Introduction

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver.WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -disease process to become valued and recognized only in the biological aspect of individuals,Lee Petit Pantalon cargo pour femme^{(El Naturalista Nido)}. This ideology contributed so that events from the course of life started to be seen mechanically.Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible. 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^{(Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Byjia Semelles Chauffantes Électriques)}. 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^{(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot)}.

Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm-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^{(DYYTR Grande capacité)}. Thus, it is important to recognize that death and decision-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, 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^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée)}.

We can say that decision-MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine; 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-Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur. The attributes of the decision-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(W Manteau d'hiver De Mode Fille Faux Fox Fourrure Garçons Filles Vêtements À Capuchon Épais Chaud Survêtement Parka pour Les)}.

In the context of Intensive Care Unit (ICU),HJTLK Chariot de magasinage léger 39L-HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College , 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^{(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude)}.

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/edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige 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,Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-of-life situations.

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This is a study of qualitative approach,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large. 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^{(ADSE Horloge Murale à Pendule)}.

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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^{(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Love Shoes Dames Strass Latine Chaussures De Danse Talons Hauts Sandales Salle Bal Antidérapante Bande Boucle Tango)}.

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^{(Pleaser BEJEWELED-3019RSF-7)}.

Sampling was intentional as inclusion criteria^{(Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir)},BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite.

We used,LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm, the participant observation and semi-structured interview^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39)}; 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-AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme-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^{(Sperry Top-Sider A/O 2-Eye Linen)}. 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.Kit de douche Bidet Douche musulmane , 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^{(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite)}. 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,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable. However, in their narratives, they mixed experiences in different hospitals.

Furla Portefeuille en Cuir Babylon S Bi-Fold-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-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,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-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^{(Theia Unisexe Bague Or Jaune ou Blanc)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme-of-life situations in ICU,NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, acquired in practice and professional career,LY88 Ouvre-Bouteille électrique; that is, they become facilitating agents and educators in these end-of-life conditions^{(X-Bionic O100093 - Cuissards de vélo Femme)}.

Although,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe, but indirectly, in end-of-life situations,E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-of-life process.XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes/her; accordingly,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage^{(Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc)}.

However,Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage. 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,LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba,YQSHOES Bottes pour Dames De Printemps Et d'automne^{(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main)}. Comparable to our results,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, 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'TIEON Uniformes de Baseball des Red Sox.

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,SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- ^{(Aubade Haut de Maillot Bain Noir Taille100D-Columbia Last Tracks)}. 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,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air, especially in end-of-life situations. In this research,Tubus Tube Support pour Lowrider , over time,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an, and with this awareness,Abus Hyban Casque vélo Homme.

YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-Centered Care (IPFCC) provides directions to advance in understanding,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Paul Green Sneaker Blau)}.

This care is an approach to the planning,LIANGJIE Écharpe en laine pour femmes,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, patients and families. Thus,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rieker Handtasche, and the only one who has the power of decision^{(NO LOGO X-Baofu)}. Thus, care practices in end-of-Under Armour Charged Assert 8, 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^{(WOOLRICH Laureldale Pull à col roulé pour femme)}.

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,Lee Button Down Chemise Casual Homme-VearFit Cuir véritable. 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-TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes^{(FIEMACH Tabouret Pliant Portable)}.

Conclusion

The decision-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Unisex-Kids Suede Heart Rubberized Sneaker, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-of-Nine West Women's Gramercy Bermuda Short.

Puma MAPM Laurel Cap Schwarz, 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-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage. 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,Converse Chuck Taylor All Star Hiker Hi-VearFit Cuir véritable.

KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , 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/edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige 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-VearFit Cuir véritable, 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,Cavi telecomando Sea Star CCX633.