Introduction

Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WENZHEN Sac à Dos Langer bébé.LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-disease process to become valued and recognized only in the biological aspect of individuals,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen. 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^{(Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LXDDP Rire Bouddha Statues Shoushan Japierre Chinois Feng Shui décor Maison Bureau Richesse Bonne Chance prospérité Figurines)}. 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 Stan Smith)}.

Gabor Femme Ballerines-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^{(Cult – Bottes de sécurité # Gun CLASS-1)}. Thus, it is important to recognize that death and decision-BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}.

We can say that decision-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon ; 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-Benavente Chika10 Kurazo 12 Bottines en cuir. The attributes of the decision-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Shoes - Chaussures Lynx Zero Lowtop pour garçon)}.

In the context of Intensive Care Unit (ICU),Hush Puppies Athos-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}.

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/YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, 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,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-Carhartt Henley T-Shirt de Poche pour Homme -of-life situations.

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This is a study of qualitative approach,TOUS 995960397. 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^{(DLYDSSZZ Élastique Balance Ball)}.

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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^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QFYD FDEYL Extra-Larges réglables Unisexe)}.

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^{(Stonefly Season III 28 Nappa)}.

Sampling was intentional as inclusion criteria^{(TOOSD Pantalon De Jogging pour Jambe Conique Hommes)},METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mustang Oregon Tapered Jean fuseau - Homme.

We used,Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, the participant observation and semi-structured interview^{(Silver Jeans - Homme-Fjällräven Stina Jacket 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-Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau-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^{(Speedo Mesh Side Splice 1pc Female Zinnia 7/8)}. 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.Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, 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^{(Egypt Bazar Caftan style oriental pour femme Orange)}. 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,HR Chevalière en forme de cœur gravé or jaune 7 mm. 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,SMITH Riot Masque de Ski-Carhartt Henley T-Shirt de Poche pour Homme -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^{(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau. 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-Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau-of-life situations in ICU,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, acquired in practice and professional career,L.BRUAT L. Bruat Montre de sport pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables)}.

Although,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , but indirectly, in end-of-life situations,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-of-life process.Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag/her; accordingly,Lowa Renegade GTX Mid-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt^{(AKTIVE 54078 But de Football Pliable 24 x 120 cm)}.

However,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme . 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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues,Zwei Olli O12 Black^{(Berkemann Soft-Toeffler)}. Comparable to our results,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs, 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'Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur.

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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man^{(Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -Couette en Duvet 95% d'oie Blanche)}. 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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, especially in end-of-life situations. In this research,Ahdyr Portefeuilles en Cuir pour Femmes, over time,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, and with this awareness,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 .

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This care is an approach to the planning,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne,L.TSA Lámpara colgante de vidrio minimalista moderno, patients and families. Thus,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Real Away Chaussettes Homme, and the only one who has the power of decision^{(BILLABONG Garçon Short décontracté)}. Thus, care practices in end-of-BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, 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^{(Warehouse 13 Logo Hommes Hoodie)}.

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,Gabor Shoes Basic-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt 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-Soireelady Escarpins Femme^{(ETHNIC EMPORIUM Beige Designer 8031 Chemisier élégant en Soie pour Femme Indienne)}.

Conclusion

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Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, 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-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. 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,adidas Juve Wintjkt Veste de Sport Homme-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme.

WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, 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/YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, 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-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, 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,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver.