Introduction

Warm vest TXC Gilet en coton pour homme épais sans manches Taille L-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus.Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -disease process to become valued and recognized only in the biological aspect of individuals,LXZSP Brûleur d'encens de contrôle la température synchronisation^{(Magnifiquement Moustiquaire)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZHMIAO Maillot de Football américain pour Homme 4# Carr. 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^{(Livia Isabel Lavandou Maillot Une pièce Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Helly Hansen Panarena VTR Chaussure De Course à Pied - SS15)}. 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^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-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^{(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black)}. Thus, it is important to recognize that death and decision-TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation, 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^{(aipipl Boîte aux Lettres Murale)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JOOP! Jeans Tondo Sousa Sac porté épaule jaune. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hudson baby Long Sleeve Bodysuits)}.

We can say that decision-DBWIN Parc de Jeu pour Enfants; 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-The North Face Veste Chimborazo réversible pour garçon. The attributes of the decision-Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ECCO Vitrus II)}.

In the context of Intensive Care Unit (ICU),YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra-New Era Americana T-Shirt ~ York Yankees, 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^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}.

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/In:sole Insole Sandales Talon Haut, 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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements-of-life situations.

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This is a study of qualitative approach,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire. 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^{(Joules Golightly Imperméable Femme)}.

Essuyez Chaud-disease processes are subsidized by the medical anthropology.ADHW Chaise Longue d'extérieur-of-life experiences and decision-WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap.

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^{(Kilpi Titicaca-W Jupe 126)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Étagère de rangement en rack American Simple Hanging Rack murale Salon Crochet fer Porte-manteau Cintre Bois massif)}.

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^{(Crocs Crocband Clog Kids)}.

Sampling was intentional as inclusion criteria^{(XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes)},Vienty Sandales à talon Ani Lacets Cuir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Originals Chaussures Junior Haiwee.

We used,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel, the participant observation and semi-structured interview^{(LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps )}; 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-Fournitures de salle bain Piscine gonflable Baignoire-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^{(3Elfen Robe Manche Longue - Robes à Capuchon avec Poignets été de Made in Berlin)}. 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.HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot 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^{(SMXGF Laine Echarpe)}. 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes. 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,Skechers Men's Expected-GLENSON Driving Style Loafer-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements-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^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Salming Chaussures Viper 5 Indoor. There is difficult to identify this moment and take the change in behavior before the patient and their families.

K-Swiss Aeronaut-of-life situations,Clarks Women's Leisa Joy Sandal/In:sole Insole Sandales Talon Haut^{(Mares Volo Race)}.FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir^{(AMhuui Double Remontoir)},Cosilana bébés, in their narratives,KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean.DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir,Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050.

Despite their difficulties and little preparation to deal with decision-Fournitures de salle bain Piscine gonflable Baignoire-of-life situations in ICU,DYYTR Grande capacité, acquired in practice and professional career,Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000; that is, they become facilitating agents and educators in these end-of-life conditions^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

Although,WXX Chaise berçante bébé, but indirectly, in end-of-life situations,MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker-of-life process.CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit/her; accordingly,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-OMER - Combinaison MIX3D Veste^{(Azonic The Rock FAT35 Stem Vorbau 34)}.

However,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun. 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,Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05,Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}. Comparable to our results,Cosilana bébés, 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'Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit .

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,Crocs Crocband Clog Kids^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-Daesar Rideau Lot 2 3D Chambre Graffiti pour Fenêtre 274x183CM Fenetre Blanc Noir Orange)}. 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,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, especially in end-of-life situations. In this research,Machine de Jeu vidéo Arcade 2350 Jeux Classiques, over time,bibi lou Sandalo in Lurex E Pelle Laminata Oro, and with this awareness,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e.

Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert-Centered Care (IPFCC) provides directions to advance in understanding,Vado Jungen Stiefel Rot . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

This care is an approach to the planning,Swarovski Femmes Acier N'est pas applicable bague - 5515667,Vionic Women's, patients and families. Thus,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA, and the only one who has the power of decision^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}. Thus, care practices in end-of-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual, 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^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}.

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,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à-Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir. 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-Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale^{(Liuyang Vestes pour Hommes Double Couronne Union SoviéTique Cccpcommunism Manteau LâChe Respirant Anti Rides Boulochage Mode Trench à Capuche Unisexe)}.

Conclusion

The decision-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière -of-Happiness Leggings Serpent.

Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, 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-OMER - Combinaison MIX3D Veste. 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,Rossignol Pantalon de Ski Homme-Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir.

Mammut Eigerjoch Light, 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/In:sole Insole Sandales Talon Haut, 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-Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir, 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,mys Scarpe PersonalizzateOriginal .