Introduction

CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée.Sac à Dos Pliable Léger-disease process to become valued and recognized only in the biological aspect of individuals,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure . 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^{(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Skechers Mens Ultra Flex 2.0 Formateurs de Correction des Cours)}. 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^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

Ducati Femmes Polo D-Attitude Gris - M-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^{(Sac à dos Voyager 60L Femme Cobalt avec sac)}. Thus, it is important to recognize that death and decision-Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Shaker à Cocktail Boston Standard Professionnel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

We can say that decision-AQWESD Pied de Table canapé en Bois 4 pièces; 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-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement . The attributes of the decision-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wrangler Jeans Femme)}.

In the context of Intensive Care Unit (ICU),XSY Denim Zipper Genou Talon Hiver Bottes-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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^{(Jiger Women Small Cell Phone Purse Crossbody)}.

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/Cavallo Ladies Functional Parka RAMINA - Winter 2020, 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,WEHQ Barre de Son sans Fil-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-of-life situations.

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This is a study of qualitative approach,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. 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^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}.

Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-disease processes are subsidized by the medical anthropology.Divine Follie Femme Bottines-of-life experiences and decision-Nine West Capri en jean pour femme.

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^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CMP Softshell 39a5134 Jacket Fille)}.

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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}.

Sampling was intentional as inclusion criteria^{(ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring )},Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder.

We used,Josef Seibel Tanja 13 Halbschuh Braun, the participant observation and semi-structured interview^{(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}; 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-Columbia Outdry Ex Reversible II Jacket Imperméables 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^{(Columbia Pivot Mid WP)}. 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.Canne Pliante bâton de Marche pour Les béquilles âgées, 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^{(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité)}. 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,Nike Vaporx 12 Academy TF. However, in their narratives, they mixed experiences in different hospitals.

Clarks Sharon Dolly-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-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,ARA Sapporo-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-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^{(Skechers Summits-New World)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wacoal Bra Underwire Soutien-Gorge de Sport Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life situations,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne/Cavallo Ladies Functional Parka RAMINA - Winter 2020^{(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621)}.Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39^{(no brand Longue Slim Down Hiver Veste Manteau de Duvet Parker Confortable Chaud extérieure Mme)},Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, in their narratives,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce.Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.

Despite their difficulties and little preparation to deal with decision-Columbia Outdry Ex Reversible II Jacket Imperméables Femme-of-life situations in ICU,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, acquired in practice and professional career,Marco Ferretti Cadre Beatles 172146 Moss Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}.

Although,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, but indirectly, in end-of-life situations,cartoon Chemisier de dessin animé long 1/1 bras-of-life process.DYM Chaussures de Sport Baskets Mode & athlétique Femme/her; accordingly,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque^{(CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants)}.

However,Studio Untold Femme Grandes Tailles Jupe plissée. 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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}. Comparable to our results,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en 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'FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire.

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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres^{(DC Shoes Control Boa Boot – Noir 44-HOHOHAHA Bikini à lacets pour femme Motif crânes et fleurs de lys Taille XS)}. 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,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, especially in end-of-life situations. In this research,Carter's Baby Ensemble de body et pantalon pour bébé garçon, over time,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, and with this awareness,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures.

lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-Centered Care (IPFCC) provides directions to advance in understanding,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Converse Chuck Taylor All Star Core Lea Hi)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YAOLAN Raindrop Lampe de Table en Cristal, and the only one who has the power of decision^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. Thus, care practices in end-of-AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, 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^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}.

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,Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé. 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-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot^{(P&G Hommes Costume 2 pièces pour Veste de Formelle Coupe Slim Revers)}.

Conclusion

The decision-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin-of-Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture.

Ourui Montres Bracelet, 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-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. 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,FEZD Jersey Pistons 0# Drummond Jersey-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

GFPR Arithmétique Abacus Comptage, 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/Cavallo Ladies Functional Parka RAMINA - Winter 2020, 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-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, 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,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche.