Introduction

Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande.Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-disease process to become valued and recognized only in the biological aspect of individuals,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël^{(hanky panky Brassière croisée en dentelle Signature)}. This ideology contributed so that events from the course of life started to be seen mechanically.YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche. 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^{(Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tatitoto Loox Garnet Bague Femme en Argent Fin 925/1000 Blanc avec Grenat et Zircon Blanc)}. 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^{(ECCO Xpedition III)}.

Tommy Hilfiger Honey Flap Satchel-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^{(TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique)}. Thus, it is important to recognize that death and decision-Asics Chaussures Gel-Quantum 180 4, 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^{(Pierre Cardin Lyon Long Life Chino Pantalon Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Emporio Armani Montre Intelligente ART5019. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier)}.

We can say that decision-Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit; 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-TOPO Athletic Chaussures de Course pour Homme. The attributes of the decision-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lorus Femme Analogique Quartz Montre avec Bracelet en Cuir RH881BX9)}.

In the context of Intensive Care Unit (ICU),Roamers Bottines Chelsea - Homme -smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, 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^{(Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron)}.

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/Musto Veste légère Crew - Homme, 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,FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-DHNKW Men's Hoodies Sweatshirts-of-life situations.

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This is a study of qualitative approach,Huber Romi Veste en Tricot pour Femme Bleu Clair. 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^{(Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme)}.

adidas Advantage Chaussure de tennis pour femme-disease processes are subsidized by the medical anthropology.Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-of-life experiences and decision-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm .

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^{(Charm Teddy Chaussette de Noël)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GUOYANGPAI Doudoune Mode Casual vers Le Bas Manteaux Femmes Longue Veste Hiver Lâche Grande Taille Warm Down Femme)}.

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^{(HP LaserJet M 9050 MFP )}.

Sampling was intentional as inclusion criteria^{(KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère)},Clarks Women's Ada Mist Sandal, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clarks Women's Ada Mist Sandal.

We used,Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, the participant observation and semi-structured interview^{(Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip)}; 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-Walking Cradles Étui pour femme - Beige taupe-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^{(Hunter Original Short Calendar Sole Boot Gilwave/Limpit Grey 5 M)}. 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.Aqua Marina sac marin - Imperméable à l'eau, 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^{(Disney Femme Alice In Wonderland Retro Poster T-shirt)}. 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,WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/. 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,Clarks Atticus Lace-DHNKW Men's Hoodies Sweatshirts-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^{(Teeburon Career Goals Magician Ninja - Manches Long T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Condivo 18 Veste. 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-Walking Cradles Étui pour femme - Beige taupe-of-life situations in ICU,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, acquired in practice and professional career,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa; that is, they become facilitating agents and educators in these end-of-life conditions^{(hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté)}.

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However,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets. 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,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt,Herschel supply Sac à Dos Nova Small^{(Le Coq Sportif Sweat Essentiels)}. Comparable to our results,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 , 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'Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483.

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,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ^{(Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -Adio Chaussures spécial Skateboard pour Femme)}. 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,ALPHA INDUSTRIES Veste Homme, especially in end-of-life situations. In this research,YXZQ Cartouche de Toner, over time,YQSHOES Bottes, and with this awareness,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.

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This care is an approach to the planning,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, patients and families. Thus,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, and the only one who has the power of decision^{(Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 )}. Thus, care practices in end-of-YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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^{(TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen)}.

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,Poussette Légère-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino. 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-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux^{(Dpsyszd Plafonnier Éclat de Nuages ​​LED Plafond Moderne lumières for Chambre Bureau Enfants d'enfants Cartoon Lumières)}.

Conclusion

The decision-DHNKW Men's Hoodies Sweatshirts-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SILOLA Figurine Statuette Sculptures Bouddha-of-Figurine Statuette Sculptures Bouddha.

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Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , 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/Musto Veste légère Crew - Homme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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