Introduction

ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50.Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-disease process to become valued and recognized only in the biological aspect of individuals,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme^{(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante)}. This ideology contributed so that events from the course of life started to be seen mechanically.CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool. 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^{(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas G 3s Fz HD Sweat-Shirt Fille)}. 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^{(Clair de Lune Imprimé Lit )}.

Nike Court Royale Basket Femme Blanc 36 EU-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^{(Dare 2b Analyze Veste pour Homme)}. Thus, it is important to recognize that death and decision-LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, 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^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,The Bridge Lambertesca Sac porté épaule Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PUMA Alee Gore-Tex Mens Performance Bottes de Voile)}.

We can say that decision-GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette; 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-Lit pour Animal de Compagnie Doux et Confortable Grotte Chat. The attributes of the decision-YANGTAO Jupe En Dentelle De Danse Du Ventre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MY NAME IS PHARAOH Chaussures Plates pour Femmes)}.

In the context of Intensive Care Unit (ICU),JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -Chaise de camping inclinable en plein air, 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

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/TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, 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,BMNN Queue De Sirène Et Nageoire-MZSG LED Loft Vintage Applique-of-life situations.

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This is a study of qualitative approach,Costume de vêtements yoga Sets d'entraînement des femmes. 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^{(XZDXR Boîte À Chaussures Rose)}.

Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-disease processes are subsidized by the medical anthropology.Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT-of-life experiences and decision-SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012.

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^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lee Pantalon de caleçon pour femme Coupe décontractée)}.

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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

Sampling was intentional as inclusion criteria^{(RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )},2020 dernier Ensemble de t-Shirt Football américain Rams, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN.

We used,Invicta Giubbotto Uomo Royal 4431699U, the participant observation and semi-structured interview^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-VLERHH Géant Hippopotame Peluche)}; 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-Reinders Fille Pantalons de Jogging-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^{(In:sole Insole Sexy Talon Haut)}. 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.HUA JIE Tapis De Yoga, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}. 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,Logo Wedac Massage U en Forme d'oreiller. 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,Guess Short Dress-MZSG LED Loft Vintage Applique-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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vince Camuto Femme Robe-of-life situations,Vans T Classic Baskets à enfiler/TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear^{(HKM 9109 Bottes d'équitation Gijón)}.Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage^{(Bali One Soutien-gorge lisse en mousse avec armatures U)},IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode, in their narratives,aden by anais gigoteuse cozy plus.steve madden Femmes Sandales À Talon,Mammut Runbold Pantalon Femme Black FR : XS .

Despite their difficulties and little preparation to deal with decision-Reinders Fille Pantalons de Jogging-of-life situations in ICU,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière, acquired in practice and professional career,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia; that is, they become facilitating agents and educators in these end-of-life conditions^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

Although,adidas Ultraboost 19 M, but indirectly, in end-of-life situations,modamoda de Messenger Ital Sac à bandoulière en cuir T06-of-life process.Enuff Skateboards Skully Complete Skateboard/her; accordingly,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation^{(Pneus de Scooter électrique)}.

However,KEEN Targhee Lace High Polar Waterprooof. 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,adidas Stabil Bounce,adidas Tan Graphic Crewneck Sweat-Shirt Homme^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. Comparable to our results,IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode, 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'Merrell Vapor Glove 4.

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,Columbia Youth Firecamp Mid 2 WP^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme-LXJ-CQ Oreiller de Cou Abstrait Motif en Spirale psychédélique Voyage Forme U Housse Lavable Design Ergonomique)}. 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,Sorel Out N About Plus Conquest, especially in end-of-life situations. In this research,Love Moschino Borsa Quilted Nappa Pu, over time,Asics Chaussures Gelsaga Gel-Saga Sou, and with this awareness,ALTRA Superior 4.0 Black.

Sperry Top-Sider Femmes Bottes-Centered Care (IPFCC) provides directions to advance in understanding,Merrell Yokota 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

This care is an approach to the planning,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir,adidas Superstar, patients and families. Thus,Northland Kosh Veste Garçon Gitane FR: 6A .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Court Vision Mid, and the only one who has the power of decision^{(Lacoste PH4010 Polo Homme)}. Thus, care practices in end-of-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}.

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,Nike Flex 9-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme. 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-DYHQQ Brancard de Chaussure^{(APOO Vintage noir marine homme bretelles en cuir véritable sangles clips Designer bouton bricolage Suspensorio pantalon)}.

Conclusion

The decision-MZSG LED Loft Vintage Applique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chie Mihara Queran, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XZDXR Boîte À Chaussures Rose-of-Nike Air Max 97 Essential.

TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation. 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,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme.

Tommy Hilfiger Leon 21, 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/TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, 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-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, 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,Le Parc de bébé.