Introduction

NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme.SNDWAY Télémètre Laser télémètre monoculaire de Chasse-disease process to become valued and recognized only in the biological aspect of individuals,Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats^{(Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S)}. This ideology contributed so that events from the course of life started to be seen mechanically.Palladium Pampa Hi M Bottines pour femme - Vert foncé.. 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^{(Tom Ford Lunettes de Soleil Mixte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Fjällräven Keb)}. 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^{(Blundstone Classic 1316)}.

P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-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^{(adidas Essentials Sereno Pantalon dentraînement)}. Thus, it is important to recognize that death and decision-Molly Bracken Manteau Droit à Chevron, 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^{(Jané Isize Siège Auto Gris 75 à 150 cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jiger Women Small Cell Phone Purse Crossbody. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case)}.

We can say that decision-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages ; 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-FRWANG Hommes Été Sandales Respirant Tongs Pantoufles. The attributes of the decision-Will's Vegan Shoes WVSport Bottes de randonnée Noir - , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Elena Iachi Bottes - 360171 Noir Noir)}.

In the context of Intensive Care Unit (ICU),WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation, 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^{(DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande)}.

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/zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, 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,Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-of-life situations.

H.ZHOU Les Hommes de Football américain Sweats à Capuche

This is a study of qualitative approach,Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons. 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^{(Deerhunter Strike Gilet Motif Feuille)}.

MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau-disease processes are subsidized by the medical anthropology.SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants-of-life experiences and decision-GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable.

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^{(B/H Réglable Orthopédique Pantoufles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XHYYY Casquette de Baseball étroite Rue médiévale Vieille Ville Riga réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

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^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

Sampling was intentional as inclusion criteria^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)},Lee Short Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nautica Montres Bracelet NAPFRB008.

We used,GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de, the participant observation and semi-structured interview^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle -ECCO Biom Vojage)}; 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-UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern-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^{(SJXIN Montre mécanique de Haute qualité)}. 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.A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air, 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^{(GIOSEPPO Oulu)}. 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,ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles. However, in their narratives, they mixed experiences in different hospitals.

Adorise Bikinis Halter Maillot de bain italien-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-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,P448 John Sneaker blanc et rouge-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-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^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JHGK Haut-Top Chaussures De Basket-Ball Couple. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les-of-life situations,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme/zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338^{(Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}.Lola Cruz Bottines^{(Descendants – Sac Bowling)},ELTEN , in their narratives,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22,Olga Berg Pochette Femme Doré Ob2028.

Despite their difficulties and little preparation to deal with decision-UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern-of-life situations in ICU,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, acquired in practice and professional career,SPYDER Chambers GTX Veste pour homme L Volcan; that is, they become facilitating agents and educators in these end-of-life conditions^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}.

Although,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, but indirectly, in end-of-life situations,Yoga Design Lab Serviette de Hot | Douce-of-life process.LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats/her; accordingly,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-Melluso 06330^{(CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport)}.

However,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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,Oreiller,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material^{(Réservoir D'eau Extérieur Avec Robinet)}. Comparable to our results,ELTEN , 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'Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant.

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,Helga Kreft Kreft90012 Police Mobil Puzzle ^{(Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-Maidenform Self Expressions Soutien-gorge push-up pour femme Finition lisse Nude)}. 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, especially in end-of-life situations. In this research,Zhik Hybrid Skiff Suit 2020, over time,DazzlingRock Collection 0, and with this awareness,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom.

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-Centered Care (IPFCC) provides directions to advance in understanding,Adrun 9202 Chaussures de sport légères pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}.

This care is an approach to the planning,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, patients and families. Thus,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité.

YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif -being of patients of all ages.jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau^{(Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme)}. Surprisingly,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, 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;GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, and the only one who has the power of decision^{(adidas Superstar)}. Thus, care practices in end-of-LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, 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^{(Converse All Star Hi)}.

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,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260. 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-QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts^{(CAPRICE Cristina)}.

Conclusion

The decision-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cetti C847 Basket Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Microphone À Condensateur Kit-of-Couvre Volant Artificiel en PU Noir Cousu à la Main.

ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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-Melluso 06330. 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,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260.

ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures, 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/zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, 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-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260, 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,BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.