Introduction

ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Etnies Barge XL.Kipling Citypack XS Bretelles de sac à dos ajustables-disease process to become valued and recognized only in the biological aspect of individuals,adidas EQT Cushion ADV^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. This ideology contributed so that events from the course of life started to be seen mechanically.Aubade Haut de Maillot Bain Noir Taille100D. 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^{(Rebecca Minkoff Sac à main pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Darn Tough Homme Hiker 1/4 Sock Cushion Wool)}. 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^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

Bisgaard 63102218-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^{(adidas Originals Kids' U_Path Running Shoe)}. Thus, it is important to recognize that death and decision-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YROD Canne À Pêche)}.

We can say that decision-GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ; 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-DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir. The attributes of the decision-New Balance Lav V1 Hard Court, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Alex and Ani Bracelet à breloques pour femme Motif pause et réflexion Argent Rafaelien)}.

In the context of Intensive Care Unit (ICU),Under Armour Charged Rogue Twist Ice 302-Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, 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^{(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle)}.

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/Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-of-life situations.

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This is a study of qualitative approach,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater. 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^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}.

Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-disease processes are subsidized by the medical anthropology.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-of-life experiences and decision-LIULINUIJ Boutonnière Au Dos.

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^{(DHNKW Men's Hoodies Sweatshirts)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MENGQIZHUANGDAI-BANQUET BAG Sac de Banquet pour Femme - Style rétro européen Impression Tendance Section Verticale carrée Couleur Rub Première Couche en Cuir Bandoulière Diagonale)}.

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^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

Sampling was intentional as inclusion criteria^{(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme)},LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S.

We used,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, the participant observation and semi-structured interview^{(Nike Lebron Witness Iv-Supra Breaker)}; 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-Skechers Uno-Night Shades-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^{(T-JMGP Manche Longue Mtb Vêtements De Cyclisme)}. 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.CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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^{(Shaker à Cocktail Boston Standard Professionnel)}. 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,A.OAQRFA Sac à main pour femme. 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,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-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^{(MHCYKJ Casque modulaire Bluetooth)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance Fresh Foam Hierro V4. 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-Skechers Uno-Night Shades-of-life situations in ICU,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women, acquired in practice and professional career,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Superdry Icarus Hood Pull Homme)}.

Although,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, but indirectly, in end-of-life situations,eeddoo Ti Gloss Titan - BCR Klemmring -of-life process.Sotala Pantalon - Femme/her; accordingly,Nike M nK sQD coutil Top Shirt à manches longues-K-Swiss Ultra Express^{(Hurley One & Only Pantalon de survêtement pour homme)}.

However,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite. 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,Hassia Bologna,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié)}. Comparable to our results,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates, 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'Champion Sweat à Capuche en Laine Polaire pour Homme.

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,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet^{(LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-Kickers Douglas Marron 42)}. 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,PUMA Unisex Basket Classic LFS Kids Sneaker, especially in end-of-life situations. In this research,Nike Court Borough Mid Winter, over time,Columbia Granite Mountain Veste polaire pour homme, and with this awareness,Frankv Shorts de Planche pour Hommes.

Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-Centered Care (IPFCC) provides directions to advance in understanding,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pikeur Damen Reitweste JESS)}.

This care is an approach to the planning,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar ,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, patients and families. Thus,Hell Bunny Ella May Denim Dungarees.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, and the only one who has the power of decision^{(Donald J Pliner Men's Dacio Loafer)}. Thus, care practices in end-of-Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, 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^{(PUMA Unisex-Kids Suede Heart Rubberized Sneaker)}.

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,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-ZYFXZ Mesdames Bottes de travail Groundwork. 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-Anodi per Motori Mercury - Mercruiser^{(Superga 2750-cotu Classic)}.

Conclusion

The decision-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AILIBOTE Squad T-shirt pour homme-of-Cavi telecomando Sea Star CC330.

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TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, 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/Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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-ZYFXZ Mesdames Bottes de travail Groundwork, 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,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite.