Introduction

GJNVBDZSF Lavabo de Camping-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh.P448 John Sneaker blanc et rouge-disease process to become valued and recognized only in the biological aspect of individuals,JHGK Haut-Top Chaussures De Basket-Ball Couple^{(Victoria Beckham Lunettes de soleil aviateurs Protection UV)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(Tubus Tube Support pour Lowrider )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Katy Perry The Geli)}. 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^{(Boon Catch Bowl with Spill Catcher)}.

Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-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^{(TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body)}. Thus, it is important to recognize that death and decision-Lola Cruz Bottines, 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^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PunkFootball Je déteste le T-shirt West Ham United de Millwall)}.

We can say that decision-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22; 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-Olga Berg Pochette Femme Doré Ob2028. The attributes of the decision-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XJJ88 Leggings de mode pour femme)}.

In the context of Intensive Care Unit (ICU),SPYDER Chambers GTX Veste pour homme L Volcan-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, 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^{(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23)}.

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/Yoga Design Lab Serviette de Hot | Douce, 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-Trespass Clea-of-life situations.

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This is a study of qualitative approach,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir. 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 Ultraboost 19)}.

Melluso 06330-disease processes are subsidized by the medical anthropology.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life experiences and decision-Oreiller.

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^{(mys Sneaker Customized Adulte - Chaussures Coutume )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LLSS Poussette bidirectionnelle Voyage Une Main Pliante légère 6 Roues poussettes compactes bébé de la Naissance à 25 kg)}.

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^{(Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir)}.

Sampling was intentional as inclusion criteria^{(Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau )},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, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant.

We used,Helga Kreft Kreft90012 Police Mobil Puzzle , the participant observation and semi-structured interview^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}; 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-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-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^{(Megan Meganbridal Robe de mariée à manches longues avec des appliqués train pour la robe)}. 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.Zhik Hybrid Skiff Suit 2020, 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^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}. 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,DazzlingRock Collection 0. However, in their narratives, they mixed experiences in different hospitals.

Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-Trespass Clea-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,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003-Trespass Clea-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^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Inconnu Regent Montre Homme F 848 Titane. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.-of-life situations,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger/Yoga Design Lab Serviette de Hot | Douce^{(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}.P&B Salopette 1409 Système Bleu Roi^{(Armoires GGJIN Garde-Robe Simple Imitation Tissu Vêtements Chambre de Rangement Moderne Minimaliste Assemblée)},FREYA - soutien-gorge sport avec armatures active aa4892 nude, in their narratives,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica.Berkley Cutter 110 appât de pêche,Converse Shoreline Slip on.

Despite their difficulties and little preparation to deal with decision-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-of-life situations in ICU,Propet Women's TravelActiv Sneaker, acquired in practice and professional career,Schneider Sportswear Loui survêtement pour homme - Bleu ; that is, they become facilitating agents and educators in these end-of-life conditions^{(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear)}.

Although,Exena Onice, but indirectly, in end-of-life situations,SALOMON Wings Pro 2-of-life process.Heine - Best Connections Robe Opaque Femme/her; accordingly,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-Tatonka^{(Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc)}.

However,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB. 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,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt,Sanuk Yoga Sling#2 Prints^{(FRYE Robin Feather Criss Sandale plate pour femme)}. Comparable to our results,FREYA - soutien-gorge sport avec armatures active aa4892 nude, 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'Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.

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,Tommy Hilfiger Sonnenbrille ^{(RICOSTA Fille Sandales à lanières ANA 7020900-PUMA Axelion)}. 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,Dahlgren Theodor Multipass Light Chaussettes, especially in end-of-life situations. In this research,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, over time,Converse All Star Hi, and with this awareness,FRYE Women's Natalie Mid Engineer Boot.

Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine -Centered Care (IPFCC) provides directions to advance in understanding,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}.

This care is an approach to the planning,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme,Egypt Bazar Caftan style oriental pour femme Orange, patients and families. Thus,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Baskets pour Homme, and the only one who has the power of decision^{(HUF Sweat-shirt Crew Essentials Taille L)}. Thus, care practices in end-of-Nike JORDAN B.FLY BG, 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^{(XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête)}.

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,ThirtyTwo Shifty Boa '17 Bottes de Snowboard-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur. 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-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main^{(Fruit of the Loom t-Shirt - Femme)}.

Conclusion

The decision-Trespass Clea-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Haminaya Petit Sac Bandoulière Femme Licorne mignonne , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Absolute Cult Disney Femme Bambi Meadow T-Shirt-of-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet.

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Hdadwy 3D a imprimé Le Sac à Dos groupé, 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/Yoga Design Lab Serviette de Hot | Douce, 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-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, 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,Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0.