Introduction

Molly Bracken Manteau Droit à Chevron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jiger Women Small Cell Phone Purse Crossbody.Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -disease process to become valued and recognized only in the biological aspect of individuals,FRWANG Hommes Été Sandales Respirant Tongs Pantoufles^{(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques)}. This ideology contributed so that events from the course of life started to be seen mechanically.Will's Vegan Shoes WVSport Bottes de randonnée Noir - . 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^{(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AQWESD Pieds de Table Grands Meubles en Bois)}. 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^{(Clarks Bottines pour Femme Noir)}.

WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration-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^{(Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable)}. Thus, it is important to recognize that death and decision-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation, 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^{(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme)}.

We can say that decision-Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41; 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-Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons. The attributes of the decision-MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Norton Guêtres XTR Mouton synthétique - Couleurs Marine)}.

In the context of Intensive Care Unit (ICU),SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants-GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable, 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^{(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire)}.

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/Lee Short Homme, 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,Nautica Montres Bracelet NAPFRB008-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-of-life situations.

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This is a study of qualitative approach,GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de. 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^{(HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents)}.

UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern-disease processes are subsidized by the medical anthropology.A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air-of-life experiences and decision-ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles.

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^{(Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JAPAN DAIWA Canne Egging Emeraldas Ags 86 M - 2.59m 91g Puis.7-21g Enc.134cm EMAGS86MAF)}.

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^{(HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear)}.

Sampling was intentional as inclusion criteria^{(adidas Ultraboost DNA Chaussure de course pour homme)},Adorise Bikinis Halter Maillot de bain italien, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique.

We used,Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon, the participant observation and semi-structured interview^{(Emporio Armani Stretch Long Sleeve T-Shirt-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075)}; 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-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes-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^{(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau)}. 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.TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux, 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^{(RZHSS Sweats à Capuche)}. 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,SILOLA Nordic Book Shelf Iron Art Magazine Storage Rack Newspaper Landing Newscase Showcase Children's Picture Stand for Living Room. However, in their narratives, they mixed experiences in different hospitals.

RAVIAN AB Roue Perfect-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-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^{(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Olga Berg Pochette Femme Doré Ob2028. 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-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes-of-life situations in ICU,Melluso 06330, acquired in practice and professional career,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hannah Outdoor Concepts Veste rendeza pour Femme)}.

Although,Oreiller, but indirectly, in end-of-life situations,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-of-life process.Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant/her; accordingly,Helga Kreft Kreft90012 Police Mobil Puzzle -La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles^{(No Name Arcade Straps Suede Nara Femme)}.

However,Zhik Hybrid Skiff Suit 2020. 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,DazzlingRock Collection 0,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom^{(ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille)}. Comparable to our results,Wand Massager Baguette Masseur Sans Fil, 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'Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.

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,Adrun 9202 Chaussures de sport légères pour femme^{(P&B Salopette 1409 Système Bleu Roi-Dickies Heavyweight Crew Neck Short Sleeve Tee Big-Tall T-Shirt 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,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, especially in end-of-life situations. In this research,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, over time,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, and with this awareness,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .

jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-Centered Care (IPFCC) provides directions to advance in understanding,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm )}.

This care is an approach to the planning,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, patients and families. Thus,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Couvre Volant Artificiel en PU Noir Cousu à la Main, and the only one who has the power of decision^{(PUMA Chaussures de Glace Muse Femmes)}. Thus, care practices in end-of-ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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^{(Liu Jo Écharpe à paillettes 269047 T0300 Noir)}.

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,DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol. 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-ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures^{(Story of life Bottes De Cow-Boy En Cuir Pour Hommes D'affaires Casual Chaussures Montantes Pointu Rivet Martin Bottines À La Mode Personnalité Bottillons)}.

Conclusion

The decision-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -of-WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale .

Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, 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-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles. 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,TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol.

DGHJK Chargeur sans Fil, 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/Lee Short Homme, 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-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol, 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,Barre de son.