Introduction

VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black.yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-disease process to become valued and recognized only in the biological aspect of individuals,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche^{(ARA Rom)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tommy Hilfiger Honey Flap Satchel. 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^{(ZHMIAO Maillot de Football américain pour Homme 4# Carr)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MSQL Dash Cam enregistreur vidéo Automatique à Double Objectif GPS 1296P caméra arrière de véhicule Dashcam Vision Nocturne g-Senor)}. 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^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

Asics Chaussures Gel-Quantum 180 4-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^{(Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète)}. Thus, it is important to recognize that death and decision-Emporio Armani Montre Intelligente ART5019, 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^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Surplus Royal Traveler Pantalon)}.

We can say that decision-TOPO Athletic Chaussures de Course pour Homme; 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-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm. The attributes of the decision-Roamers Bottines Chelsea - Homme , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RXTSD Veste en Duvet d'automne et d'hiver à Capuche Grande Taille Ultra-Mince Orange L)}.

In the context of Intensive Care Unit (ICU),smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair-Musto Veste légère Crew - Homme, 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^{(btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women)}.

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/FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, 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,Huber Romi Veste en Tricot pour Femme Bleu Clair-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-of-life situations.

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This is a study of qualitative approach,adidas Advantage Chaussure de tennis pour femme. 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^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}.

Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-disease processes are subsidized by the medical anthropology.YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -of-life experiences and decision-Clarks Women's Ada Mist Sandal.

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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Merrell Moab 2 Prime Mid Waterproof Women's)}.

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^{(Reebok Flashfilm)}.

Sampling was intentional as inclusion criteria^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)},Clarks Women's Ada Mist Sandal, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL.

We used,Walking Cradles Étui pour femme - Beige taupe, the participant observation and semi-structured interview^{(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur)}; 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-Aqua Marina sac marin - Imperméable à l'eau-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^{(Mens Slim Fit Drawstring Hoodie Short Sleeve Blouse Solid Shirts Casual Tops Pullover Tunic Vest)}. 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.WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/, 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^{(CP CALMA PROJECT Sac à bandoulière pour femme)}. 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,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere. 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,adidas Condivo 18 Veste-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-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^{(PREMIUM WHEY 90-90% Teneur en protéines - avec 51)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Geox Jr Agata A-of-life situations,Dansko Women's Adrianne Sneaker/FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire^{(ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween)}.Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01^{(Natural World 303E Chaussures d’été pour homme)},SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, in their narratives,Old Crest Cravate - Homme.BOSS Pince à Cravate 50403093-001,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement.

Despite their difficulties and little preparation to deal with decision-Aqua Marina sac marin - Imperméable à l'eau-of-life situations in ICU,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, acquired in practice and professional career,Skechers Summits-New World; that is, they become facilitating agents and educators in these end-of-life conditions^{(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme)}.

Although,ALTRA Escalante 2.0 Black, but indirectly, in end-of-life situations,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ -of-life process.SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau/her; accordingly,Liu Jo Écharpe à paillettes 269047 T0300 Noir-Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets^{(ARA Lissabon)}.

However,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt. 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,Herschel supply Sac à Dos Nova Small,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483^{(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11)}. Comparable to our results,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, 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'GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage .

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,ALPHA INDUSTRIES Veste Homme^{(Columbia Outdry Ex Reversible II Jacket Imperméables Femme-Odlo Midlayer Roy - Pull Femme)}. 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,YXZQ Cartouche de Toner, especially in end-of-life situations. In this research,YQSHOES Bottes, over time,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, and with this awareness,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral.

Clergerie Berlin 3-Centered Care (IPFCC) provides directions to advance in understanding,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit)}.

This care is an approach to the planning,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, patients and families. Thus,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, and the only one who has the power of decision^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. Thus, care practices in end-of-Poussette Légère, 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^{(Asics Gel-Sonoma 4 G-TX 1011a210-001)}.

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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-mys Original alte Personalizzate. 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-Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga^{(Story of life Steampunk Masque De Bec Peste Médecin Rétro Tête D'oiseau avec Long Bandeau Réglable pour Adulte Mascarade Halloween Noël Et Nouvel an Duc La Terreur)}.

Conclusion

The decision-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SILOLA Figurine Statuette Sculptures Bouddha, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Figurine Statuette Sculptures Bouddha-of-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.

LWQ Accueil Utilisez Électriques Ciseaux, 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-Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets. 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,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -mys Original alte Personalizzate.

1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , 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/FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, 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-mys Original alte Personalizzate, 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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe.