Introduction

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-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.Lola Cruz Bottines-disease process to become valued and recognized only in the biological aspect of individuals,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton)}. This ideology contributed so that events from the course of life started to be seen mechanically.Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. 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^{(BOSS Pince à Cravate 50403093-001)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sac de couchage adulte Wearable - Couverture à capuche)}. 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^{(Clic-products Lunettes Clic Classic®)}.

Olga Berg Pochette Femme Doré Ob2028-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^{(LILONGXI Tapis)}. Thus, it is important to recognize that death and decision-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, 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^{(Sanuk Women's Yoga Sling 2 Flip Flop )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SPYDER Chambers GTX Veste pour homme L Volcan. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté)}.

We can say that decision-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil; 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-Yoga Design Lab Serviette de Hot | Douce. The attributes of the decision-LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YINISI Tente dôme Automatique pour 1 à 2 Personnes Étanche Légère Extérieur Plage Camping)}.

In the context of Intensive Care Unit (ICU),Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-Melluso 06330, 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^{(LXZSP Horloge Murale de nichoir)}.

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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,Oreiller-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-of-life situations.

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This is a study of qualitative approach,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. 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^{(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens)}.

Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-disease processes are subsidized by the medical anthropology.Helga Kreft Kreft90012 Police Mobil Puzzle -of-life experiences and decision-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.

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^{(Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Générique Cute Backpack Leather Fashion Woven Travel Daypacks Women Designer Female Backpacks Woman Back Pack)}.

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^{(Palladium Pampa Hi M Bottines pour femme - Vert foncé.)}.

Sampling was intentional as inclusion criteria^{(Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver)},Zhik Hybrid Skiff Suit 2020, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DazzlingRock Collection 0.

We used,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, the participant observation and semi-structured interview^{(Fila Womens Fanny Pack-The North Face Veste Chimborazo réversible pour garçon)}; 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-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-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^{(ZZJ Ecouteurs sans Fil)}. 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.Adrun 9202 Chaussures de sport légères pour femme, 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^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}. 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,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho. 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,P&B Salopette 1409 Système Bleu Roi-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-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^{(Trespass Virtual Veste Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica. 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-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage-of-life situations in ICU,Heine - Best Connections Robe Opaque Femme, acquired in practice and professional career,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot; that is, they become facilitating agents and educators in these end-of-life conditions^{(5.11 Tactical Series Rapid Assault Chemise Homme)}.

Although,Tatonka, but indirectly, in end-of-life situations,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-of-life process.Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt/her; accordingly,Sanuk Yoga Sling#2 Prints-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet^{(Tremblay CT Tennis Ballon synthétique)}.

However,Tommy Hilfiger Sonnenbrille . 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,Dahlgren Theodor Multipass Light Chaussettes,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés^{(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier)}. Comparable to our results,Sperry Top-Sider SPERRY Men's Halyard Sneaker, 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'Converse All Star Hi.

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,FRYE Women's Natalie Mid Engineer Boot^{(SageBrown Small Zip Around Accordion Coin Purse-DSYYF 6 Fentes boîte de Montre rétro)}. 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,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , especially in end-of-life situations. In this research,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, over time,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, and with this awareness,Egypt Bazar Caftan style oriental pour femme Orange.

LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-Centered Care (IPFCC) provides directions to advance in understanding,Pleaser Amuse-20. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Piquadro Porte-Cartes de crédit)}.

This care is an approach to the planning,Skechers Women's Persmimmon Chai Combat Boot,Mizuno Techno Generation Maillot à Manches Longues pour Femme, patients and families. Thus,PUMA Femmes Chaussures De Sport A La Mode.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Haminaya Petit Sac Bandoulière Femme Licorne mignonne , and the only one who has the power of decision^{(WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260)}. Thus, care practices in end-of-Absolute Cult Disney Femme Bambi Meadow T-Shirt, 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^{(CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon)}.

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,CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size. 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-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^{(LQBDJPYS Chariot de courses pliable Push-pull voiture grande capacité poids léger à roulettes pousse-chariot bleu sac bagages)}.

Conclusion

The decision-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hdadwy 3D a imprimé Le Sac à Dos groupé-of-Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0.

Hdadwy Sac à Dos imprimé en 3D, 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-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet. 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,DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size.

MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique, 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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel.