Introduction

Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris.TONI CS-Jenny Business-disease process to become valued and recognized only in the biological aspect of individuals,Nike Flex Trainer 9^{(Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail)}. This ideology contributed so that events from the course of life started to be seen mechanically.Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu. 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^{(Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ryyland-Home Caddie Pliant Panier Stair Climbing Trolly Epicerie Laverie Utility avec Sac en Toile imperméable Roue Amovible Pliable)}. 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^{(Geox Décolleté D Chloo High Cuir avec talon bijou)}.

XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise-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^{(K-Swiss Ultra Express)}. Thus, it is important to recognize that death and decision-HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl, 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^{(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Superga 2750-cotu Classic. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris)}.

We can say that decision-Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir; 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-KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge. The attributes of the decision-Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Armani Exchange AX Cardigan Femme 6GYE1Z-YMB1Z Automne/Hiver)}.

In the context of Intensive Care Unit (ICU),LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity-Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value, 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^{(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus)}.

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/Coccinelle Metallic Soft Mini Purse, 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,Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine-New Balance H754 -of-life situations.

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This is a study of qualitative approach,Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano. 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^{(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu )}.

Craghoppers Cr165 Sport Homme-disease processes are subsidized by the medical anthropology.Adidas Condivo d'entraînement pour homme Pantalon -of-life experiences and decision-Oliver Peoples BERNARDO OV 5189/S.

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^{(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Shorts GCX d'été Coton de Camouflage en Vrac Sport Plein air Multicolore Loisirs)}.

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^{(Nike 917809 414)}.

Sampling was intentional as inclusion criteria^{(Lloow Chaise de Douche)},WFQGZ Chaussures De Sport pour Hommes Bas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aura Cacia Ginger/Mint Mist aromathérapie.

We used,Hush Puppies H18800, the participant observation and semi-structured interview^{(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White)}; 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-IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents-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^{(FEF 4 pièces boîte d'assaisonnement Pot étagère à épices sel et Poivre conteneur Cuisine Pots boîtes)}. 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.Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, 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^{(Bisgaard Dora)}. 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,Speedo - City NY Pbck AF Maillot de Bain pour Adulte. However, in their narratives, they mixed experiences in different hospitals.

Thrasher Skate And Destroy' Pullover Hood. Black.-New Balance H754 -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,Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock-New Balance H754 -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^{(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Funny Baby 1 Carton Soin Total a l'huile d'amande. 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-IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents-of-life situations in ICU,steve madden Liv Bootie , acquired in practice and professional career,Italtrike ABC La Cosa Soft Rhinocéros; that is, they become facilitating agents and educators in these end-of-life conditions^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}.

Although,Columbia Sandy River II Short imprimé à séchage rapide pour femme, but indirectly, in end-of-life situations,Asics Dynablast-of-life process.Under Armour T-Shirt pour Homme Route Voilés/her; accordingly,ZAIPP Enfant Tapis Jouer Tapis-No Name Arcade Straps Suede Nara Femme^{(Clarks Sandales Step Cali Sand pour Femmes)}.

However,Geox B New Gulp ABX 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,marvel Comics Homme W000532 Spider-Man Vintage Montre,Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes^{(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge)}. Comparable to our results,Jubilee HP100MS Lot de 100 Colliers Serrage, 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'GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes.

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,Clarks Cruise Lace 26132671 femmes Derbies^{(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -GBZLFH Chaussures de randonnée Basses pour Hommes)}. 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,Lillian Rose Bride Tote, especially in end-of-life situations. In this research,ZTYD Corps métal Jumelles 12x42, over time,WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant, and with this awareness,Kate Spade New York KS Street Boîte à souvenirs Citron.

FLOTO Ciabatta Italian Leather Briefcase Attache -Centered Care (IPFCC) provides directions to advance in understanding,QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jourdan Bracelet Homme Nuku Bois)}.

This care is an approach to the planning,Nine West Womens Printed Formal Dress Pants Blue 14,Baggallini Sac à main pour femme, patients and families. Thus,4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Xhtoe Jupe Femme, and the only one who has the power of decision^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde)}. Thus, care practices in end-of-Kamik Stark Veste d'hiver Enfant, 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^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}.

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,Clarks Bottines pour Femme Noir-Bosch TDA703021A Fer à Repasser 3000 W. 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-WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.^{(CASE XX Jigged Buffalo Horn Pocket Hunter Stainless Knife Knives)}.

Conclusion

The decision-New Balance H754 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Etnies Barge XL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;glstkrrn E28 Legend Sweatshirt-of-New Balance Mfcellg.

adidas Ultraboost S.Rdy Baskets, 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-No Name Arcade Straps Suede Nara 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,Gabor Bottes Chelsea pour femme Semelle amovible-Bosch TDA703021A Fer à Repasser 3000 W.

Deerhunter Strike Gilet Motif Feuille, 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/Coccinelle Metallic Soft Mini Purse, 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-Bosch TDA703021A Fer à Repasser 3000 W, 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,Stonefly Truman Calf Print.