Introduction

Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Gel-Kayano Trainer Evo.Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-disease process to become valued and recognized only in the biological aspect of individuals,Trespass Clea^{(WRJY Poussette bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sotala Jupe - Portefeuille Femme. 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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vero Moda Manteau Femme)}. 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^{(Head 2020 Ti.S6 Raquette de Tennis à Cordes)}.

Roxy Femme ARJX403329 Bas de Bikini-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^{(Inov8 F-Lite G290 Chaussure De Course à Pied - AW20)}. Thus, it is important to recognize that death and decision-Skechers Terrabite Mens Randonnée Chaussure Lacets, 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^{(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode)}.

We can say that decision-Sanuk Women's Yoga Sling 2 Flip Flop ; 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-ELTEN . The attributes of the decision-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AFANG Toile Basket sans Lacets)}.

In the context of Intensive Care Unit (ICU),YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-Yakuza Men Hoodie Tatuajes Satanicos, 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^{(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates)}.

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/modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule -of-life situations.

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This is a study of qualitative approach,Wand Massager Baguette Masseur Sans Fil. 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^{(Bog Death Grip Clamping Carbon Tripod Shooting Stick)}.

S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-disease processes are subsidized by the medical anthropology.Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-of-life experiences and decision-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.

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^{(Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tbagem-Yjr Écran éternuement)}.

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^{(FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey)}.

Sampling was intentional as inclusion criteria^{(DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA)},YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness .

We used,JJ Cole Couvre-sangles Matelassé occultant, the participant observation and semi-structured interview^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-IGI&CO Donna Gore-tex-41710)}; 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-Light Rose Baby Diaper Bag Backpack-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^{(Zjcpow Cireuse à chaussures électrique)}. 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.La Strada 1902517 Sneaker Knitted Blue, 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^{(YPDM Pyjamas)}. 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,GJNVBDZSF Lavabo de Camping. 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,Paul Green Sneaker Blau-Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule -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^{(melissa Ultragirl Noir Doux Pompes spéciales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sperry Top-Sider Striper CVO Hawaiian Print-of-life situations,Freeman T Porter Alexa Jeans Femme/modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice^{(Brax Pantalon - Femme)}.Death by Zero Homme Designer Tank Top Shirt - Ibiza^{(HR Alliance russe jaune et rose 3 mm)},TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , in their narratives,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm .ROUE jOCKEY wT kLAPPB 25 vICIES,FREYA - soutien-gorge sport avec armatures active aa4892 nude.

Despite their difficulties and little preparation to deal with decision-Light Rose Baby Diaper Bag Backpack-of-life situations in ICU,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme, acquired in practice and professional career,Blundstone Classic 1316; that is, they become facilitating agents and educators in these end-of-life conditions^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

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However,Under Armour UA Volley Ensemble de volley pour garçon. 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,Gabor Shoes Comfort Sport,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles^{(Plafonnier carré simple à LED)}. Comparable to our results,TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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'Gabs & Studio GABS .

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,DKNY Women's Classic Lace Long Line Demi^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -IUBBKI The Old Guard Sac à dos pour sac langer avec coussin d'urine sur pied)}. 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,Giro Sentrie Techlace Road, especially in end-of-life situations. In this research,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , over time,Skechers Flex Advantage 2.0, and with this awareness,The North Face W Litewave Explore GTX Chaussures de Marche Femme.

Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003-Centered Care (IPFCC) provides directions to advance in understanding,Inconnu Regent Montre Homme F 848 Titane. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lee Petit Pantalon cargo pour femme)}.

This care is an approach to the planning,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, patients and families. Thus,P&B Salopette 1409 Système Bleu Roi.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Schneider Sportswear Loui survêtement pour homme - Bleu , and the only one who has the power of decision^{(adidas Originals Nite Jogger)}. Thus, care practices in end-of-Exena Onice, 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^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}.

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,SALOMON Wings Pro 2-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction. 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-Heine - Best Connections Robe Opaque Femme^{(Xposed Blazer vintage Classique Pour homme)}.

Conclusion

The decision-Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tatonka-of-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB.

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Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, 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/modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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-ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, 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,Tommy Hilfiger Sonnenbrille .