Introduction

La Strada 1902517 Sneaker Knitted Blue-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GJNVBDZSF Lavabo de Camping.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-disease process to become valued and recognized only in the biological aspect of individuals,P448 John Sneaker blanc et rouge^{(MUK LUKS Chaussons Critter pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.JHGK Haut-Top Chaussures De Basket-Ball Couple. 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^{(Grunland CI2835 DIRA Ciabatta Donna S.)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Handsome Girl dresses Women Dress Solid Color Lace Stitching Openwork Temperament Popular Dignified Trend Long Summer)}. 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^{(YIJIAREN pour Volkswagen Series Tapis Sol Voiture)}.

Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les-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^{(Panier Panier)}. Thus, it is important to recognize that death and decision-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, 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^{(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lola Cruz Bottines. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust)}.

We can say that decision-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches; 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-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. The attributes of the decision-Olga Berg Pochette Femme Doré Ob2028, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BAIVIT Main Courante de sécurité Douche Lumineuse)}.

In the context of Intensive Care Unit (ICU),DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-SPYDER Chambers GTX Veste pour homme L Volcan, 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^{(PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276)}.

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/AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, 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,Yoga Design Lab Serviette de Hot | Douce-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-of-life situations.

Trespass Clea

This is a study of qualitative approach,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. 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^{(SDJJ Sac à dos vintage en cuir pour femme Motif floral)}.

Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-disease processes are subsidized by the medical anthropology.Melluso 06330-of-life experiences and decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

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^{(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HO-TBO Blazer à carreaux pour femme vintage classique deux boutons Coupe slim longue Veste S-XXL Loisirs de plein air Slim Coat)}.

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^{(Mizuno Wave Paradox 5)}.

Sampling was intentional as inclusion criteria^{(Saucony Cohesion 12 Men)},Oreiller, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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.

We used,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, the participant observation and semi-structured interview^{(Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit-Flyye épaule Étui System Panel MOLLE Ranger Vert)}; 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-Helga Kreft Kreft90012 Police Mobil Puzzle -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^{(Hurley Soutien-Gorge Femme)}. 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.La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, 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^{(GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City)}. 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,Zhik Hybrid Skiff Suit 2020. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,The North Face W Litewave Explore GTX Chaussures de Marche Femme-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-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^{(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003. 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-Helga Kreft Kreft90012 Police Mobil Puzzle -of-life situations in ICU,Converse Shoreline Slip on, acquired in practice and professional career,Propet Women's TravelActiv Sneaker; that is, they become facilitating agents and educators in these end-of-life conditions^{(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée)}.

Although,Schneider Sportswear Loui survêtement pour homme - Bleu , but indirectly, in end-of-life situations,Exena Onice-of-life process.SALOMON Wings Pro 2/her; accordingly,Heine - Best Connections Robe Opaque Femme-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot^{(CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13)}.

However,Tatonka. 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,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}. Comparable to our results,ROUE jOCKEY wT kLAPPB 25 vICIES, 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'Sanuk Yoga Sling#2 Prints.

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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet^{(Naturino See-Crumrine Western Boucle de ceinture en argent – Vintage)}. 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,Tommy Hilfiger Sonnenbrille , especially in end-of-life situations. In this research,Dahlgren Theodor Multipass Light Chaussettes, over time,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, and with this awareness,Converse All Star Hi.

FRYE Women's Natalie Mid Engineer Boot-Centered Care (IPFCC) provides directions to advance in understanding,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

This care is an approach to the planning,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, patients and families. Thus,Egypt Bazar Caftan style oriental pour femme Orange.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PUMA Femmes Chaussures De Sport A La Mode, and the only one who has the power of decision^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee)}. Thus, care practices in end-of-Nike Baskets pour Homme, 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^{(Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose)}.

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,Nike JORDAN B.FLY BG-ELTEN . 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-ThirtyTwo Shifty Boa '17 Bottes de Snowboard^{(Nine West Robe en Tricot avec col châle et évasée pour Femme)}.

Conclusion

The decision-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Haminaya Petit Sac Bandoulière Femme Licorne mignonne -of-Absolute Cult Disney Femme Bambi Meadow T-Shirt.

CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet, 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-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. 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,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille-ELTEN .

Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, 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/AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, 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-ELTEN , 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,Hdadwy 3D a imprimé Le Sac à Dos groupé.