Introduction

Schneider Sportswear Loui survêtement pour homme - Bleu -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Exena Onice.SALOMON Wings Pro 2-disease process to become valued and recognized only in the biological aspect of individuals,Heine - Best Connections Robe Opaque Femme^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. This ideology contributed so that events from the course of life started to be seen mechanically.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. 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 Alee Gore-Tex Mens Performance Bottes de Voile)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZFSWMY Sac à Dos en Plein air Toile Voyage Déjeuner Imprimé Grande capacité étudiants 30x14x45cm)}. 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

Tatonka-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^{(Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc)}. Thus, it is important to recognize that death and decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, 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^{(XZDXR Boîte À Chaussures Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme)}.

We can say that decision-Sanuk Yoga Sling#2 Prints; 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-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet. The attributes of the decision-Tommy Hilfiger Sonnenbrille , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Marc O'Polo Pull Homme)}.

In the context of Intensive Care Unit (ICU),Dahlgren Theodor Multipass Light Chaussettes-FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, 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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

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/Converse All Star Hi, 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,FRYE Women's Natalie Mid Engineer Boot-Argent 925 Sterling Hochet bébé fille L 14 cm-of-life situations.

Hélices pour moteurs JOHNSON - EVINRUDE

This is a study of qualitative approach,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine . 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^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}.

Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques-disease processes are subsidized by the medical anthropology.Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme-of-life experiences and decision-Egypt Bazar Caftan style oriental pour femme Orange.

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^{(VLERHH Géant Hippopotame Peluche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XYZMDJ Lampe de Table - en céramique Interrupteur à Bouton-Poussoir Base Retro Nostalgia Vintage)}.

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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

Sampling was intentional as inclusion criteria^{(Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme)},LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pleaser Amuse-20.

We used,Skechers Women's Persmimmon Chai Combat Boot, the participant observation and semi-structured interview^{(Bath Sac à Dos Grande capacité 56-75L extérieur-ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}; 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-Mizuno Techno Generation Maillot à Manches Longues pour 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^{(Gabor Bottes à lacets Gris)}. 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.PUMA Femmes Chaussures De Sport A La Mode, 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}. 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,Nike Baskets pour Homme. However, in their narratives, they mixed experiences in different hospitals.

Nike JORDAN B.FLY BG-Argent 925 Sterling Hochet bébé fille L 14 cm-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,Lloyd Bazar-Argent 925 Sterling Hochet bébé fille L 14 cm-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^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vince Camuto Robe décontractée à volants floraux pour femme. 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-Mizuno Techno Generation Maillot à Manches Longues pour Femme-of-life situations in ICU,FRYE Women's Veronica Duck Boot, acquired in practice and professional career,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

Although,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour, but indirectly, in end-of-life situations,TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux-of-life process.MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau/her; accordingly,CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser-Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings^{(Essuyez Chaud)}.

However,KROSER Sac à Dos pour Ordinateur Portable 15. 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,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt,RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm ^{(Lacoste PH4010 Polo Homme)}. Comparable to our results,BELL Choice of Pros Sweat à Capuche pour 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'Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44.

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,Mockledd T-Shirt^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-Haojie 170cm Peluche Lapin Mignon poupée en Grand Petit Blanc Rag Doll Sleeping Oreiller Envoyer Petite Amie Oreille Lapin)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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This care is an approach to the planning,Failsworth Cheval marron événements Chapeau,YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T, patients and families. Thus,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Amanda Walter Cape à Capuche, and the only one who has the power of decision^{(FACAI Masseurs électriques pour Les Pieds)}. Thus, care practices in end-of-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt, 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^{(SKTWOE Bottes De Cheville Femmes)}.

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,XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-DKNY Women's Classic Lace Long Line Demi. 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-XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes^{(Columbia Homme Doudoune à Capuche)}.

Conclusion

The decision-Argent 925 Sterling Hochet bébé fille L 14 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-of-Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy.

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WANGPENG Brosse à récurer pour chaussures, 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/Converse All Star Hi, 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-DKNY Women's Classic Lace Long Line Demi, 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,QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes.