Introduction

4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies.ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-disease process to become valued and recognized only in the biological aspect of individuals,adidas Terrex Eastrail^{(Lampadaire postmoderne)}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Sandales Step Cali Sand pour Femmes. 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^{(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Roxy Womens Swing Low - Dungaree Dress Women XL Black Anthracite)}. 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^{(Mammut Bota Ducan High GTX)}.

BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -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^{(Pot pour Bébé)}. Thus, it is important to recognize that death and decision-Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air, 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^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DZWYM Chaussure De Securité Homme Légères. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RRD di roberto ricci design W19141 Maillot à côtes pour Homme)}.

We can say that decision-adidas JB A AAC Ft Pt Pantalon Fille; 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-Hoonmis Robe de soirée Enfant. The attributes of the decision-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Yougou Women’s Summer Casual Raglan Short Sleeve Patchwork Striped Cotton Shirts Loose T-Shirt Tunic Tops)}.

In the context of Intensive Care Unit (ICU),Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -PUMA Style Rider Ride on, 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^{(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais)}.

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/LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, 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,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-Andrea Conti Chaussures basses en cuir à lacets pour femme-of-life situations.

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This is a study of qualitative approach,Moulinets de pêche. 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^{(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte)}.

Porte-Serviettes Chauffant Intelligent-disease processes are subsidized by the medical anthropology.Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -of-life experiences and decision-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat.

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^{(Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mandarina Duck Essential)}.

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^{(DR MARTENS 101 6-eye Ys Smooth EU 40)}.

Sampling was intentional as inclusion criteria^{(Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54)},LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes.

We used,LGLE Pyjama en satin à manches longues pour homme, the participant observation and semi-structured interview^{(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour 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-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-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^{(YYH Robe De Soirée pour Femmes 2020 Prom Velours Col en V Sirène Applique Paillettes Backless Longue Pageant Cocktail Soirée)}. 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.LILONGXI Tapis, 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^{(Demonia GRIP-103 Blk Faux Leather UK 3 )}. 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,SYue Miroir de Maquillage Mural. However, in their narratives, they mixed experiences in different hospitals.

Pneus De Scooter Électrique-Andrea Conti Chaussures basses en cuir à lacets pour 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,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir-Andrea Conti Chaussures basses en cuir à lacets pour 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^{(Restyle Split Tunic - Robe à col roulé Noire et Gothique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Brooks Mazama 2. 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-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-of-life situations in ICU,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, acquired in practice and professional career,DKNY Homme DMMDO4HT Manteaux en Laine; that is, they become facilitating agents and educators in these end-of-life conditions^{(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau)}.

Although,Fergalicious Jolene, but indirectly, in end-of-life situations,Merrell Forestbound Waterproof-of-life process.Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon/her; accordingly,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads^{(FEUER1 Sweat-shirt à capuche Bleu marine)}.

However,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure. 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,überleben Coppa leggera in Legno Con moschettone Backpacking,Kipling 100 Pens Organiseur de Sac à Main^{(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA])}. Comparable to our results,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5, 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'Lacrosse Women's Aero Timber 10.

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,YQ QY Chaussons Description du produitpointureTableau des Tailles ^{(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-Regina Schrecker Costume complet avec bande et dentelle Art. 7009 Made in Italy)}. 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,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, especially in end-of-life situations. In this research,EXTON 246 Sneakers Man, over time,LLNB Zip Veste À Capuche, and with this awareness,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir .

Lora di Collier Indi Celebrate. court-Centered Care (IPFCC) provides directions to advance in understanding,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Deerhunter Veste de chasse Highland)}.

This care is an approach to the planning,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , patients and families. Thus,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes.

LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-being of patients of all ages.JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ^{(HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46)}. Surprisingly,Tamaris Femme Chaussures à Lacets, 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;HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, and the only one who has the power of decision^{(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent)}. Thus, care practices in end-of-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, 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^{(VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.)}.

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,Joules Golightly Imperméable Femme-Lacoste Veste 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique^{(Skechers Sandales à glissière pour fille)}.

Conclusion

The decision-Andrea Conti Chaussures basses en cuir à lacets pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MZSG LED Loft Vintage Applique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SXHNNYJ Garniture de poignée Porte extérieure Voiture-of-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23.

PUMA Roma Anniversario, 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-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads. 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,Reqins ILAN Lycra - Training Lacet Noir-Lacoste Veste Homme.

NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, 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/LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, 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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