Introduction

MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme.ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Tribase Reign 2.0 Cross Trainer pour homme^{(TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces)}. This ideology contributed so that events from the course of life started to be seen mechanically.Rebecca Minkoff Sac à main pour femme. 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^{(WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pinko Luxury Fashion Femme 1G14TC5872H39 Jaune Élasthanne Blazer | Printemps-été 20)}. 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^{(Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM)}.

find. Marque Amazon - Crossover Block Heel Leather-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^{(AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover)}. Thus, it is important to recognize that death and decision-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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^{(melissa Ultragirl Noir Doux Pompes spéciales)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YXZQ Lanterne Murale extérieure Traditionnelle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Brax Pantalon - Femme)}.

We can say that decision-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon; 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-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400. The attributes of the decision-Mountain Equipment Randonee Gant Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Double Moustiquaire Fil Décoration Rideau Lit 6 Pieds Pépinière Tente Rose Princesse Manteau Fille)}.

In the context of Intensive Care Unit (ICU),Under Armour Essential-WOCTP Outdoor bag, 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^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

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/Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, 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,Clarks Kinzie Light-albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-of-life situations.

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This is a study of qualitative approach,Floris van Bommel Pompon Casual DarkBlue Suede. 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^{(Plafonnier carré simple à LED)}.

The North Face Women's Aphrodite Motion Capri-disease processes are subsidized by the medical anthropology.mingliang Bottes Tactiques pour Hommes-of-life experiences and decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.

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^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lumineux modèle de moto 3D illusion Led lampe)}.

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^{(Lee Petit Pantalon cargo pour femme)}.

Sampling was intentional as inclusion criteria^{(B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm)},EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures.

We used,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, the participant observation and semi-structured interview^{(adidas Originals Nite Jogger-CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}; 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-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-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^{(Not Gojira Femmes Pullover Hoodie Dress Fashion Casual Long Sweatshirts)}. 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.Dare 2b Femmes acquérir II T-Shirt, 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^{(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël)}. 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,Cherry Blossom Couverture légère et confortable pour le salon. 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,Disney Bandoulière Mickey The Blogger-albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-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^{(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MO JOC Boots Chelsea Femme. 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-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-of-life situations in ICU,Champion 112418 F19 KK001 NBK Jogger Femme Noir, acquired in practice and professional career,YUHEN LED Chaussures; that is, they become facilitating agents and educators in these end-of-life conditions^{(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air )}.

Although,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, but indirectly, in end-of-life situations,Kanna Shoes Sandalia CUÑA Basket Kaki-of-life process.Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille/her; accordingly,Asics Gel-Sonoma 4 G-TX 1011a210-001-arena WPWSK Carbon Maillots de bain Femme ^{(Clarks Women's Ayla Low Ballet Flat)}.

However,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental. 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,Waldläufer Mocassins pour Femme Beige Cement Stein Silber,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille^{(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes)}. Comparable to our results,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, 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'Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

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 Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe^{(Lee Performance Series Extreme Motion Regular Fit Jean Homme-JIAJIAFU Ecrin welry Rage 10 Montres Machines à sous Couvercle Lass en Bois verrouillables Montre Case for Voyage ou vitrine JIAJIAFUDR)}. 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, especially in end-of-life situations. In this research,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, over time,WWTTE Yoga serré Snakeskin Leggings 2V , and with this awareness,Reebok Royal Dashonic 2.

F Fityle Kit de Outil Monter Démonter Axe Vélo-Centered Care (IPFCC) provides directions to advance in understanding,Sperry Top-Sider Men's. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes)}.

This care is an approach to the planning,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, patients and families. Thus,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, and the only one who has the power of decision^{(teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt)}. Thus, care practices in end-of-ABAKUHAUS Ethnique Oreiller Cervical de Voyage, 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^{(Lumière de nuit capteur intelligent corps humain)}.

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,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables . 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-Générique Racecraft Lunettes Mixte^{(SONNIGPLUS Veste chauffée pour Hommes)}.

Conclusion

The decision-albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-of-XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .

Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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-arena WPWSK Carbon Maillots de bain Femme . 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,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables .

Pepsi Welcomes The World Women's Hooded Sweatshirt, 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/Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, 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-Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables , 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,Jost Bergen X-Change .