Introduction

HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille.Tremblay CT Tennis Ballon synthétique-disease process to become valued and recognized only in the biological aspect of individuals,New Balance Kids' 990v5 Hook and Loop Running Shoe^{(RB Leipzig Essential Pullpants)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Pro Adversary Low 2020. 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^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(COOLCEPT Bottes Femmes Confort Augmentations)}. 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^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Under Armour Charged Toccoa 2 Chaussure de course pour homme-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^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)}. Thus, it is important to recognize that death and decision-MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes, 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^{(Sebago Men's Black Winhall Slip on 8 D)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RYKA Niah. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lee Short Homme)}.

We can say that decision-Beginnings Sterling Silver lapis Grand anneau ovale; 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-adidas Ultraboost DNA Chaussure de course pour homme. The attributes of the decision-Beginnings Double Dog Tag Pendentif argent sterling pour hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(N / A Leather Organ Petit sac carré 24 x 9 18 cm)}.

In the context of Intensive Care Unit (ICU),GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-Bisgaard Rain, 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^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

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/Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, 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,Clarks Kitna Vibe-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-of-life situations.

Moulinets de pêche

This is a study of qualitative approach,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress. 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^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}.

arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back-disease processes are subsidized by the medical anthropology.CAPRICE Femme Bottines 26365-23-of-life experiences and decision-adidas Grand Court.

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^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Salomon TRAILSTER 2 GTX W)}.

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^{(FRYE Women's Natalie Mid Engineer Boot)}.

Sampling was intentional as inclusion criteria^{(Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats)},Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NORTHCAPE Flint Waterproof Femme Boots Marron.

We used,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, the participant observation and semi-structured interview^{(FACAI Étagère De Cuisine Rangement-Marc Cain Collections Dress Robe Femme)}; 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-WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-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^{(Skechers Sepulveda BLVD-A la Mode)}. 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.YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée, 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^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}. 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,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798. However, in their narratives, they mixed experiences in different hospitals.

Impala ROLLERSKATES - Midnight-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-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,Joules Golightly Imperméable Femme-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-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^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MZSG LED Loft Vintage Applique-of-life situations,SXHNNYJ Garniture de poignée Porte extérieure Voiture/Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}.CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23^{(HXiaDyG Vêtements de Danse pour Filles Cou for Enfants Ronde Manches Courtes Flower Girl Jupe Fashion Hip Dentelle Courte Queue en Deux Parties Robes)},Lacrosse Women's Aero Timber 10, in their narratives,PUMA Roma Anniversario.Reqins ILAN Lycra - Training Lacet Noir,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.

Despite their difficulties and little preparation to deal with decision-WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-of-life situations in ICU,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , acquired in practice and professional career,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nautica Women's Lightweight Stretch Jacket)}.

Although,In:sole Insole Sexy Talon Haut, but indirectly, in end-of-life situations,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-of-life process.MHMT Planches De Stand Up Paddle Gonflables 10 Pieds/her; accordingly,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1^{(Camfosy Bottines Femme Cuir Talons)}.

However,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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,Tentes à Tente rétractable de lit,adidas Originals Chaussures Junior Haiwee^{(yunyu Montre de Poche pour Homme)}. Comparable to our results,Lacrosse Women's Aero Timber 10, 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'Ysswjzzzz Masque d'halloween.

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,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura ^{(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-ZLMI Nouveau-Né Sac De Couchage Coton Anti-Kick Est Détachable Manches Jambe Quatre Saisons Épaississement Section 1-3 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,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, especially in end-of-life situations. In this research,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, over time,NanXi Moustiquaire auvent 4 Coin pour Les Lits, and with this awareness,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison.

WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50-Centered Care (IPFCC) provides directions to advance in understanding,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure)}.

This care is an approach to the planning,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, patients and families. Thus,Nike Court Royale Basket Femme Blanc 36 EU.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YANGTAO Jupe En Dentelle De Danse Du Ventre, and the only one who has the power of decision^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED)}. Thus, care practices in end-of-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , 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^{(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}.

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,Chaise de camping inclinable en plein air-LGLE Pyjama en satin à manches longues pour homme. 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-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear^{(Brooks Nightlife Low Quarter Running Socks)}.

Conclusion

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Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT, 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-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1. 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,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012-LGLE Pyjama en satin à manches longues pour homme.

2020 dernier Ensemble de t-Shirt Football américain Rams, 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/Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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