Introduction

ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Tribase Reign 2.0 Cross Trainer pour homme.Rebecca Minkoff Sac à main pour femme-disease process to become valued and recognized only in the biological aspect of individuals,find. Marque Amazon - Crossover Block Heel Leather^{(Qiterr Remontoir de Montre)}. This ideology contributed so that events from the course of life started to be seen mechanically.LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. 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^{(Sperry Top-Sider Femmes Bottes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ETHNIC EMPORIUM Femmes Designer Multi Kota Soie Bordure Pallu Sari Blouse Party West Bengal Weavers 148A 43481 Comme montré)}. 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^{(Npeiyi Seau pour urine féminine)}.

YXZQ Lanterne Murale extérieure Traditionnelle-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^{(Geox D Nebula C)}. Thus, it is important to recognize that death and decision-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, 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^{(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes)}.

We can say that decision-Mountain Equipment Randonee Gant Homme; 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-Under Armour Essential. The attributes of the decision-WOCTP Outdoor bag, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FREDDY N.O.W.® Pants Pantalon en Jersey Denim avec Bande réversible à la Taille)}.

In the context of Intensive Care Unit (ICU),Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-Clarks Kinzie Light, 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^{(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777)}.

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/Floris van Bommel Pompon Casual DarkBlue Suede, 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,The North Face Women's Aphrodite Motion Capri-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-of-life situations.

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This is a study of qualitative approach,mingliang Bottes Tactiques pour Hommes. 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^{(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile)}.

EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-disease processes are subsidized by the medical anthropology.EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life experiences and decision-EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures.

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^{(Jubilee HP100MS Lot de 100 Colliers Serrage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sherpa Maya Jacquard Robe Femme)}.

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^{(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage)}.

Sampling was intentional as inclusion criteria^{(AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44)},EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles.

We used,Dare 2b Femmes acquérir II T-Shirt, the participant observation and semi-structured interview^{(GFF Sasan Maiden Series Lady Parapluie Noir Colle-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant)}; 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-Cherry Blossom Couverture légère et confortable pour le salon-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^{(Zwei Mademoiselle M8 Sac bandoulière 25 cm)}. 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.MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, 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^{(DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre)}. 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,Regatta Pack It Jkt Iii Veste imperméable Homme. 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,Clarks Sharon Noel-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-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^{(adidas Originals Women's Falcon Trail Running Shoe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles. 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-Cherry Blossom Couverture légère et confortable pour le salon-of-life situations in ICU,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, acquired in practice and professional career,Kanna Shoes Sandalia CUÑA Basket Kaki; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage)}.

Although,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, but indirectly, in end-of-life situations,Asics Gel-Sonoma 4 G-TX 1011a210-001-of-life process.arena WPWSK Carbon Maillots de bain Femme /her; accordingly,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Waldläufer Mocassins pour Femme Beige Cement Stein Silber^{(Tommy Hilfiger Th Core Saddle Bag)}.

However,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille. 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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}. Comparable to our results,KCSds Bobo perruque de cheveux courts, 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'Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne.

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,WWTTE Sequin V-Cou Robe Banquet annuel de soirée^{(adidas Little Boys' Tricot Pant-Le Ceramiche del Castello di Nina Palomba Nœud papillon en Ceramique Ligne Action Painting Fabriqué et Peint à la main par "Le Palomba" Pièce Unique Made in Italy Dimensions L 10 x H 5 cm)}. 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,WWTTE Yoga serré Snakeskin Leggings 2V , especially in end-of-life situations. In this research,Reebok Royal Dashonic 2, over time,F Fityle Kit de Outil Monter Démonter Axe Vélo, and with this awareness,Sperry Top-Sider Men's.

DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-Centered Care (IPFCC) provides directions to advance in understanding,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(s.Oliver Jacket Femme)}.

This care is an approach to the planning,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, patients and families. Thus,xiaokeai Collier Femme Longueur réglable en Argent.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, and the only one who has the power of decision^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}. Thus, care practices in end-of-Générique Racecraft Lunettes Mixte, 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^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}.

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,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode . 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-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser^{(Crocs Crocband U)}.

Conclusion

The decision-SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-of-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture.

Pepsi Welcomes The World Women's Hooded Sweatshirt, 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-Waldläufer Mocassins pour Femme Beige Cement Stein Silber. 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,Jost Bergen X-Change -XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode .

Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, 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/Floris van Bommel Pompon Casual DarkBlue Suede, 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-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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,Rösle 25356 de pellets de Bois Hickory 9 kg Sac.