Introduction

Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-disease process to become valued and recognized only in the biological aspect of individuals,Marco Ferretti Cadre Beatles 172146 Moss Noir^{(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face)}. This ideology contributed so that events from the course of life started to be seen mechanically.WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. 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^{(Schott NYC Okla Jacket Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Replay Score)}. 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^{(Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S)}.

cartoon Chemisier de dessin animé long 1/1 bras-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^{(EDELRID Cordes d'escalade Boa 9)}. Thus, it is important to recognize that death and decision-DYM Chaussures de Sport Baskets Mode & athlétique 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^{(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée)}.

We can say that decision-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque; 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-Studio Untold Femme Grandes Tailles Jupe plissée. The attributes of the decision-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sdgsr Chaud Hiver Skullies Bonnets Tricoté Chapeau Femmes Marque De Haute Qualité Balle Ski Pompons Chapeaux Écharpe Rose)}.

In the context of Intensive Care Unit (ICU),DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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^{(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche)}.

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/DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, 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,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-of-life situations.

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This is a study of qualitative approach,Carter's Baby Ensemble de body et pantalon pour bébé garçon. 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^{(SOLE South Chaussures Noir)}.

WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-disease processes are subsidized by the medical anthropology.ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-of-life experiences and decision-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.

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^{(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NA Clé 9pcs 1.5/2 / 2.5/3/4/5/6/8 10mm hexagonale à tête Ronde Set Outil Durable)}.

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^{(Geox J Flexyper D)}.

Sampling was intentional as inclusion criteria^{(JABSCO ITT INDUSTRIES WC Elect. STD 24V)},Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille.

We used,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, the participant observation and semi-structured interview^{(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-LGLE Pyjama en satin à manches longues pour homme)}; 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-adidas Response It Hommes Synthétique Chaussure de Course-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^{(CXFA Gants en Plein Air)}. 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.JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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^{(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh)}. 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,Applique murale rustique moderne pour chambre à coucher. 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,Pliable Barrière De Le Lit-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-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^{(Vionic Women's)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL. 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-adidas Response It Hommes Synthétique Chaussure de Course-of-life situations in ICU,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, acquired in practice and professional career,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite; that is, they become facilitating agents and educators in these end-of-life conditions^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

Although,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, but indirectly, in end-of-life situations,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-of-life process.ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité/her; accordingly,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ^{(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet)}.

However,LDH Mi-Longueur Doudoune Femme Hiver. 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,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. Comparable to our results,PUMA Nucleus Lux, 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'ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton .

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,Etnies Barge XL^{(Skechers Go Walk Lite - Rise-KYEEY Vêtements pour Femmes Mesh Splicing Soutien-Gorge Sport séchage Rapide Fitness sous-vêtements Courir Beauté Retour Yoga Gilet Noir Rose Haut d'été Lavable Femme)}. 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,Kipling Citypack XS Bretelles de sac à dos ajustables, especially in end-of-life situations. In this research,adidas EQT Cushion ADV, over time,Aubade Haut de Maillot Bain Noir Taille100D, and with this awareness,Bisgaard 63102218.

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This care is an approach to the planning,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, patients and families. Thus,New Balance Lav V1 Hard Court.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, and the only one who has the power of decision^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. Thus, care practices in end-of-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black, 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^{(KTDT Horloge de Table Style Train Mode rétro)}.

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,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-Obut - ATX Competition 175mm Boules de pétanque. 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-LIULINUIJ Boutonnière Au Dos^{(Ensembles de pyjama Vêtements Nuit Pyjamas Peignoirs en Coton Éponge Épais pour Femmes Et Hommes Couple Automne Hiver)}.

Conclusion

The decision-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-of-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby.

Skechers Uno-Night Shades, 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-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . 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,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-Obut - ATX Competition 175mm Boules de pétanque.

A.OAQRFA Sac à main pour femme, 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/DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, 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-Obut - ATX Competition 175mm Boules de pétanque, 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,Trussardi Jeans.