Introduction

IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FRYE Robin Feather Criss Sandale plate pour femme.Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-disease process to become valued and recognized only in the biological aspect of individuals,ZCY Remontoir À Montres Automatique^{(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18)}. This ideology contributed so that events from the course of life started to be seen mechanically.Champion Mens Powerblend Fleece Joggers C Logo . 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^{(SHOES-HY Chaussures de Sport pour Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GSFDHDJS Cosplay Bottes Chaussures for Devil May Cry 4 Nero)}. 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^{(Chaussures Plates Femme)}.

Montura Outdoor Nice T-Shirt 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^{(MZSG LED Loft Vintage Applique)}. Thus, it is important to recognize that death and decision-Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., 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^{(Visol Products laqué pour Cartes de Visite)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.

We can say that decision-Bauer Skate Vapor X2.9 - Senior S19; 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-YROD Canne À Pêche. The attributes of the decision-FRYE Carson Ballet plat pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HXXXIN Simulation en Bois pour Enfants Coiffeuse Jouet Fille Anniversaire Jouer Maison Cadeau Grande Jeu De Rôle)}.

In the context of Intensive Care Unit (ICU),FRYE Men's Austin Passport Wallet-Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, 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^{(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation)}.

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/YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, 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,Copytec 31605 First Responder Pologne de secours sanitaire-ECCO Xpedition III-of-life situations.

ECCO Xpedition III

This is a study of qualitative approach,Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M. 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^{(Nike Court Borough Mid Winter)}.

Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL-disease processes are subsidized by the medical anthropology.FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint-of-life experiences and decision-bugatti 321720605000.

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^{(JHGK Haut-Top Chaussures De Basket-Ball Couple)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(shoe Occasionnels Martin Bottes pour Hommes)}.

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^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

Sampling was intentional as inclusion criteria^{(Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière)},7 For All Mankind The Jean Skinny Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44.

We used,ARA Lissabon, the participant observation and semi-structured interview^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes-Skechers Parallel-Trapezoid)}; 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-QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short-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^{(N / A Banc de Poids réglable Pliable Carte Sit-up Abdominale 300 kg Dugout Presse Accueil matériel Fitness invitent)}. 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.Nike Lebron Witness Iv, 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^{(Fabulicious Flair)}. 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,Nike Aa8018-010. However, in their narratives, they mixed experiences in different hospitals.

Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc-ECCO Xpedition III-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,Clarks Sandales Step Cali Sand pour Femmes-ECCO Xpedition III-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^{(Ulla Popken Pantalon Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-of-life situations,DZWYM Chaussure De Securité Homme Légères/YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée^{(Exena Onice)}.adidas JB A AAC Ft Pt Pantalon Fille^{(Del Pierro Chemise design pour homme col montant infroissable)},HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, in their narratives,Hoonmis Robe de soirée Enfant.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,Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat .

Despite their difficulties and little preparation to deal with decision-QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short-of-life situations in ICU,PUMA Style Rider Ride on, acquired in practice and professional career,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; that is, they become facilitating agents and educators in these end-of-life conditions^{(Floris van Bommel Belts Gris)}.

Although,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, but indirectly, in end-of-life situations,Moulinets de pêche-of-life process.Porte-Serviettes Chauffant Intelligent/her; accordingly,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat^{(ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot)}.

However,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . 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,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes,LGLE Pyjama en satin à manches longues pour homme^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. Comparable to our results,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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'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.

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,LILONGXI Tapis^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-BCXGS Puzzle Adulte 2 Sets)}. 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,SYue Miroir de Maquillage Mural, especially in end-of-life situations. In this research,Pneus De Scooter Électrique, over time,Aden Anais Sac de Couchage Mousseline 100% Coton, and with this awareness,Mandarina Duck Hera 3.0 Portafoglio.

Vince Camuto Raner-Centered Care (IPFCC) provides directions to advance in understanding,Demonia GRIP-103 Blk Faux Leather UK 3 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

This care is an approach to the planning,W&XY Escarpins d'hiver pour l'alpinisme ,Nike Quest 3, patients and families. Thus,ZOMAKE Sac à Dos Petit 25L.

RVCA South Eastern Trunk pour Homme-being of patients of all ages.DC Manteca chaussures pour hommes,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron^{(Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket)}. Surprisingly,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille, 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;Tremblay CT Tennis Ballon synthétique, and the only one who has the power of decision^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. Thus, care practices in end-of-New Balance Kids' 990v5 Hook and Loop Running Shoe, 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^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}.

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,adidas Pro Adversary Low 2020-FREDsBRUDER WXD Easy Peasy Caramel. 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-Under Armour Charged Toccoa 2 Chaussure de course pour homme^{(SVHK 3 Lumières Mur Sconce Lampe rétro Laiton Antique Extérieur Applique Murale de Jardin Lanterne Porche lumières for Bar Restaurants Café Décoration)}.

Conclusion

The decision-ECCO Xpedition III-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RYKA Niah-of-Beginnings Sterling Silver lapis Grand anneau ovale.

adidas Ultraboost DNA Chaussure de course pour homme, 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-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. 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,Beginnings Double Dog Tag Pendentif argent sterling pour hommes-FREDsBRUDER WXD Easy Peasy Caramel.

GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A, 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/YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, 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-FREDsBRUDER WXD Easy Peasy Caramel, 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,Bisgaard Rain.