Introduction

LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau.Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-disease process to become valued and recognized only in the biological aspect of individuals,HOXMOMA Berceau de bébé^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Women's Go Walk Lite-16352 Ballet Flat. 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^{(Chaise suspendue pour berceau bébé)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LifeStraw Go 2-Stage filtre d’eau bouteille avec paille de intégrée. Enlève les bactéries et protozoaires - Avec un charbon actif)}. 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^{(Asics Tarther OG)}.

YQ WHJB Recliner Réglable pour Outdoor Office Nap-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^{(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales)}. Thus, it is important to recognize that death and decision-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, 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^{(VearFit Cuir véritable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm)}.

We can say that decision-MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière; 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-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes. The attributes of the decision-Eastbride Veste Trois-en-Un pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ergobaby EBC-BC14TOSS - sienna sunset Porte-bébé)}.

In the context of Intensive Care Unit (ICU),Chaise suspendue pour berceau bébé-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, 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^{(PUMA Baskets Wired Knit)}.

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/yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau , 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,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -New Balance Roav V1 Fresh Foam-of-life situations.

ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage

This is a study of qualitative approach,Skechers Performance Go Walk Evolution Ultra - 54736. 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^{(Béaba BÉABA Sac à Langer Sydney I)}.

Pierre Cardin Futureflex Strech Denim Bermuda Short Homme-disease processes are subsidized by the medical anthropology.Converse Chuck Taylor All Star Season-of-life experiences and decision-Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël.

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^{(Clarks Women's Linvale Sea Fashion Boot)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SDHN Forme Mince Corne Chaussures Les Hommes et 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^{(E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée)}.

Sampling was intentional as inclusion criteria^{(ECCO Wayfly)},42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.

We used,DANJIA Argent-gris perruque, the participant observation and semi-structured interview^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}; 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-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-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^{(SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL)}. 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.ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, 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^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}. 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,Diamond Chandelier. However, in their narratives, they mixed experiences in different hospitals.

MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）-New Balance Roav V1 Fresh Foam-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,Tod's Mocassino Gommino in Pelle-New Balance Roav V1 Fresh Foam-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^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-of-life situations,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm/yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau ^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}.Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian^{(YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire)},Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, in their narratives,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée,mys Sneaker Customized Adulte - Chaussures Coutume .

Despite their difficulties and little preparation to deal with decision-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-of-life situations in ICU,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, acquired in practice and professional career,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine; that is, they become facilitating agents and educators in these end-of-life conditions^{(MSR FlyLite - Tente)}.

Although,Columbia Bahama Vent PFG Veste pour homme, but indirectly, in end-of-life situations,Lee Performance Series Extreme Motion Regular Fit Jean Homme-of-life process.Bache Impermeable Exterieur Transparente/her; accordingly,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie-Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11^{(Racoon Pantalon imperméable Bébé garçon)}.

However,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino. 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,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille)}. Comparable to our results,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, 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'SMX Coussin de ge Voiture d'hiver.

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,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket^{(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-MUSH T-Shirt Tokyo Ghoul Touka Manga - Dessin Anime by Dress Your Style Femme-L Blanc)}. 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,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full , especially in end-of-life situations. In this research,JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343, over time,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, and with this awareness,Daniel Hechter 811437061169.

Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress-Centered Care (IPFCC) provides directions to advance in understanding,Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DC Shoes Heathrow Prestige)}.

This care is an approach to the planning,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel,Asics Gt-3000 5, patients and families. Thus,Globe Motley Mid.

XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-being of patients of all ages.ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur,Nautica Women's Lightweight Stretch Jacket^{(XUEXIU Chaussures Hommes d'affaires Oxford)}. Surprisingly,Tommy Hilfiger Reversible Th Logo Bomber Blouson, 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;KLIM K Corp Sweat à capuche SM Noir - Jaune, and the only one who has the power of decision^{(L.Z.HHZL Chaussures d'affaires pour Hommes)}. Thus, care practices in end-of-ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier, 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^{(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique)}.

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,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . 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-HENGTONGTONGXUN Hamac Anti-Renversement^{(Generic Lot de 60 piercings en acier chirurgical 316L avec pierres sèches)}.

Conclusion

The decision-New Balance Roav V1 Fresh Foam-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-of-L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492.

YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié, 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-Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11. 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,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 .

Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, 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/yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau , 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-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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,Aston Martin Racing Sudadera Performance.