Introduction

Dare 2b Femmes acquérir II T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cherry Blossom Couverture légère et confortable pour le salon.MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-disease process to become valued and recognized only in the biological aspect of individuals,Regatta Pack It Jkt Iii Veste imperméable Homme^{(Lakota Bottes Western Buckaroo modèle Roping EQ296)}. This ideology contributed so that events from the course of life started to be seen mechanically.AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. 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^{(Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Karl Lagerfeld Kids Doudoune légère déperlante Enfant)}. 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^{(Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small)}.

Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-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^{(Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air)}. Thus, it is important to recognize that death and decision-MILASIA Parachutiste US Vintage Industries, 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^{(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M)}.

We can say that decision-Peak Mountain Doudoune Femme ARES-Marine-XL; 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-teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. The attributes of the decision-Filet de Camouflage De for La Chasse Tournage Pêche , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HOSD 2020 Print Sportswear Hoodies Hommes Femmes Unisexe Sweat Mâle À Capuche Bon Pull Vêtements)}.

In the context of Intensive Care Unit (ICU),NO LOGO X-Baofu-Smartwool PhD Lumière extérieure Micro, 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^{(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée)}.

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/alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, 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,Filet de sécurité pour enfants-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-of-life situations.

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This is a study of qualitative approach,CHENDX Chaussures. 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^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}.

Think! Comoda_3-000089-disease processes are subsidized by the medical anthropology.Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B-of-life experiences and decision-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir .

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^{(Naturino See)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Panier Panier)}.

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^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

Sampling was intentional as inclusion criteria^{(EASTPAK Buckler Sac bandoulière)},Jouailla Bracelet PERLAS LATINAS perles de verre rouge, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose .

We used,Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , the participant observation and semi-structured interview^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose)}; 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-Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-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^{(wxl&zx Jeans Top Qualité Jean Homme Marque De Mode Hommes Droit Surdimensionnés Pantalon Gras Femmes Plus La Taille 4XL 5XL 6XL 7XL)}. 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.Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune, 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^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}. 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,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France. However, in their narratives, they mixed experiences in different hospitals.

WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-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,Reebok Royal Dashonic 2-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-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^{(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,F Fityle Kit de Outil Monter Démonter Axe Vélo. 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-Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-of-life situations in ICU,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , acquired in practice and professional career,CCM Super Tacks AS1 Skate Men; that is, they become facilitating agents and educators in these end-of-life conditions^{(IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins)}.

Although,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, but indirectly, in end-of-life situations,ABAKUHAUS Ethnique Oreiller Cervical de Voyage-of-life process.BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues/her; accordingly,Générique Racecraft Lunettes Mixte-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc^{(Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER)}.

However,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. 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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur^{(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes)}. Comparable to our results,Cherokee Haut coloré coupe enveloppée CK608, 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'Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture.

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,Pepsi Welcomes The World Women's Hooded Sweatshirt^{(MC Davidian Barrette matic 11cm Dentelles dentelle Full -Nouveau. université Gonzaga Bulldogs Boucle arrière Cap – Chapeau brodé – Bleu Marine)}. 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,Jost Bergen X-Change , especially in end-of-life situations. In this research,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, over time,Rösle 25356 de pellets de Bois Hickory 9 kg Sac, and with this awareness,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement.

Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-Centered Care (IPFCC) provides directions to advance in understanding,emanuel ungaro Ungaro - Ceinture en cuir pour homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Daesar Rideau Lot de 2)}.

This care is an approach to the planning,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme,adidas Pred Gl LGE Gants de Foot Mixte, patients and families. Thus,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, and the only one who has the power of decision^{(AIRMATE M 101)}. Thus, care practices in end-of-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, 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^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.

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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400. 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-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag^{(Mavic SHOES Aksium Elite III BLACK/White/BLACK)}.

Conclusion

The decision-ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Filet de protection Sécurité Maille De for Enfants, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-of-AWYJ Balles de bébé.

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, 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-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc. 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,EASTPAK Buckler Sac bandoulière-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400.

YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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/alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, 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-Asics Gel-Kinsei OG Blanc Bleu 1021A117.400, 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,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping.