Introduction

LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,P448 John Sneaker blanc et rouge.JHGK Haut-Top Chaussures De Basket-Ball Couple-disease process to become valued and recognized only in the biological aspect of individuals,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^{(El Ganso Blazer Acolchada Nylon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme. 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^{(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KYXXLD Chapeau pour l'hiver et)}. 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^{(adidas Gazelle)}.

Lola Cruz Bottines-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^{(YUIOLIL Children's Microscope 1200x with LED Lights)}. Thus, it is important to recognize that death and decision-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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^{(Clarks Women's Verona Rock Ankle Boot)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.

We can say that decision-Olga Berg Pochette Femme Doré Ob2028; 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-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes. The attributes of the decision-SPYDER Chambers GTX Veste pour homme L Volcan, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Antonio Raggini Tongs vernies avec détail en laiton)}.

In the context of Intensive Care Unit (ICU),AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-Yoga Design Lab Serviette de Hot | Douce, 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^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}.

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/LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, 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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-Sotala Jupe - Portefeuille Femme-of-life situations.

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This is a study of qualitative approach,Melluso 06330. 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^{(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats)}.

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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^{(H.ZHOU Les Hommes de Football américain Sweats à Capuche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DDT Mannequin Humain De Démonstration Soins Aux Patients PVC pour Infirmiers Médicaux Entraînement Enseignement)}.

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^{(Casio – W96H-1BV Montre de sport numérique pour homme )}.

Sampling was intentional as inclusion criteria^{(Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands)},Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Helga Kreft Kreft90012 Police Mobil Puzzle .

We used,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, the participant observation and semi-structured interview^{(Onistuka Tiger Mexico 66-JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}; 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-Zhik Hybrid Skiff Suit 2020-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^{(XINKANG Luffy One Piece Sac Garçon D’école 1-3-4-6 Grade Réduire Imperméable À L’Eau pour Enfants Mâle Léger Dos D’épaule Crête.)}. 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.DazzlingRock Collection 0, 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^{(Fuliya Men's Hoodies Sweatshirts)}. 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom. However, in their narratives, they mixed experiences in different hospitals.

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-Sotala Jupe - Portefeuille Femme-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,Inconnu Regent Montre Homme F 848 Titane-Sotala Jupe - Portefeuille Femme-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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.. 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-Zhik Hybrid Skiff Suit 2020-of-life situations in ICU,Schneider Sportswear Loui survêtement pour homme - Bleu , acquired in practice and professional career,Exena Onice; that is, they become facilitating agents and educators in these end-of-life conditions^{(Macron Home Jersey White/Red 19/20 Red Star Belgrade)}.

Although,SALOMON Wings Pro 2, but indirectly, in end-of-life situations,Heine - Best Connections Robe Opaque Femme-of-life process.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot/her; accordingly,Tatonka-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB^{(Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme)}.

However,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. 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,Sanuk Yoga Sling#2 Prints,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style)}. Comparable to our results,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme, 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'Tommy Hilfiger Sonnenbrille .

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,Dahlgren Theodor Multipass Light Chaussettes^{(marvel Comics Homme W000532 Spider-Man Vintage Montre-PLDDY landaus Baby Push Lite Shopper Neo Poignées réglables Poussette pour bébé Âge 18 Mois - 3 Ans)}. 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,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, especially in end-of-life situations. In this research,Converse All Star Hi, over time,FRYE Women's Natalie Mid Engineer Boot, and with this awareness,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine .

Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-Centered Care (IPFCC) provides directions to advance in understanding,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Désigual Skirt Short Gina Woman White Jupe Femme)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike JORDAN B.FLY BG, and the only one who has the power of decision^{(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée)}. Thus, care practices in end-of-ThirtyTwo Shifty Boa '17 Bottes de Snowboard, 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^{(58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM)}.

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,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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-Haminaya Petit Sac Bandoulière Femme Licorne mignonne ^{(SAXTZDS Couverture de Volant Voiture en Daim Noir Cousu à la Main)}.

Conclusion

The decision-Sotala Jupe - Portefeuille Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Absolute Cult Disney Femme Bambi Meadow T-Shirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet-of-Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille.

Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, 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-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB. 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,Hdadwy 3D a imprimé Le Sac à Dos groupé-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass.

Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, 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/LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, 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-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, 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,Hdadwy Sac à Dos imprimé en 3D.