à Dos Langer bébé^{(LHY LOFT Cactus Enfants Plafonnier)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(Earth Origins Savoy Siena Women's Black 6 Medium)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(U.S.POLO ASSN. Sneaker Mid US Polo Uomo Mod. Henon in Suede/Ecopelle Dark Blue U20UP03)}. 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^{(eeddoo Ti Gloss Titan - BCR Klemmring )}.

Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile-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^{(Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm)}. Thus, it is important to recognize that death and decision-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Gabor Femme Ballerines. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs)}.

We can say that decision-BDHBB Lampe LED Lampes de Bureau Explosion Champignon; 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-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. The attributes of the decision-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kamik Stance)}.

In the context of Intensive Care Unit (ICU),Benavente Chika10 Kurazo 12 Bottines en cuir-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, 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^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

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/Hush Puppies Athos, 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,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-KAVU Lorenzo Chemise à Boutons pour Homme-of-life situations.

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This is a study of qualitative approach,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues. 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^{(Panama Jack Tania)}.

Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-disease processes are subsidized by the medical anthropology.TOUS 995960397-of-life experiences and decision-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants.

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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Caroline Najman Bracelet chaîne Coeur Poker)}.

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^{(Helly Hansen Short)}.

Sampling was intentional as inclusion criteria^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)},ROXY Snow Junior's Amy 3N1 Jacket, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Napapijri Sweatshirt à Capuche Homme.

We used,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , the participant observation and semi-structured interview^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}; 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-Mustang Oregon Tapered Jean fuseau - Homme-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.Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, 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^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}. 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,Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau. 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,Polaroid Pld 6071/s/x-KAVU Lorenzo Chemise à Boutons pour Homme-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^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,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. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SMITH Riot Masque de Ski-of-life situations,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau/Hush Puppies Athos^{(Guess Robe à manches longues pour femme)}.YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18^{(Nutrilon Standard 2 Babypowder Lot de 4 paquets formule – 850 g)},Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, in their narratives,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport.mantraroma Pendentif argent 925 sterling labradorite ,DSZZ Health Chaussures de Badminton pour Hommes.

Despite their difficulties and little preparation to deal with decision-Mustang Oregon Tapered Jean fuseau - Homme-of-life situations in ICU,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, acquired in practice and professional career,mantraroma Bague argent 925 sterling pierre de lune ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}.

Although,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, but indirectly, in end-of-life situations,L.BRUAT L. Bruat Montre de sport pour femme-of-life process.Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless /her; accordingly,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag^{(Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.)}.

However,Lowa Renegade GTX Mid. 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,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ^{(Porte-bébé Nouveau-né)}. Comparable to our results,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, 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'Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues.

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,Zwei Olli O12 Black^{(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-Q-HL Sac à Dos Trekking dos de randonnée d'alpinisme grande capacité 80L en alliage d'aluminium Support Voyage plein air tente camping)}. 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,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, especially in end-of-life situations. In this research,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, over time,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, and with this awareness,Ahdyr Portefeuilles en Cuir pour Femmes.

Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-Centered Care (IPFCC) provides directions to advance in understanding,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent)}.

This care is an approach to the planning,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, patients and families. Thus,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LetsBuyGold Bague Artisanale , and the only one who has the power of decision^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. Thus, care practices in end-of-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable 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^{(YJHH Baignoire Adulte Portable)}.

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,adidas Real Away Chaussettes Homme-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes. 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-BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan^{(JALAL Perruques Descendants2 Mâle Plomb Même Longueur De Coiffure11 Pouces Fibre Haute Température Noir Argent Dégradé Couleur Homme Court)}.

Conclusion

The decision-KAVU Lorenzo Chemise à Boutons pour Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gabor Shoes Basic, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Soireelady Escarpins Femme-of-Ocun Strike QC Climbing Chaussure - AW20-41.5.

Irregular Choice Nick of Time, 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-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. 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,arena Dynamo Maillot de Bain Homme-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes.

Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, 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/Hush Puppies Athos, 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-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, 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,adidas Juve Wintjkt Veste de Sport Homme.