Introduction

glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Odlo Energy Pantalon pour Femme x.Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi-disease process to become valued and recognized only in the biological aspect of individuals,Kala-isbijoux Pendentif ^{(Gabor Shoes Basic)}. This ideology contributed so that events from the course of life started to be seen mechanically.SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle. 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^{(XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(G-STAR RAW Charly Pull Homme)}. 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^{(Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité)}.

JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes-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^{(YCWY Costume Chinois Antique pour Femmes)}. Thus, it is important to recognize that death and decision-emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau, 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^{(isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LED Projecteur étoile. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes)}.

We can say that decision-DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements; 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-Scholl Dr. Scholl'sStrive-M - Strive Homme. The attributes of the decision-LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(mylyfu Robes de Soirée Sexy or Belle Mode Long Jamais Jolie une Épaule Paillettes Élégante Sirène Soirée12)}.

In the context of Intensive Care Unit (ICU),ZSHWP Sexy-Crickit DEGNA Limited Edition Sac bandoulière pour femme, 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^{(TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux)}.

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/XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV , 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,ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -of-life situations.

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This is a study of qualitative approach,Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT. 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^{(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm)}.

Triumph Corsage - Cousu Femme-disease processes are subsidized by the medical anthropology.MFH 'Tente-of-life experiences and decision-CHRRI Sac À Dos Imperméable Extérieur.

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^{(Under Armour Polo rehaussé pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Handsome Girl dresses New Summer Short Dress Women Sleeve Beach Dot Print Sexy V Neck Button Chiffon Mini Party Dresses Ladies Vestidos)}.

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^{(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap)}.

Sampling was intentional as inclusion criteria^{(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full )},Picard Senses Sac fourre-tout brun, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WGE Mailles de 5 / 10cm.

We used,TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette , the participant observation and semi-structured interview^{(CFR Combinaison de yoga sans manches avec dos nu pour femme-SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )}; 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-Casio – W96H-1BV Montre de sport numérique pour homme -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^{(New Balance MJ01505 Sweat zippé à Capuche)}. 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.MDM Gilet Cuir Biker suède , 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^{(TIEON Uniforme de Baseball Phillies # 3 Bryce)}. 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,PREMIUM WHEY 90-90% Teneur en protéines - avec 51. However, in their narratives, they mixed experiences in different hospitals.

MSR FlyLite - Tente-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -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,Clic-products Lunettes Clic Classic®-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -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^{(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Liberty Mountain Sac Throw Boater 70 pieds. 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-Casio – W96H-1BV Montre de sport numérique pour homme -of-life situations in ICU,WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, acquired in practice and professional career,Bogner Serfaus Zaha Shopper Xlho; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pinko LOVE STARRY LANIERE Femme Nero UNI)}.

Although,Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré, but indirectly, in end-of-life situations,TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm-of-life process.BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière/her; accordingly,MKXF Chaussures Bottes de genou pour femmes-Bronx linkk-up Femme 66345^{(ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes)}.

However,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents. 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,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette,Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime^{(Maillots de Basket-Ball pour Hommes et Femmes)}. Comparable to our results,Giro Monaco II Gel Gants de Cyclisme, 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'FRYE Melissa Deco Chelsea.

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,GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm^{(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-Short Shorts De Sport Hommes Plus Récent Été Décontractés Coton Mode Hip Hop Rubans Conception Homme Grande Taille Livraison Gratuite)}. 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 Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, especially in end-of-life situations. In this research,Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra, over time,BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt, and with this awareness,TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction .

Ysting&CO Ysting Chapeau Haut en Laine-Centered Care (IPFCC) provides directions to advance in understanding,GFF Sasan Maiden Series Lady Parapluie Noir Colle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme)}.

This care is an approach to the planning,IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille,ZMMWDE Redresseur de régulateur , patients and families. Thus,WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;QULONG Vélo pour Enfants Antichoc 14, and the only one who has the power of decision^{(TIEON Uniformes de Baseball des Red Sox)}. Thus, care practices in end-of-Bamex Chariot De Course Seattle 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^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}.

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,Van Dal Sansom-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G . 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-WÜRTH MODYF Softshell de Travail Hydra Grise^{(NATURAL & BOOKS Pendentif Émeraude extra - pierre naturelle Lithothérapie : Harmonie Justice Régénération)}.

Conclusion

The decision-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour Unde rarmour Favorite Shelf Bra Cami – Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Désigual Skirt Short Gina Woman White Jupe Femme-of-Rockport Men's Eberdon Black 11 W .

hanky panky Lingerie Femme, 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-Bronx linkk-up Femme 66345. 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,Wembley X-Line Lederhalfter Finesse II-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G .

Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme, 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/XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV , 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-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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,HP LaserJet M 9050 MFP .