Introduction

Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie.WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-disease process to become valued and recognized only in the biological aspect of individuals,Chariot pour Animaux de Compagnie^{(Marco Ferretti Cadre Beatles 172146 Moss Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo . 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^{(AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Magiböes T-Shirt à manches courtes avec imprimé corbeau celtique Odin AST Viking Dragon Nœud)}. 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^{(TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe)}.

Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique-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^{(Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme )}. Thus, it is important to recognize that death and decision-Chaussures Plates Femme, 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^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette )}.

We can say that decision-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol; 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-Asics Accelerate - Veste de Running pour Femme. The attributes of the decision-fischer 13948 Hausschuh, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cottonmoose Footmuff Moose Shine Chancelières Landau Poussette Traîneau)}.

In the context of Intensive Care Unit (ICU),jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.-AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer , 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^{(LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6)}.

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/Sperry Women's Crest Vibe Satin Lace Sneaker, 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,ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life situations.

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This is a study of qualitative approach,Under Armour Rival Fleece Homme Sweat à Capuche Noir. 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^{(Globe Motley Mid)}.

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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^{(Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BESTHOO T-Shirt Le Meilleur Papa de Chien jamais Fist Bump Net Rouge à Manches Longues Confortable Airy Hipster Doux for Les garçons et Filles)}.

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^{(Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt)}.

Sampling was intentional as inclusion criteria^{(Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64)},Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Palladium Pampa Hi M Bottines pour femme - Vert foncé..

We used,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, the participant observation and semi-structured interview^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent-ECCO Biom Terrain)}; 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-Molly Bracken Manteau Droit à Chevron-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^{(Godmoy Top Hengfang Cosplay Costume Avatar Le dernier maître de l'air Halloween Hauts et Pantalons pour 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.Jiger Women Small Cell Phone Purse Crossbody, 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^{(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur)}. 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,Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages . 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,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-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^{(Sanuk Kids Unisex Lil Puffer Fashion Boot)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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-Molly Bracken Manteau Droit à Chevron-of-life situations in ICU,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, acquired in practice and professional career,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mandarina Duck MD20 Sac bandoulière bleu)}.

Although,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , but indirectly, in end-of-life situations,JJ Cole Couvre-sangles Matelassé occultant-of-life process.Light Rose Baby Diaper Bag Backpack/her; accordingly,La Strada 1902517 Sneaker Knitted Blue-GJNVBDZSF Lavabo de Camping^{(WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50)}.

However,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. 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,P448 John Sneaker blanc et rouge,JHGK Haut-Top Chaussures De Basket-Ball Couple^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage)}. Comparable to our results,Magnifiquement Moustiquaire, 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'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.

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,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme^{(Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux-Remo Gammella Collier lignes étoile Gold Argent 925 5 étoiles gammella Bijoux)}. 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,Lola Cruz Bottines, especially in end-of-life situations. In this research,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, over time,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, and with this awareness,Olga Berg Pochette Femme Doré Ob2028.

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This care is an approach to the planning,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil,Yoga Design Lab Serviette de Hot | Douce, patients and families. Thus,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;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, and the only one who has the power of decision^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. Thus, care practices in end-of-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, 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^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}.

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,Helga Kreft Kreft90012 Police Mobil Puzzle -WRJY Poussette pour bébé. 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-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles^{(JXILY Chaussures Femme en Maille Décontractées à Plateforme avec Paillettes Strass Respirantes)}.

Conclusion

The decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zhik Hybrid Skiff Suit 2020, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DazzlingRock Collection 0-of-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom.

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, 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-GJNVBDZSF Lavabo de Camping. 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,Adrun 9202 Chaussures de sport légères pour femme-WRJY Poussette pour bébé.

QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, 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/Sperry Women's Crest Vibe Satin Lace Sneaker, 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-WRJY Poussette pour bébé, 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,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation.