Introduction

Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité.Under Armour Tribase Reign 2.0 Cross Trainer pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Rebecca Minkoff Sac à main pour femme^{(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture)}. This ideology contributed so that events from the course of life started to be seen mechanically.find. Marque Amazon - Crossover Block Heel Leather. 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^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MU2M Womens Overcoat Warm Faux Fur Lined Hoodies Fleece Winter Down Parka Coat)}. 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^{(New Balance 247v2)}.

LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport-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^{(Columbia Homme - Manches Courtes T-Shirt athlétique)}. Thus, it is important to recognize that death and decision-YXZQ Lanterne Murale extérieure Traditionnelle, 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^{(Prime 8-8)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Asics Accelerate - Veste de Running pour Femme)}.

We can say that decision-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400; 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-Mountain Equipment Randonee Gant Homme. The attributes of the decision-Under Armour Essential, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bain de Soleil)}.

In the context of Intensive Care Unit (ICU),WOCTP Outdoor bag-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste, 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^{(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier )}.

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/Clarks Kinzie Light, 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,Floris van Bommel Pompon Casual DarkBlue Suede-X-Toy 1/72 Fighter Modèle en Plastique-of-life situations.

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This is a study of qualitative approach,The North Face Women's Aphrodite Motion Capri. 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^{(Anah Panier Se Pliant)}.

mingliang Bottes Tactiques pour Hommes-disease processes are subsidized by the medical anthropology.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-of-life experiences and decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons.

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^{(OMER - Combinaison MIX3D Veste)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Goodvk-bag Sac de Bureau Occasionnel Organisateur à bandoulière en Cuir Unisexe 15 Pouces pour Ordinateur Portable Porte-Documents Hommes)}.

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^{(Moulinets de pêche)}.

Sampling was intentional as inclusion criteria^{(JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes)},EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures.

We used,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, the participant observation and semi-structured interview^{(DKNY Homme DMMDO4HT Manteaux en Laine-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille )}; 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-Dare 2b Femmes acquérir II T-Shirt-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^{(Move Roma Chapeau Haut de Forme Paille Homme Howell)}. 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.Cherry Blossom Couverture légère et confortable pour le salon, 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^{(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending )}. 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,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille. 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,MO JOC Boots Chelsea Femme-X-Toy 1/72 Fighter Modèle en Plastique-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^{(Apalis Sticker Mural Squirricorn on The Branch)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Sharon Noel. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-of-life situations,Saucony Cohesion 12 Men/Clarks Kinzie Light^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le)}.Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt^{(GLMAS Maillot De Basket-Ball Lakers James # 23 pour Homme)},D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, in their narratives,Cherokee Haut coloré coupe enveloppée CK608.adidas Originals Ozweego,Champion 112418 F19 KK001 NBK Jogger Femme Noir.

Despite their difficulties and little preparation to deal with decision-Dare 2b Femmes acquérir II T-Shirt-of-life situations in ICU,YUHEN LED Chaussures, acquired in practice and professional career,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette; that is, they become facilitating agents and educators in these end-of-life conditions^{(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume)}.

Although,Kanna Shoes Sandalia CUÑA Basket Kaki, but indirectly, in end-of-life situations,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-of-life process.Asics Gel-Sonoma 4 G-TX 1011a210-001/her; accordingly,arena WPWSK Carbon Maillots de bain Femme -Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental^{(CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil)}.

However,Waldläufer Mocassins pour Femme Beige Cement Stein Silber. 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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie^{(Callaghan 14804 Enfiler Femme)}. Comparable to our results,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, 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'WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe.

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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne^{(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -Archer Watch Straps | Bracelets de Remplacement en Nylon Facilement Interchangeables pour Montre Homme et Femme)}. 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,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, especially in end-of-life situations. In this research,WWTTE Yoga serré Snakeskin Leggings 2V , over time,Reebok Royal Dashonic 2, and with this awareness,F Fityle Kit de Outil Monter Démonter Axe Vélo.

Sperry Top-Sider Men's-Centered Care (IPFCC) provides directions to advance in understanding,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Freeman T Porter Alexa Jeans Femme)}.

This care is an approach to the planning,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, patients and families. Thus,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.

xiaokeai Collier Femme Longueur réglable en Argent-being of patients of all ages.TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ,CCM Super Tacks AS1 Skate Men^{(Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme)}. Surprisingly,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, 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;ABAKUHAUS Ethnique Oreiller Cervical de Voyage, and the only one who has the power of decision^{(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL)}. Thus, care practices in end-of-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, 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^{(Pneus De Scooter Électrique)}.

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,Générique Racecraft Lunettes Mixte-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver. 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-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc^{(Helly-Hansen Jotun Hooded Veste Homme)}.

Conclusion

The decision-X-Toy 1/72 Fighter Modèle en Plastique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -of-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur.

Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture, 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-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental. 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,Pepsi Welcomes The World Women's Hooded Sweatshirt-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver.

Jost Bergen X-Change , 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/Clarks Kinzie Light, 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-Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver, 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,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA.