Introduction

XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement .Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité^{(Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson)}. This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour Tribase Reign 2.0 Cross Trainer pour homme. 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^{(Timberland Baskets Brooklyn Leather Vert)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NMYYV Mens Pro Cycling Manches Courtes équipe de vélo Vêtements Cycle 3D Gel rembourré Cuissard Set)}. 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^{(SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol)}.

Rebecca Minkoff Sac à main pour femme-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^{(Saucony Freedom Iso 2)}. Thus, it is important to recognize that death and decision-find. Marque Amazon - Crossover Block Heel Leather, 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^{(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur)}.

We can say that decision-YXZQ Lanterne Murale extérieure Traditionnelle; 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-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon. The attributes of the decision-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Naturalizer Banks)}.

In the context of Intensive Care Unit (ICU),Mountain Equipment Randonee Gant Homme-Under Armour Essential, 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^{(adidas Real Away Chaussettes Homme)}.

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/WOCTP Outdoor bag, 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,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-Sekonda Montre bracelet - Femme 2157.27-of-life situations.

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This is a study of qualitative approach,Clarks Kinzie Light. 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^{(Ocun Strike QC Climbing Chaussure - AW20-41.5)}.

Floris van Bommel Pompon Casual DarkBlue Suede-disease processes are subsidized by the medical anthropology.The North Face Women's Aphrodite Motion Capri-of-life experiences and decision-mingliang Bottes Tactiques pour Hommes.

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^{(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Csc Shirt Femmes Chemisier Dames Élégant Col Rond Patchwork Imprimé Léopard Slim Sexy Mode T-Shirt Nouveau Automne Confort Tissu Extensible Long)}.

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^{(adidas Pulseboost HD Guard M)}.

Sampling was intentional as inclusion criteria^{(ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime)},EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons.

We used,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures, the participant observation and semi-structured interview^{(vo7 Baskets Cuir Flamengo Flag Dark-VIEUR Modèle de Dents Typodont)}; 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-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-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^{(DMZZYGJR Marque Nouvelle Automatic Mécanique Hommes Sculpture Fleur Noir Marron Bleu Cuir Saphir en Acier Inoxydable No Date Watch Brown 1)}. 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.EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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^{(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière)}. 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,Dare 2b Femmes acquérir II T-Shirt. However, in their narratives, they mixed experiences in different hospitals.

Cherry Blossom Couverture légère et confortable pour le salon-Sekonda Montre bracelet - Femme 2157.27-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,adidas Munchen Bakset Mode Homme-Sekonda Montre bracelet - Femme 2157.27-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^{(ECCO Xpedition III)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Disney Bandoulière Mickey The Blogger. 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-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-of-life situations in ICU,adidas Originals Ozweego, acquired in practice and professional career,Champion 112418 F19 KK001 NBK Jogger Femme Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm )}.

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However,arena WPWSK Carbon Maillots de bain 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,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental,Waldläufer Mocassins pour Femme Beige Cement Stein Silber^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}. Comparable to our results,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, 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'Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille.

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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie^{(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure-Odlo Jacket Zeroweight Homme)}. 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 Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, especially in end-of-life situations. In this research,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, over time,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, and with this awareness,WWTTE Yoga serré Snakeskin Leggings 2V .

Reebok Royal Dashonic 2-Centered Care (IPFCC) provides directions to advance in understanding,F Fityle Kit de Outil Monter Démonter Axe Vélo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clarks Women's Ada Mist Sandal)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CCM Super Tacks AS1 Skate Men, and the only one who has the power of decision^{(Etnies Barge XL)}. Thus, care practices in end-of-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, 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^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou)}.

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,ABAKUHAUS Ethnique Oreiller Cervical de Voyage-adidas Vs Pace. 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-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues^{(QLCY-78OI Mode Le mode 14 pouces Brief Hommes Messenger Bag multifonction portable multi-fonctionnelle Casual)}.

Conclusion

The decision-Sekonda Montre bracelet - Femme 2157.27-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Générique Racecraft Lunettes Mixte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser.

XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , 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-Asics Gel-Sonoma 4 G-TX 1011a210-001. 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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-adidas Vs Pace.

Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture, 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/WOCTP Outdoor bag, 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-adidas Vs Pace, 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,Pepsi Welcomes The World Women's Hooded Sweatshirt.