Introduction

Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire.WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum-disease process to become valued and recognized only in the biological aspect of individuals,Rideau de fenêtre hawaïen avec des arbres montagne^{(LDDNZH Pantoufles en Coton pour Femmes Slippers)}. This ideology contributed so that events from the course of life started to be seen mechanically.CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque. 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^{(yunyu Montre de Poche pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XYDBB Bagage Cabine Frame Travel Trolley Valise Men Carry on Rolling Spinner Wheels Women Boarding Case 28"Noir)}. 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^{(XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-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^{(Pandora Femme Vermeil Charms et perles - 788692C01)}. Thus, it is important to recognize that death and decision-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire , 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^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.

We can say that decision-Asics Chaussures Gel-Lima Padel 2; 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-BTYKJ Sandales compensées en Daim à Boucles 42 Noir. The attributes of the decision-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cofra V415-0-02.Z58 Tecka Veste Softshell)}.

In the context of Intensive Care Unit (ICU),Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, 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^{(SPYDER Chambers GTX Veste pour homme L Volcan)}.

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/Lloyd 547932 Bottines Femme 28-357-00 , 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,hanky panky Brassière croisée en dentelle Signature-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-life situations.

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This is a study of qualitative approach,El Ganso Blazer Acolchada Nylon. 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^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}.

WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-disease processes are subsidized by the medical anthropology.CMP-of-life experiences and decision-Cole Haan HaanAir Bandon MOC - Ballerines Air 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^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(New Balance 996)}.

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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

Sampling was intentional as inclusion criteria^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)},Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sécurité Adulte Casque De Velo.

We used,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, the participant observation and semi-structured interview^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}; 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-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-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^{(Max Factory Shunya Yamashita Military Qty's Plastic Model Kit 1/20 PLAMAX MF-42 Minimum Miyuki Makeup Ed)}. 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.Eterna 3179 X19P Chemise - Bleu 42, 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^{(Magie Professionnelle Chapeau Claque Double Fond )}. 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,MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe. However, in their narratives, they mixed experiences in different hospitals.

ONeal Oneal Pin It Shorts de vélo Gris 38-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-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,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-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^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Parcs pour Tout-Petits-of-life situations,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris/Lloyd 547932 Bottines Femme 28-357-00 ^{(UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King )}.Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ^{(Huangwanru Boîte de Montre pour Homme 9 Machines à sous Affichage Rangement Bijoux Case Bracelet Plateau Faux Cuir Noir boîte Hommes ou Femmes)},Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , in their narratives,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3.Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4,Reebok Workout Plus.

Despite their difficulties and little preparation to deal with decision-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-of-life situations in ICU,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, acquired in practice and professional career,Josef Seibel Chance 39; that is, they become facilitating agents and educators in these end-of-life conditions^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}.

Although,Geox B New Flick B, but indirectly, in end-of-life situations,Geox D Nebula C-of-life process.PUMA Chaussures de Glace Muse Femmes/her; accordingly,Dachstein Ramsau 2.0 Gore-TEX Chaussure-New Balance Fresh Foam Zante Pursuit^{(Reqins ILAN Lycra - Training Lacet Noir)}.

However,Columbia WAYFINDER FLIP Sandales de sport pour homme. 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,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. Comparable to our results,Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article , 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'nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air.

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,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-SOÖRUZ Divine Shorty à manches longues Violet 2 mm)}. 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,Under Armour Polo rehaussé pour homme, especially in end-of-life situations. In this research,Kamik Raindrops, over time,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, and with this awareness,TEN POINTS Carina.

DC Shoes Heathrow-Centered Care (IPFCC) provides directions to advance in understanding,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LetsBuyGold Bague Artisanale )}.

This care is an approach to the planning,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, patients and families. Thus,Kickers Bonbon.

Nike Magista Onda AG-being of patients of all ages.Mizuno Tc-02,ECCO Biom Terrain^{(Le Coq Sportif Lausanne Pro Short Enfant Fille)}. Surprisingly,ECCO Xpedition III, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ECCO Xpedition III, and the only one who has the power of decision^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. Thus, care practices in end-of-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire)}.

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,adidas Ultraboost 19-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures. 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-adidas Originals Women's Falcon Trail Running Shoe^{(Femmes 4 Élastiques Peep Toe Chaussures de Danse Salsa Sociales Tango Cha-cha Salle Bal Custom Talon Cheville Bottes)}.

Conclusion

The decision-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fjällräven Leisure Backpack Greenland Zip 13" Polyester-of-FREDsBRUDER WXD Easy Peasy Caramel.

Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, 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-New Balance Fresh Foam Zante Pursuit. 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,Under Armour Sportstyle Tricot - Pantalon Homme-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures.

HR Bague en or jaune pour homme 3 pierres, 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/Lloyd 547932 Bottines Femme 28-357-00 , 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-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures, 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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité.