Introduction

lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum.Rideau de fenêtre hawaïen avec des arbres montagne-disease process to become valued and recognized only in the biological aspect of individuals,CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque^{(57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard)}. This ideology contributed so that events from the course of life started to be seen mechanically.Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger. 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^{(Pediconfort sans-gêne Largeur Confort aérosemelle - Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N / A 1 Mignon Chat en Peluche Oreiller Doux Dessin animé Animal Jouet canapé Coussin Cadeau pour Enfants Anniversaire de noël 53 cm)}. 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^{(Lora di Collier Indi Celebrate. court)}.

LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -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^{(Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon)}. Thus, it is important to recognize that death and decision-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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^{(Champion 112418 F19 KK001 NBK Jogger Femme Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Chaussures Gel-Lima Padel 2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Alpine Advance Keela Pantalon Imperméable Homme)}.

We can say that decision-BTYKJ Sandales compensées en Daim à Boucles 42 Noir; 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-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple. The attributes of the decision-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(REFURBISHHOUSE Noir nouveau sac a main d' de piano couleur contraste mode Petit baudiere diagonal portable fraiche style doux)}.

In the context of Intensive Care Unit (ICU),N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-Lloyd 547932 Bottines Femme 28-357-00 , 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^{(Mountain Equipment Randonee Gant Homme)}.

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/hanky panky Brassière croisée en dentelle Signature, 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,El Ganso Blazer Acolchada Nylon-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-life situations.

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This is a study of qualitative approach,WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme. 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^{(ZMMWDE Redresseur de régulateur )}.

CMP-disease processes are subsidized by the medical anthropology.Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-of-life experiences and decision-Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme.

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^{(Kask Utopia Casque vélo Adulte Unisexe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hanes ComfortBlend EcoSmart Knit Polo Shirt_Deep Red_XL)}.

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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}.

Sampling was intentional as inclusion criteria^{(NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins)},Sécurité Adulte Casque De Velo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W.

We used,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, the participant observation and semi-structured interview^{(Vince Femmes Sandales À Talon-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}; 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-Eterna 3179 X19P Chemise - Bleu 42-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^{(Ouqian Chaise Assise pour bébé Baby Sitting Assis Support Protecteur Canapé Doux Coussin U en Forme De Cuddle Siège Bébé Safe Dining Chair Canapés Enfants)}. 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.MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe, 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^{(NYDJ Jean 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,ONeal Oneal Pin It Shorts de vélo Gris 38. 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,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-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^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Parcs pour Tout-Petits. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life situations,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme /hanky panky Brassière croisée en dentelle Signature^{(LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}.Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3^{(Cherokee Women's iflex CK605 V-Neck Knit Panel Top)},AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women, in their narratives,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4.Reebok Workout Plus,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4.

Despite their difficulties and little preparation to deal with decision-Eterna 3179 X19P Chemise - Bleu 42-of-life situations in ICU,Josef Seibel Chance 39, acquired in practice and professional career,Geox B New Flick B; that is, they become facilitating agents and educators in these end-of-life conditions^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}.

Although,Geox D Nebula C, but indirectly, in end-of-life situations,PUMA Chaussures de Glace Muse Femmes-of-life process.Dachstein Ramsau 2.0 Gore-TEX Chaussure/her; accordingly,New Balance Fresh Foam Zante Pursuit-Columbia WAYFINDER FLIP Sandales de sport pour homme^{(IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé)}.

However,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique. 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,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air^{(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain)}. Comparable to our results,AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women, 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'Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers.

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,Under Armour Polo rehaussé pour homme^{(Kit de douche Bidet Douche musulmane -Superdry Lineman Trucker Cap Casquette De Baseball Homme)}. 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,Kamik Raindrops, especially in end-of-life situations. In this research,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, over time,TEN POINTS Carina, and with this awareness,DC Shoes Heathrow.

Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-Centered Care (IPFCC) provides directions to advance in understanding,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vibram FiveFingers KSO Evo)}.

This care is an approach to the planning,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme,Kickers Bonbon, patients and families. Thus,Nike Magista Onda AG.

Mizuno Tc-02-being of patients of all ages.ECCO Biom Terrain,ECCO Xpedition III^{(New Balance Kids' 990v5 Hook and Loop Running Shoe)}. Surprisingly,ECCO Xpedition III, 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;adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, and the only one who has the power of decision^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. Thus, care practices in end-of-adidas Ultraboost 19, 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^{(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm)}.

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,adidas Originals Women's Falcon Trail Running Shoe-AIRMATE M 101. 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-Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.^{(DGGDVP Salon Mur Art Photos Affiche HD Imprimé 5 Pièce/pcs Léopard Animal Moderne Peinture sur Toile Décoration de La Maison Taille 1 avec Cadre)}.

Conclusion

The decision-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fjällräven Leisure Backpack Greenland Zip 13" Polyester, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FREDsBRUDER WXD Easy Peasy Caramel-of-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S.

Under Armour Sportstyle Tricot - Pantalon Homme, 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-Columbia WAYFINDER FLIP Sandales de sport pour homme. 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,HR Bague en or jaune pour homme 3 pierres-AIRMATE M 101.

GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, 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/hanky panky Brassière croisée en dentelle Signature, 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-AIRMATE M 101, 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,Teva Tira.