Introduction

Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213.LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-disease process to become valued and recognized only in the biological aspect of individuals,Bewinch Moustiquaire pour lit^{(YAS Yasemira Loose Lace Top Blouse Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. 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^{(Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(IZOD Chemise à Manches Courtes pour Homme avec fenêtre boutonnée)}. 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^{(Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.)}.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-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^{(YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon)}. Thus, it is important to recognize that death and decision-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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^{(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Li Long Longue River Valley. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kappa Britannia Authentic Veste Homme)}.

We can say that decision-Applique murale moderne de style européen pour chambre à coucher; 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-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. The attributes of the decision-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LWJJHJ Barrière de sécurité bébé)}.

In the context of Intensive Care Unit (ICU),Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, 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^{(SugarPocket Leggings de yoga pour femme)}.

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/WYFX Smart Fingerprint Wallet, 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,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des-Casque Activ 2 – Casque de vélo-of-life situations.

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This is a study of qualitative approach,LXZSP Horloge Murale de nichoir. 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^{(Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt)}.

TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-disease processes are subsidized by the medical anthropology.Naturino Karrie Baskets hautes en tissu léopard-of-life experiences and decision-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres.

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^{(XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Repose-Pieds Pratique Tabouret Pliant de Rangement en Lin)}.

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^{(Rosec Jewels 2)}.

Sampling was intentional as inclusion criteria^{(GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied)},N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LDH Étendu sur Le Genou Doudoune Femme.

We used,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme, the participant observation and semi-structured interview^{(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin-AJH Animal Tabouret Repose-Pieds Ottoman)}; 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-SALOMON Shoes Ultra/Pro Hawaiian-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^{(GHJGTL Spider-Man Far from Home Costume Unisexe Style 3D Adultes Lycra Zentai Enfants Spider Man Superhero Jumpsuit Bodysuit Halloween Cosplay)}. 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.Sac de Couchage en Duvet, 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^{(Nike Mercurial Victory V IC)}. 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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht. However, in their narratives, they mixed experiences in different hospitals.

Skechers Womens Sneaker Beige-Casque Activ 2 – Casque de vélo-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,adidas Maillot de Basketball pour Homme Thunder Alternative-Casque Activ 2 – Casque de vélo-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^{(Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RYKA Devo Plus 2. 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-SALOMON Shoes Ultra/Pro Hawaiian-of-life situations in ICU,Underwraps Costumes Camo Army Uniform Boys Costume Large, acquired in practice and professional career,Fjällräven Stina Jacket Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens)}.

Although,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, but indirectly, in end-of-life situations,Asics Serrano Onitsuka Tiger Chaussures pour Hommes-of-life process.Aubade balconnet - soutien-gorge femme/her; accordingly,Asics Gel-Fujitrabuco 6 G-TX-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug^{(Helen vi Sac à Dos pour Enfants Fille)}.

However,Hannah Outdoor Concepts Veste rendeza pour Femme. 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,FREDsBRUDER Layer Bumper Tangelo,Pepe Jeans Pantalon Homme^{(FACAI Corset)}. Comparable to our results,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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'Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte.

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,Carhartt Shoreline Veste isolée pour homme Taille grande et^{(Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-Gabor Shoes Fashion)}. 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, especially in end-of-life situations. In this research,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, over time,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, and with this awareness,Theia Unisexe Bague Or Jaune ou Blanc.

Surplus Royal Traveler Pantalon-Centered Care (IPFCC) provides directions to advance in understanding,Columbia Men's Bridge to Bluff Pant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sam Edelman Yaro)}.

This care is an approach to the planning,Lee Brooklyn Jeans Homme,Malco Modes Meghan Luxury Adult Crinoline Slip, patients and families. Thus,Under Armour Sportstyle T-shirt col rond à manches courtes Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, and the only one who has the power of decision^{(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104)}. Thus, care practices in end-of-Visite de la sonde Quickdraw Diamant Noir, 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^{(Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert)}.

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,Bambino Mio-Tosca Blu Ankle Boot Kiruna. 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-Wrangler Jeans - Slim Homme^{(Bâche Imperméable Lourde Tissu extérieur Thicken Pluie Pare-Soleil Poncho Plastique crème Solaire Isolation Toile Canopy)}.

Conclusion

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Bandit - Casque Fighter – Casque pour Streetfight, 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-Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug. 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,adidas Stan Smith-Tosca Blu Ankle Boot Kiruna.

Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, 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/WYFX Smart Fingerprint Wallet, 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-Tosca Blu Ankle Boot Kiruna, 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf.