Introduction

Aqua Marina sac marin - Imperméable à l'eau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/.AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere-disease process to become valued and recognized only in the biological aspect of individuals,ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle^{(MELLUSO Sandales pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm. 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^{(CareTec Pantalon de Pluie Enfants )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JUFENGYAO Chaussures)}. 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^{(Skechers Womens Sneaker Beige)}.

Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-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^{(Emporio Armani Montre Intelligente ART5019)}. Thus, it is important to recognize that death and decision-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique, 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^{(JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille)}.

We can say that decision-AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere; 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-westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch. The attributes of the decision-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Charles & Colvard bague pour main droite Forever One - or blanc 14K Moissanite rond 2.3 mm)}.

In the context of Intensive Care Unit (ICU),Onistuka Tiger Mexico 66-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, 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^{(KYOTO Plaquette Semi-métal S1989)}.

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/YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage 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,QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-of-life situations.

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This is a study of qualitative approach,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil. 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^{(Ysting&CO Ysting Chapeau Haut en Laine)}.

GUANTO MMA BLITZ - 24531 7-disease processes are subsidized by the medical anthropology.Sperry Top-Sider Women's Seaport Boat Shoe-of-life experiences and decision-Kappa Britannia Authentic Veste Homme.

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^{(A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fila Disruptor)}.

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^{(Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre)}.

Sampling was intentional as inclusion criteria^{(Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6)},FACAI Corset, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme.

We used,YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs, the participant observation and semi-structured interview^{(Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-Gringo Fairtrade Felt Owl Shoulder Bag)}; 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-Marc Cain Collections Dress Robe 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^{(Aurélie Joliff Bague Trio de Pierres)}. 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.Aofur Robe - Trapèze Manches Courtes Femme, 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^{(Loykind Hommes Formateurs Professionnels)}. 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,yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372. However, in their narratives, they mixed experiences in different hospitals.

Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-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^{(Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral. 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-Marc Cain Collections Dress Robe Femme-of-life situations in ICU,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer, acquired in practice and professional career,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi)}.

Although,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, but indirectly, in end-of-life situations,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-of-life process.Poussette Légère/her; accordingly,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga^{(yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up)}.

However,SILOLA Figurine Statuette Sculptures Bouddha. 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,Figurine Statuette Sculptures Bouddha,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts^{(CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats)}. Comparable to our results,Old Crest Cravate - Homme, 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'LWQ Accueil Utilisez Électriques Ciseaux.

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,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ^{(Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-PUMA King Top FG)}. 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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , especially in end-of-life situations. In this research,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, over time,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, and with this awareness,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806.

NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire-Centered Care (IPFCC) provides directions to advance in understanding,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League)}.

This care is an approach to the planning,Bath Sac à Dos Grande capacité 56-75L extérieur,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, patients and families. Thus,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Burton AK Gore CYCLIC Hose 2021 Forest Night, and the only one who has the power of decision^{(Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213)}. Thus, care practices in end-of-Jourdan Bracelet Homme Nuku Bois, 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^{(Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge)}.

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,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole-TOPO Athletic Chaussures de Course pour 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-New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2^{(KIUYMRV Sac à Main en Cuir Vintage décontracté avec poignée supérieure pour Femme)}.

Conclusion

The decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm-of-G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces .

DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, 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-Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga. 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,HART Polar Bear-V Gilet Taille XL-TOPO Athletic Chaussures de Course pour Homme.

VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, 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/YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage 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-TOPO Athletic Chaussures de Course pour 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,WZLJW Douche Piscine Plage Chaussures.