Introduction

DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée.Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier -disease process to become valued and recognized only in the biological aspect of individuals,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant^{(JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table . 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^{(Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mallimoda Femme Mocassins Vintage Tissage Main Plate Chaussures Bateau Respirant Casual Derbies à Lacets)}. 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^{(Tyrannosaurus Rex Dinosaur Toy pour Les Garçons)}.

lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-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^{(jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette )}. Thus, it is important to recognize that death and decision-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, 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^{(Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rideau de fenêtre hawaïen avec des arbres montagne. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Reveal Entertainment Shan Jari Board Game)}.

We can say that decision-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque; 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-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger. The attributes of the decision-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ATOMIC Savor R Casque Mixte)}.

In the context of Intensive Care Unit (ICU),Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-Asics Chaussures Gel-Lima Padel 2, 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^{(Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur)}.

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/BTYKJ Sandales compensées en Daim à Boucles 42 Noir, 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,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-Mephisto Phila-of-life situations.

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This is a study of qualitative approach,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop . 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^{(Under Armour Essential)}.

N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-disease processes are subsidized by the medical anthropology.Lloyd 547932 Bottines Femme 28-357-00 -of-life experiences and decision-hanky panky Brassière croisée en dentelle Signature.

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^{(Clarks Women's Juliet Rose Loafer)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nunn Bush 84694-247)}.

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^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

Sampling was intentional as inclusion criteria^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)},El Ganso Blazer Acolchada Nylon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme.

We used,CMP, the participant observation and semi-structured interview^{(steve madden Tronchetto in Suede Marrone-yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}; 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-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-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^{(Ln L'éclairage de Couloir Chambre à Coucher Salon)}. 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.Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, 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^{(Hurley M Vedder Washed L/S Woven - Chemises Homme)}. 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,Sécurité Adulte Casque De Velo. 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,No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver -Mephisto Phila-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^{(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches-of-life situations,LLSS Poussette pour bébé légère Landaus/BTYKJ Sandales compensées en Daim à Boucles 42 Noir^{(Meindl Asti Mid GTX Wanderschuh TEX Braun)}.NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air^{(LONGFEILI 2 paires de chaussettes sport pour hommes)},SGSG 10x Miroir de Maquillage Mural grossissant, in their narratives,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique.Parcs pour Tout-Petits,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris.

Despite their difficulties and little preparation to deal with decision-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-of-life situations in ICU,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme , acquired in practice and professional career,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3; that is, they become facilitating agents and educators in these end-of-life conditions^{(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme)}.

Although,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, but indirectly, in end-of-life situations,Reebok Workout Plus-of-life process.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4/her; accordingly,Josef Seibel Chance 39-Geox B New Flick B^{(Clarks Votta Edge - Black Synthetic)}.

However,Geox D Nebula C. 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,PUMA Chaussures de Glace Muse Femmes,Dachstein Ramsau 2.0 Gore-TEX Chaussure^{(Couvre Volant Artificiel en PU Noir Cousu à la Main)}. Comparable to our results,SGSG 10x Miroir de Maquillage Mural grossissant, 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'New Balance Fresh Foam Zante Pursuit.

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,Columbia WAYFINDER FLIP Sandales de sport pour homme^{(Wand Massager Baguette Masseur Sans Fil-Trio facile Semelles)}. 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,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, especially in end-of-life situations. In this research,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, over time,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, and with this awareness,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers.

Under Armour Polo rehaussé pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Kamik Raindrops. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kipling 100 Pens Organiseur de Sac à Main)}.

This care is an approach to the planning,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250,TEN POINTS Carina, patients and families. Thus,DC Shoes Heathrow.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Magista Onda AG, and the only one who has the power of decision^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. Thus, care practices in end-of-Mizuno Tc-02, 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^{(DC Shoes Heathrow)}.

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,ECCO Biom Terrain-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs. 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-ECCO Xpedition III^{(Rieker Herbst/Winter)}.

Conclusion

The decision-Mephisto Phila-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ECCO Xpedition III, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-of-adidas Ultraboost 19.

adidas Originals Women's Falcon Trail Running Shoe, 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-Geox B New Flick B. 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,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs.

Fjällräven Leisure Backpack Greenland Zip 13" Polyester, 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/BTYKJ Sandales compensées en Daim à Boucles 42 Noir, 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-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs, 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,FREDsBRUDER WXD Easy Peasy Caramel.