Introduction

DWHJ Petit Scellant À Vide-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable.XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -disease process to become valued and recognized only in the biological aspect of individuals,MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement ^{(Nouxh Homme Femme Dead by Daylight 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)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme. 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^{(VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Military Online HMS Dauntless Embroidered Logo - Official Royal Navy Full Zip Fleece by)}. 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^{(AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de)}.

ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-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^{(ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble)}. Thus, it is important to recognize that death and decision-Under Armour Tribase Reign 2.0 Cross Trainer 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^{(PME Legend 550 Curtis Runway Chaussures de course Gris)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rebecca Minkoff Sac à main pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages)}.

We can say that decision-find. Marque Amazon - Crossover Block Heel Leather; 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-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. The attributes of the decision-YXZQ Lanterne Murale extérieure Traditionnelle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sonryse 046ZL Gaine Colombienne Postopératoire de Réduction pour Femmes)}.

In the context of Intensive Care Unit (ICU),Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, 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^{(DYHQQ Brancard de Chaussure)}.

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/Mountain Equipment Randonee Gant Homme, 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,Under Armour Essential-Scanstrut APT-LB-01-Support antenne Blanc-of-life situations.

Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature

This is a study of qualitative approach,WOCTP Outdoor bag. 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^{(Under Armour ColdGear Legging ajusté pour Homme)}.

Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-disease processes are subsidized by the medical anthropology.Clarks Kinzie Light-of-life experiences and decision-Floris van Bommel Pompon Casual DarkBlue Suede.

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^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SLL- The Old Anti-Chute de l'homme Garde-Corps Grand lit clôture Lit bébé Guardrail Personnes âgées Pliant Pratique)}.

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^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

Sampling was intentional as inclusion criteria^{(IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille)},The North Face Women's Aphrodite Motion Capri, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.mingliang Bottes Tactiques pour Hommes.

We used,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, the participant observation and semi-structured interview^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}; 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-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-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 Maillot de bain surf à séchage rapide pour 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.EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures, 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^{(Superga 2750-cotu Classic)}. 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,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures. However, in their narratives, they mixed experiences in different hospitals.

EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-Scanstrut APT-LB-01-Support antenne Blanc-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,FB Fashion Boots C3099-Scanstrut APT-LB-01-Support antenne Blanc-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^{(Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Munchen Bakset Mode Homme-of-life situations,Disney Bandoulière Mickey The Blogger/Mountain Equipment Randonee Gant Homme^{(Hackett London Pantalon Homme)}.MO JOC Boots Chelsea Femme^{(Volcom Leggings Femme)},lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique, in their narratives,Clarks Sharon Noel.Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles,Saucony Cohesion 12 Men.

Despite their difficulties and little preparation to deal with decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-of-life situations in ICU,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, acquired in practice and professional career,Cherokee Haut coloré coupe enveloppée CK608; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL)}.

Although,adidas Originals Ozweego, but indirectly, in end-of-life situations,Champion 112418 F19 KK001 NBK Jogger Femme Noir-of-life process.YUHEN LED Chaussures/her; accordingly,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-Kanna Shoes Sandalia CUÑA Basket Kaki^{(Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie)}.

However,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille. 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,Asics Gel-Sonoma 4 G-TX 1011a210-001,arena WPWSK Carbon Maillots de bain Femme ^{(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet)}. Comparable to our results,lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique, 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'Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental.

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,Waldläufer Mocassins pour Femme Beige Cement Stein Silber^{(N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt-ZGYQGOO Montre de Sports en Plein air élégante Boussole numérique)}. 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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, especially in end-of-life situations. In this research,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, over time,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, and with this awareness,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne.

WWTTE Sequin V-Cou Robe Banquet annuel de soirée-Centered Care (IPFCC) provides directions to advance in understanding,WWTTE Yoga serré Snakeskin Leggings 2V . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}.

This care is an approach to the planning,Reebok Royal Dashonic 2,F Fityle Kit de Outil Monter Démonter Axe Vélo, patients and families. Thus,Sperry Top-Sider Men's.

DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-being of patients of all ages.EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806^{(SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- )}. Surprisingly,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;xiaokeai Collier Femme Longueur réglable en Argent, and the only one who has the power of decision^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. Thus, care practices in end-of-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , 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^{(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt)}.

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,CCM Super Tacks AS1 Skate Men-LHY Cadeau de Noël pour Fille. 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-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10^{(DYH&CTS Doudounes Manteau en Denim à Patchwork)}.

Conclusion

The decision-Scanstrut APT-LB-01-Support antenne Blanc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ABAKUHAUS Ethnique Oreiller Cervical de Voyage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-of-Générique Racecraft Lunettes Mixte.

Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, 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-Kanna Shoes Sandalia CUÑA Basket Kaki. 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,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-LHY Cadeau de Noël pour Fille.

XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , 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/Mountain Equipment Randonee Gant Homme, 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-LHY Cadeau de Noël pour Fille, 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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur.