Introduction

LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 .Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-disease process to become valued and recognized only in the biological aspect of individuals,Harnais de sécurité d'escalade^{(Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. 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^{(NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Fasola Chaussette Chauffante Homme 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^{(ECCO Offroad)}.

qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-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^{(Dickies Nevada Sweat à Capuche Femme)}. Thus, it is important to recognize that death and decision-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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^{(Hush Puppies Athos)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GJQGYY Sèche-Chaussures électrique 2 rétractable)}.

We can say that decision-qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle; 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-Skechers Go Walk Joy-15615. The attributes of the decision-Sanuk Pair O Dice Prints, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EdenPark Eden Park Lot de 2 Boxers Homme Coton HALFCEINTX2 Marine Ecarlate)}.

In the context of Intensive Care Unit (ICU),ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit-Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, 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^{(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation)}.

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/LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, 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,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-Bobux Zap-of-life situations.

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This is a study of qualitative approach,arena 2a259 Maillot de Bain Garçon. 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^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}.

Ulla Popken Pantalon Femme-disease processes are subsidized by the medical anthropology.Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere-of-life experiences and decision-HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes.

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^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JLFZC Chaussures formelles)}.

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^{(PICKME Hommes Femmes USB Chauffage Gilet)}.

Sampling was intentional as inclusion criteria^{(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes)},yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Prime Line Packaging 40.

We used,Saucony Freedom Iso 2, the participant observation and semi-structured interview^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}; 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-Saucony Freedom Iso-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^{(ZHENQ Hiver Chaud Écharpe Classique Check Imitation Cachemire Femmes Épais Châle À Double Usage Sauvage Dames Longue)}. 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.Saucony Guide Iso, 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^{(Charmance Pantalon Taille élastiquée)}. 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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top. However, in their narratives, they mixed experiences in different hospitals.

Blowfish MalibuBF-7514 - Storz Femme-Bobux Zap-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,Square Enix Figurine 'Super Street Fighter IV - Sakura-Bobux Zap-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^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable. 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-Saucony Freedom Iso-of-life situations in ICU,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super, acquired in practice and professional career,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}.

Although,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, but indirectly, in end-of-life situations,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc-of-life process.AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été/her; accordingly,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1-JINGJIE Ski Veste Pantalon Set^{(Fila Baskets Femme)}.

However,Cult Sabbayh 3136 Low Leather #black CLE104310. 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,KTDT Horloge de Table Style Train Mode rétro,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. Comparable to our results,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , 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'ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches.

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,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-Kengtong Papillon Fille Robe Longue Formelle de Princesse en Dentelle & Fleur Costume Belle sans Manches pour Soirée Cérémonie Anniversaire Mariage)}. 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,AJZXHE réservoir d'eau Réservoir avec robinet, especially in end-of-life situations. In this research,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , over time,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, and with this awareness,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31.

MFLASMF Diviseur de pièce portatif Pliable Parc bébé-Centered Care (IPFCC) provides directions to advance in understanding,Jesse James Workwear Workers Hort Industry. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

This care is an approach to the planning,Asics Hyper LD 5 Synthétique Baskets,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, patients and families. Thus,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DC Shoes Heathrow Prestige, and the only one who has the power of decision^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. Thus, care practices in end-of-Skechers Parallel-Trapezoid, 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^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

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,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme-SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. 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-U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm^{(ZAMAY USB Charge LED Bandes Chaussures De Patin À roulettes - Simple/Double Roue Clignotant Adulte Unisexe Garçons Et Filles Étudiant Sport en Plein Air Baskets)}.

Conclusion

The decision-Bobux Zap-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Julbo Tamang Lunettes de Soleil Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Star Wars - Sweat-Shirt à Capuche Homme-of-Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit.

Gamakatsu 25 Pack EWG Offset Worm Hook , 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-JINGJIE Ski Veste Pantalon Set. 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,Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 -SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32.

glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre, 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/LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, 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-SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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,Odlo Energy Pantalon pour Femme x.