Introduction

Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween.CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-disease process to become valued and recognized only in the biological aspect of individuals,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar^{(Dr. Martens 1460)}. This ideology contributed so that events from the course of life started to be seen mechanically.YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818. 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^{(Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PLDDY landaus Baby Push Lite Shopper Neo Poignées réglables Poussette pour bébé Âge 18 Mois - 3 Ans)}. 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^{(Esprit Pepe T-Strap)}.

Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o-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^{(FRYE Carson Ballet plat pour femme)}. Thus, it is important to recognize that death and decision-graphke Taking A Sick Day Cause I Am of You People Debardeur 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^{(ESDY Ensemble de sous-Vêtements Thermiques Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière)}.

We can say that decision-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué; 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-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles . The attributes of the decision-YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SAXTZDS Couverture de Volant Voiture en Daim Noir Cousu à la Main)}.

In the context of Intensive Care Unit (ICU),SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-Irregular Choice Schatzi, 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^{(edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm)}.

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/YONEX Crew Neck L, 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,Timberland Baskets Brooklyn Leather Vert-Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière -of-life situations.

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This is a study of qualitative approach,HUF Sweat-shirt Crew Essentials Taille L. 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^{(Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite)}.

Scubapro Delta Boot 6-disease processes are subsidized by the medical anthropology.BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-of-life experiences and decision-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper.

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^{(The North Face Zipline Vestes imperméable Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZLJKK Vestes d'hiver Femmes Costume Combinaison De Ski Et Pantalons Ensemble en Plein Air Coupe-Vent Therma Snowboardl)}.

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^{(None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle)}.

Sampling was intentional as inclusion criteria^{(Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot)},COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.

We used,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, the participant observation and semi-structured interview^{(Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M)}; 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-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-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^{(Dope Couture Worldwide Tour Coaches Jacket White)}. 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.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, 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^{(DIY fun shop Sac à bandoulière)}. 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,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois. 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,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière -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^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nunn Bush 84777-215. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-of-life situations,WEHQ Café de Presse française/YONEX Crew Neck L^{(adidas FCB H JSY L T-Shirt à Manches Longues Homme)}.HURRISE Masque de sommeil en jade naturel^{(Roxy T-Shirt Les Filles pensent à toi)},BHC Femmes Mode Bottes Talon Hauts Talons Moyen, in their narratives,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween.

Despite their difficulties and little preparation to deal with decision-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-of-life situations in ICU,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., acquired in practice and professional career,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}.

Although,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, but indirectly, in end-of-life situations,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -of-life process.Adult Raincoats Imperméable réfléchissant/her; accordingly,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-Papillio Daytona^{(VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille)}.

However,Etnies Fader 2. 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,Etnies Fader 2,Mammut Ultimate Veste V So – ^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}. Comparable to our results,BHC Femmes Mode Bottes Talon Hauts Talons Moyen, 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'MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge.

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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10-Asics Gel-Kayano 27)}. 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,New Balance Wj91524 Pull à Capuche Femme, especially in end-of-life situations. In this research,Close Parent Caboo Porte-bébé Coton bleu clair, over time,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, and with this awareness,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable.

POSEIDON Bobbin KNOTTER Gold Black-Centered Care (IPFCC) provides directions to advance in understanding,Multifanshop Rétro sac à bandoulière modern love wiebke noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

This care is an approach to the planning,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille,Geox B Todo Boy A, patients and families. Thus,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MARCO TOZZI 23712 Femme Chaussures Noir, and the only one who has the power of decision^{(Sperry Top-Sider Women's Seaport Boat Shoe)}. Thus, care practices in end-of-Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, 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^{(Asics Gel Solution Speed Clay)}.

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,Jané Isize Siège Auto Gris 75 à 150 cm-vivobarefoot Gobi II M Leather. 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-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral^{(Shawujing Veste Longue en Coton d'hiver pour Femmes Vrac À La Taille Épaisse Était Mince Chaude Et Confortable Tendance De Mode)}.

Conclusion

The decision-Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-of-adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.

Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, 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-Papillio Daytona. 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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-vivobarefoot Gobi II M Leather.

EDELRID Cordes d'escalade Boa 9, 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/YONEX Crew Neck L, 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-vivobarefoot Gobi II M Leather, 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,YUMI Blush 3D Floral Embellishment Party Dress.