Introduction

MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYFX Smart Fingerprint Wallet.XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des-disease process to become valued and recognized only in the biological aspect of individuals,LXZSP Horloge Murale de nichoir^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}. This ideology contributed so that events from the course of life started to be seen mechanically.TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces. 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^{(Fournitures de salle bain Piscine gonflable Baignoire)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Skechers Ultra Flex Statements')}. 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^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}.

Naturino Karrie Baskets hautes en tissu léopard-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^{(YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles)}. Thus, it is important to recognize that death and decision-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, 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^{(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant)}.

We can say that decision-LDH Étendu sur Le Genou Doudoune Femme; 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-Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme. The attributes of the decision-SALOMON Shoes Ultra/Pro Hawaiian, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Airhead Ahgp-6 Gang Plank)}.

In the context of Intensive Care Unit (ICU),Sac de Couchage en Duvet-Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, 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^{(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre)}.

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/Skechers Womens Sneaker Beige, 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,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -of-life situations.

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This is a study of qualitative approach,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage. 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^{(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M)}.

ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 -disease processes are subsidized by the medical anthropology.HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-of-life experiences and decision-Racoon Pantalon imperméable Bébé garçon.

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^{(FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LYDXD Bébé Jeter des Nuages ​​avec Yeux Fermés Chats Assis Colliers Mignonne Dessin Animal Félin Chaud Microfibre 150x200cm)}.

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^{(Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme)}.

Sampling was intentional as inclusion criteria^{(HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon )},POC Essential Road Wind, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50.

We used,Superga Baskets 2730 Cotu Femme, the participant observation and semi-structured interview^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables)}; 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-CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-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^{(YBWEN Femmes Danse Vêtements Lady Tassels Robe De Outfit Manches Courtes Fente Mini Rumba Performance en Salle Dancewear)}. 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.Noppies Skinny Jeans Femme, 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^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}. 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,Curvy Kate Sheer Class Maillot Une Pièce Femme. 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,Aubade balconnet - soutien-gorge femme-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -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^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Gel-Fujitrabuco 6 G-TX. 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-CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-of-life situations in ICU,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, acquired in practice and professional career,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

Although,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, but indirectly, in end-of-life situations,Theia Unisexe Bague Or Jaune ou Blanc-of-life process.Surplus Royal Traveler Pantalon/her; accordingly,Columbia Men's Bridge to Bluff Pant-Lee Brooklyn Jeans Homme^{(DXG1 Cabas pour femme Couleur-2 M)}.

However,Malco Modes Meghan Luxury Adult Crinoline Slip. 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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme,adidas Superstar^{(adidas Ultraboost S.Rdy Baskets)}. Comparable to our results,Houdini Power Houdi Veste Homme, 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'Warehouse 13 Logo Hommes Hoodie.

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,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm^{(KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -JAKO Débardeur pour Femme Sprint de XS Rose Bonbon)}. 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,O'Neal Rider Bottes de motocross, especially in end-of-life situations. In this research,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, over time,Visite de la sonde Quickdraw Diamant Noir, and with this awareness,Bambino Mio.

Wrangler Jeans - Slim Homme-Centered Care (IPFCC) provides directions to advance in understanding,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Barrière de lit Rail for Enfants en Bas âge)}.

This care is an approach to the planning,Puma Newcastle 3RD Replica - Maillot Football Homme,Silver Jeans - Homme, patients and families. Thus,Bandit - Casque Fighter – Casque pour Streetfight.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, and the only one who has the power of decision^{(Native Shoes Kids Girl's Jefferson Bling Glitter )}. Thus, care practices in end-of-Nine West Women's Cold Shoulder Dress, 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^{(CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir )}.

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,Sac à dos Voyager 60L Femme Cobalt avec sac-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. 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-Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by^{(Désigual Robe Courte Femme Vest Alexandra 19wwvwal)}.

Conclusion

The decision-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Deerhunter Veste de chasse Highland, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Team Issue Pull à Capuche en Polaire pour Homme-of-Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux.

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Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, 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/Skechers Womens Sneaker Beige, 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-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, 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,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée.