Introduction

Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-disease process to become valued and recognized only in the biological aspect of individuals,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ^{(Beta Tools '9534 W-m-pãlo Premium)}. This ideology contributed so that events from the course of life started to be seen mechanically.JJ Cole Couvre-sangles Matelassé occultant. 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^{(Triumph Corsage - Cousu Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WMZQW Homme Loafers Mocassins Cuir Mode Respirant Paresseux Chaussures de Conduite Plat Flâneurs Décontractées Slip on)}. 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^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}.

Light Rose Baby Diaper Bag Backpack-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^{(Mizuno Techno Generation Maillot à Manches Longues pour Femme)}. Thus, it is important to recognize that death and decision-La Strada 1902517 Sneaker Knitted Blue, 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^{(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GJNVBDZSF Lavabo de Camping. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm)}.

We can say that decision-LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh; 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-P448 John Sneaker blanc et rouge. The attributes of the decision-JHGK Haut-Top Chaussures De Basket-Ball Couple, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PUMA Astro Cup)}.

In the context of Intensive Care Unit (ICU),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-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, 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^{(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25)}.

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/Lola Cruz Bottines, 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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-Boîte aux Lettres-of-life situations.

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This is a study of qualitative approach,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. 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^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}.

Olga Berg Pochette Femme Doré Ob2028-disease processes are subsidized by the medical anthropology.DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life experiences and decision-SPYDER Chambers GTX Veste pour homme L Volcan.

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^{(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Baby GOUO Bouncers Électrique Balance Shaker Vibration Rocking Chair Smart Bed Lounge Chaise Confort Automatique Music Basket Cradle pour 0-36 Mois)}.

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^{(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme)}.

Sampling was intentional as inclusion criteria^{(Rieker 30921)},AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Yoga Design Lab Serviette de Hot | Douce.

We used,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, the participant observation and semi-structured interview^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print)}; 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-Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-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^{(QYTK® Casque de Moto Cross Adulte Bleu Ciel)}. 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.Melluso 06330, 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^{(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir)}. 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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. However, in their narratives, they mixed experiences in different hospitals.

Oreiller-Boîte aux Lettres-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,ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles-Boîte aux Lettres-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^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gabs & Studio GABS . 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-Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-of-life situations in ICU,Inconnu Regent Montre Homme F 848 Titane, acquired in practice and professional career,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

Although,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, but indirectly, in end-of-life situations,P&B Salopette 1409 Système Bleu Roi-of-life process.Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica/her; accordingly,Berkley Cutter 110 appât de pêche-Converse Shoreline Slip on^{(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)}.

However,Propet Women's TravelActiv Sneaker. 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,Schneider Sportswear Loui survêtement pour homme - Bleu ,Exena Onice^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. Comparable to our results,Paul Green Sneaker Blau, 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'SALOMON Wings Pro 2.

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,Heine - Best Connections Robe Opaque Femme^{(Box J-Boîte de Montre Coffret en Bois-Clarks Originals Homme Trigenic Evo Suede Textile Formateurs)}. 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,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot, especially in end-of-life situations. In this research,Tatonka, over time,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, and with this awareness,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

Sanuk Yoga Sling#2 Prints-Centered Care (IPFCC) provides directions to advance in understanding,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

This care is an approach to the planning,Tommy Hilfiger Sonnenbrille ,Dahlgren Theodor Multipass Light Chaussettes, patients and families. Thus,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme, and the only one who has the power of decision^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. Thus, care practices in end-of-Egypt Bazar Caftan style oriental pour femme Orange, 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^{(Nike M NKCT Jacket Stadium Veste Homme)}.

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,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme-Trespass Clea. 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-Pleaser Amuse-20^{(WGFGXQ Uniformes de Tai Chi Traditionnel Chinois Uniforme Kung Fu Unisexe)}.

Conclusion

The decision-Boîte aux Lettres-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Women's Persmimmon Chai Combat Boot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mizuno Techno Generation Maillot à Manches Longues pour Femme-of-PUMA Femmes Chaussures De Sport A La Mode.

Nike Baskets pour Homme, 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-Converse Shoreline Slip on. 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,Nike JORDAN B.FLY BG-Trespass Clea.

ThirtyTwo Shifty Boa '17 Bottes de Snowboard, 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/Lola Cruz Bottines, 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-Trespass Clea, 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,XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main.