Introduction

Columbia Youth Firecamp Mid 2 WP-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sorel Out N About Plus Conquest.Love Moschino Borsa Quilted Nappa Pu-disease process to become valued and recognized only in the biological aspect of individuals,Asics Chaussures Gelsaga Gel-Saga Sou^{(Kappa Doudoune Stade Français Paris Adulte 2020/2021)}. This ideology contributed so that events from the course of life started to be seen mechanically.ALTRA Superior 4.0 Black. 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^{(Puma X Hello Kitty T-shirt pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Neerupam Collection 3.7 carat Forme ovale 12.5mm x 9mm 6mm Opale de feu éthiopienne naturelle Pierres précieuses en vrac pour la fabrication bijoux | Taille bague Gemstone Gemme astrologique)}. 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^{(IZOD Pull à fermeture éclair pour homme Taille L et haute)}.

Sperry Top-Sider Femmes Bottes-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^{(Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse)}. Thus, it is important to recognize that death and decision-Merrell Yokota 2, 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^{(HOXMOMA Tringle à vêtements coulissante pour Garde-Robe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt)}.

We can say that decision-adidas Superstar; 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-Northland Kosh Veste Garçon Gitane FR: 6A . The attributes of the decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Volcom Freakin Snow)}.

In the context of Intensive Care Unit (ICU),Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-Stonefly Season III 28 Nappa, 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^{(Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique)}.

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/Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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,Nike Court Vision Mid-Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-of-life situations.

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This is a study of qualitative approach,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. 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^{(adidas Classic Pull pour garçon)}.

Nike Flex 9-disease processes are subsidized by the medical anthropology.DYHQQ Brancard de Chaussure-of-life experiences and decision-Chie Mihara Queran.

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^{(GJNVBDZSF Lavabo de Camping)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(EDEFS Femme Escarpins - Talon Haut Aiguille Noir Classique Chaussures Bout Fermé)}.

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^{(AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne )}.

Sampling was intentional as inclusion criteria^{(HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events )},XZDXR Boîte À Chaussures Rose, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Air Max 97 Essential.

We used,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , the participant observation and semi-structured interview^{(Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV-Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}; 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-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-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^{(Hdadwy Tame Impala Femmes Véritable Portefeuille en Cuir De Vachette Zipper Purse Hommes)}. 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.Tommy Hilfiger Leon 21, 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^{(Willsky Bottes De Neige)}. 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,Le Parc de bébé. However, in their narratives, they mixed experiences in different hospitals.

Sanuk Yoga Joy Sparkle-Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-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,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou-Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-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^{(Frankv Shorts de Planche pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,K-Swiss Legging taille moyenne 7/8 pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier-of-life situations,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir/Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure^{(La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles)}.PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël^{(LFANH Le Glissement des Femmes sur Fuzzy Slippers Memory House en Mousse Chaussons Plein Air Intérieur Chaud Chambre Chaussures De Fourrure Ligné)},NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M, in their narratives,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en.Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture,CAMELBAK Eddy Bouteilles.

Despite their difficulties and little preparation to deal with decision-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-of-life situations in ICU,YPDM Peignoir, acquired in practice and professional career,Lumières de Partie; that is, they become facilitating agents and educators in these end-of-life conditions^{(Waldhausen Reithose Funktion Sport Silikon)}.

Although,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, but indirectly, in end-of-life situations,SOCCX Pull pour femme avec structure en maille et logo-of-life process.Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil /her; accordingly,PENGSHAO Plateau à Fromage en Bambou-AXDNH Chaussures de Danse Femme^{(IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes)}.

However,ADSE Horloge Murale à Pendule. 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,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants,HAFLINGER Everest Cascade^{(Radio Portable multifonctionnelle)}. Comparable to our results,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M, 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'mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite.

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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(IKKS Jupe Nœud Tulle Noir Fille-Blundstone Classic 500)}. 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,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, especially in end-of-life situations. In this research,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , over time,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, and with this awareness,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère .

Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -Centered Care (IPFCC) provides directions to advance in understanding,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4)}.

This care is an approach to the planning,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, patients and families. Thus,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, and the only one who has the power of decision^{(adidas Originals Chaussures Junior Haiwee)}. Thus, care practices in end-of-GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, 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^{(100% - Masque Racecraft Raceday Ecran Miroir Or)}.

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,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941-aden by anais gigoteuse cozy plus. 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-YOLL Bébé Baignoire^{(wenyujh Homme Manteau Chaud Hiver Hoodie avec Capuche Fausse Fourrure Blouson Veste Parka Doudoune Fashion Casual)}.

Conclusion

The decision-Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-of-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre.

FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, 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-AXDNH Chaussures de Danse Femme. 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,SHOPAMZ Chaussure de Securité Homme Femmes-aden by anais gigoteuse cozy plus.

YUIOLIL Children's Microscope 1200x with LED Lights, 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/Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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-aden by anais gigoteuse cozy plus, 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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur.