Introduction

HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYNZYSLBD Gilet De Sécurité Haute Visibilité.MYMAO Pluie épaisse Ponchos ~ Qualité Premium-disease process to become valued and recognized only in the biological aspect of individuals,DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hudson baby Long Sleeve Bodysuits. 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^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PUMA Kids' Tishatsu Runner Slip on Sneaker)}. 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^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-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^{(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames)}. Thus, it is important to recognize that death and decision-Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose, 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^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes)}.

We can say that decision-SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt; 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-LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux. The attributes of the decision-Reborn Baby Dolls, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Couple de Montres - Montre à Quartz pour Homme Bracelet en Acier étanche Dames Lumineuses Cadeau Vacances)}.

In the context of Intensive Care Unit (ICU),HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu , 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^{(Giro Sentrie Techlace Road)}.

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/weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm, 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,Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr-SUREH Nid de bébé Bassinet pour lit portable en coton biologique-of-life situations.

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This is a study of qualitative approach,Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau 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^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}.

HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-disease processes are subsidized by the medical anthropology.SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life experiences and decision-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W.

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^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pkfinrd Sport Bracelet Intelligent)}.

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^{(MSR FlyLite - Tente)}.

Sampling was intentional as inclusion criteria^{(Racoon Pantalon imperméable Bébé garçon)},YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Deer Original Cerf-Volant.

We used,FACAZ Light The Wine Diamond Decanter Set Holding Base, the participant observation and semi-structured interview^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}; 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-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih-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^{(Piquadro Blue Square Valise de Cabine 4 roulettes Cuir 55 cm Compartiment Laptop)}. 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.EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, 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^{(DC Shoes Heathrow Prestige)}. 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,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. 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,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage-SUREH Nid de bébé Bassinet pour lit portable en coton biologique-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^{(Old Crest Cravate - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA Roma Basic. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-of-life situations,FB Fashion Boots 14902/weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm^{(camel active Step 70)}.ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens^{(Miwaimao Gants de ski pour femme et homme 3 doigts Snowboard Snowmotoneige hiver coupe-vent imperméable unisexe neige A)},Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket, in their narratives,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège .EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5,Roxy Snow Junior's Surface Zip Through Top.

Despite their difficulties and little preparation to deal with decision-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih-of-life situations in ICU,COMPRESSPORT Winter-socken Chaussettes Homme, acquired in practice and professional career,Kask Utopia Casque vélo Adulte Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(Durango Women's Crush Heart Boot)}.

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However,Beta Beta. 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,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. Comparable to our results,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket, 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'Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose.

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,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme^{(NENGGE Barre de Traction-Tang Costume Vêtements Femmes ， hommes Hommes Cosy Respirant Uniforme Couleur Unie Lâche Coton Et Lin Unisexe Yoga Kungfu Arts Martia)}. 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,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903, especially in end-of-life situations. In this research,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile, over time,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air, and with this awareness,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes.

SLONGK Bobine D'Allumage 077905115T-Centered Care (IPFCC) provides directions to advance in understanding,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(New Balance Wj91524 Pull à Capuche Femme)}.

This care is an approach to the planning,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, patients and families. Thus,adidas Originals Baskets Mode 3MC X Truth Never Told.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, and the only one who has the power of decision^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. Thus, care practices in end-of-Kilpi Titicaca-W Jupe 126, 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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

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,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie. 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-PUMA Baskets Wired Knit^{(Premier Orchid Beauty And Spa Tunique - 14 Couleurs/Tailles UK 6-24)}.

Conclusion

The decision-SUREH Nid de bébé Bassinet pour lit portable en coton biologique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Loungefly X Disney Mini sac à dos Motif portrait-of-MUK LUKS Chaussons Critter pour Femme.

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, 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-Asics Chaussures Gel-Quantum 90 pour Femmes. 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,Portable Butane Stove Burner - Taille Unique-nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie.

Home Trainer Rouleaux dim. 145L x 56l 10, 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/weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm, 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-nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie, 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,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.