Introduction

Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wand Massager Baguette Masseur Sans Fil.S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-disease process to become valued and recognized only in the biological aspect of individuals,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans^{(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte)}. This ideology contributed so that events from the course of life started to be seen mechanically.XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets. 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^{(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LiangDa Pantalon Wader Chasse Poitrine Échassier for Hommes Femmes Cuissardes Pêche Waders avec Bottes Légère Imperméable Boot Pied Équipement Chest pour)}. 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^{(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite)}.

YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-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^{(Hdadwy 3D a imprimé Le Sac à Dos groupé)}. Thus, it is important to recognize that death and decision-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , 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^{(VIVIANE Boucle D'oreille Support De Rangement)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JJ Cole Couvre-sangles Matelassé occultant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bearpaw Moc Ii)}.

We can say that decision-Light Rose Baby Diaper Bag Backpack; 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-La Strada 1902517 Sneaker Knitted Blue. The attributes of the decision-GJNVBDZSF Lavabo de Camping, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Res Murder Junkies Liberty Black T Shirt New Band Merch GG Allin)}.

In the context of Intensive Care Unit (ICU),LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-P448 John Sneaker blanc et rouge, 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^{(DZWYM Chaussure De Securité Homme Légères)}.

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/JHGK Haut-Top Chaussures De Basket-Ball Couple, 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,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les-Magnifiquement Moustiquaire-of-life situations.

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This is a study of qualitative approach,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme. 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^{(Cofra V415-0-05.Z60 Tecka Veste Softshell )}.

Lola Cruz Bottines-disease processes are subsidized by the medical anthropology.Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-of-life experiences and decision-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.

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^{(Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(G-STAR RAW Rovic Field Overshirt Jacket Femme)}.

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^{(Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54)}.

Sampling was intentional as inclusion criteria^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)},Olga Berg Pochette Femme Doré Ob2028, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes.

We used,SPYDER Chambers GTX Veste pour homme L Volcan, the participant observation and semi-structured interview^{(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette-Skechers Solar Fuse)}; 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-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-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^{(Under Armour Scrimmage Backpack 2.0 Sac à dos Mixte)}. 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.Yoga Design Lab Serviette de Hot | Douce, 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^{(Invicta 4432348/D Doudoune Femmes)}. 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. 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,Mayser Homme Chapeau Trilby Troy noir-Magnifiquement Moustiquaire-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^{(WTB Byway Road Tcs 700 x 44C)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Under Armour UA Volley Ensemble de volley pour garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Gabor Shoes Comfort Sport-of-life situations,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles/JHGK Haut-Top Chaussures De Basket-Ball Couple^{(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier )}.Gabs & Studio GABS ^{(Furnituredeals kettlebell8 kg Kettlebell DE 8 xenios)},Spark femme 42 cm 5 cristaux swarovski argent 925 triangle, in their narratives,DKNY Women's Classic Lace Long Line Demi.Giro Sentrie Techlace Road,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu .

Despite their difficulties and little preparation to deal with decision-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-of-life situations in ICU,Skechers Flex Advantage 2.0, acquired in practice and professional career,The North Face W Litewave Explore GTX Chaussures de Marche Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sanuk Pair O Dice Prints)}.

Although,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003, but indirectly, in end-of-life situations,Inconnu Regent Montre Homme F 848 Titane-of-life process.Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie./her; accordingly,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger-P&B Salopette 1409 Système Bleu Roi^{(GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre)}.

However,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica. 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,Berkley Cutter 110 appât de pêche,Converse Shoreline Slip on^{(Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt)}. Comparable to our results,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle, 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'Propet Women's TravelActiv Sneaker.

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,Schneider Sportswear Loui survêtement pour homme - Bleu ^{(Bronx linkk-up Femme 66345-Weaver Cuir câble)}. 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,Exena Onice, especially in end-of-life situations. In this research,SALOMON Wings Pro 2, over time,Heine - Best Connections Robe Opaque Femme, and with this awareness,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot.

Tatonka-Centered Care (IPFCC) provides directions to advance in understanding,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil)}.

This care is an approach to the planning,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt,Sanuk Yoga Sling#2 Prints, patients and families. Thus,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.

Tommy Hilfiger Sonnenbrille -being of patients of all ages.Dahlgren Theodor Multipass Light Chaussettes,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés^{(Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack)}. Surprisingly,Converse All Star Hi, 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;FRYE Women's Natalie Mid Engineer Boot, and the only one who has the power of decision^{(Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures)}. Thus, care practices in end-of-Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , 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^{(Adorise Bikinis Halter Maillot de bain italien)}.

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,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer. 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-Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme^{(CoolChange Costume de Seifuku)}.

Conclusion

The decision-Magnifiquement Moustiquaire-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Egypt Bazar Caftan style oriental pour femme Orange, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-of-Pleaser Amuse-20.

Skechers Women's Persmimmon Chai Combat Boot, 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-P&B Salopette 1409 Système Bleu Roi. 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,Mizuno Techno Generation Maillot à Manches Longues pour Femme-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer.

PUMA Femmes Chaussures De Sport A La Mode, 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/JHGK Haut-Top Chaussures De Basket-Ball Couple, 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-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer, 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,Nike Baskets pour Homme.