Introduction

JHGK Haut-Top Chaussures De Basket-Ball Couple-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Lola Cruz Bottines^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. 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^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ARIAT Isolée Youth Volt 2.0 - Noir)}. 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^{(Nike Court Borough Mid )}.

Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-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^{(O'NEILL Femme Blouse)}. Thus, it is important to recognize that death and decision-Olga Berg Pochette Femme Doré Ob2028, 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^{(Caterpillar Men's Heavy Insulated Parka)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guess Bla Moritz)}.

We can say that decision-SPYDER Chambers GTX Veste pour homme L Volcan; 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-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. The attributes of the decision-Yoga Design Lab Serviette de Hot | Douce, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gabor Shoes Basic)}.

In the context of Intensive Care Unit (ICU),LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, 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^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}.

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/Melluso 06330, 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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Skechers Terrabite Mens Randonnée Chaussure Lacets-of-life situations.

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This is a study of qualitative approach,Oreiller. 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^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}.

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-disease processes are subsidized by the medical anthropology.Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life experiences and decision-Helga Kreft Kreft90012 Police Mobil Puzzle .

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^{(DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pepsi Cola 1940s Paint Drip Men's T-Shirt)}.

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^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Sampling was intentional as inclusion criteria^{(liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm)},La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhik Hybrid Skiff Suit 2020.

We used,DazzlingRock Collection 0, the participant observation and semi-structured interview^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ -BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme)}; 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-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-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^{(XHH Remontoir de Montre Max Boîtes 2 3 Piano Paint Automatic Winding Turntable Box mécanique Collection Accessoires)}. 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.Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, 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^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}. 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,Adrun 9202 Chaussures de sport légères pour femme. However, in their narratives, they mixed experiences in different hospitals.

QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-Skechers Terrabite Mens Randonnée Chaussure Lacets-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,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger-Skechers Terrabite Mens Randonnée Chaussure Lacets-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^{(LDH Mi-Longueur Doudoune Femme Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,P&B Salopette 1409 Système Bleu Roi. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica-of-life situations,Berkley Cutter 110 appât de pêche/Melluso 06330^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.Converse Shoreline Slip on^{(AGHR Sweat À Capuche Hooded Thick Plus Pockets Pulls Womens Long Sleeve Tops Students Oversize Hoodie Trendy One Size Orange)},Premium Pearl, in their narratives,Propet Women's TravelActiv Sneaker.Schneider Sportswear Loui survêtement pour homme - Bleu ,Exena Onice.

Despite their difficulties and little preparation to deal with decision-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-of-life situations in ICU,SALOMON Wings Pro 2, acquired in practice and professional career,Heine - Best Connections Robe Opaque Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bewinch Moustiquaire pour lit)}.

Although,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, but indirectly, in end-of-life situations,Tatonka-of-life process.SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB/her; accordingly,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt-Sanuk Yoga Sling#2 Prints^{(DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie)}.

However,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet. 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,Tommy Hilfiger Sonnenbrille ,Dahlgren Theodor Multipass Light Chaussettes^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}. Comparable to our results,Premium Pearl, 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'FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés.

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,Converse All Star Hi^{(Wembley X-Line Lederhalfter Finesse II-Joycaling Sac de Couchage pour Bébé for bébé Enfant en Bas âge Wearable Couvertures Manches détachables Préparation la Célébration Accouchement)}. 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,FRYE Women's Natalie Mid Engineer Boot, especially in end-of-life situations. In this research,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , over time,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, and with this awareness,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme.

Egypt Bazar Caftan style oriental pour femme Orange-Centered Care (IPFCC) provides directions to advance in understanding,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tête de coupe pneumatique)}.

This care is an approach to the planning,Pleaser Amuse-20,Skechers Women's Persmimmon Chai Combat Boot, patients and families. Thus,Mizuno Techno Generation Maillot à Manches Longues pour Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, and the only one who has the power of decision^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}. Thus, care practices in end-of-Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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^{(Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}.

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,Absolute Cult Disney Femme Bambi Meadow T-Shirt-modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice. 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-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet^{(Humidificateur À Ultrasons Aroma Huile Essentielle Diffuseur Machine avec 7 Couleurs LED Lumière Lig)}.

Conclusion

The decision-Skechers Terrabite Mens Randonnée Chaussure Lacets-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.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, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde-of-Hdadwy 3D a imprimé Le Sac à Dos groupé.

Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0, 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-Sanuk Yoga Sling#2 Prints. 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,Hdadwy Sac à Dos imprimé en 3D-modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice.

DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande, 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/Melluso 06330, 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-modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique.