Introduction

Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm .Clarks Women's Ada Mist Sandal-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Women's Ada Mist Sandal^{(Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas)}. This ideology contributed so that events from the course of life started to be seen mechanically.Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL. 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^{(Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LINANNAN Genou Brace Chauffant Wrap Soutien)}. 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^{(Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant)}.

Walking Cradles Étui pour femme - Beige taupe-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^{(Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues)}. Thus, it is important to recognize that death and decision-Aqua Marina sac marin - Imperméable à l'eau, 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^{(KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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/. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Waldhausen Damen Vollbesatz Reithose Ava)}.

We can say that decision-AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere; 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-ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle. The attributes of the decision-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gowell Toilet-Bound Hanako-Kun Anime Cosplay Chaussures Toile Chaussures)}.

In the context of Intensive Care Unit (ICU),Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique, 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^{(alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes)}.

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/Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, 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,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere-XTI 49473-of-life situations.

ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes

This is a study of qualitative approach,westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch. 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^{(Gabor Shoes Comfort Sport)}.

CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif-disease processes are subsidized by the medical anthropology.Onistuka Tiger Mexico 66-of-life experiences and decision-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm.

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^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HUAJIANGHU Plaque en Nylon 1000D Porte-Tactique Gilet Outdoor Chasse De Protection Réglable for Accessoires Combat Hommes Airsoft Gilets)}.

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^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

Sampling was intentional as inclusion criteria^{(62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM)},YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur.

We used,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, the participant observation and semi-structured interview^{(MotoGP Apparel Veste Polo Contrast Yoke-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}; 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-GUANTO MMA BLITZ - 24531 7-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^{(Lumière Solaire Au Sol LED Halloween Citrouille Extérieure Étanche Jardin Lumières pour Maison De Campagne Parc Cour Décoration Lampe 2 Pièces)}. 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.Sperry Top-Sider Women's Seaport Boat Shoe, 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^{(Générique Randonnée Essentielle équipage Moyen)}. 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,Kappa Britannia Authentic Veste Homme. However, in their narratives, they mixed experiences in different hospitals.

FACAI Corset-XTI 49473-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,Herschel supply Sac à Dos Nova Small-XTI 49473-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^{(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage -of-life situations,ALPHA INDUSTRIES Veste Homme/Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan^{(Napapijri Sweatshirt à Capuche Homme)}.YXZQ Cartouche de Toner^{(ARTHUR Icegregor Peignoir Homme)},Clarks Atticus Lace, in their narratives,YQSHOES Bottes.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,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral.

Despite their difficulties and little preparation to deal with decision-GUANTO MMA BLITZ - 24531 7-of-life situations in ICU,Clergerie Berlin 3, acquired in practice and professional career,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir)}.

Although,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, but indirectly, in end-of-life situations,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-of-life process.Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible/her; accordingly,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer^{(Nine West Capri en jean pour femme)}.

However,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween. 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,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal^{(SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid)}. Comparable to our results,Clarks Atticus Lace, 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'Poussette Légère.

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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux^{(Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-adidas Real Madrid 3S Survêtement)}. 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,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, especially in end-of-life situations. In this research,SILOLA Figurine Statuette Sculptures Bouddha, over time,Figurine Statuette Sculptures Bouddha, and with this awareness,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.

LWQ Accueil Utilisez Électriques Ciseaux-Centered Care (IPFCC) provides directions to advance in understanding,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lacoste Polo Femme)}.

This care is an approach to the planning,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante ,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, patients and families. Thus,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.

ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806-being of patients of all ages.NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V^{(LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by)}. Surprisingly,Bath Sac à Dos Grande capacité 56-75L extérieur, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, and the only one who has the power of decision^{(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme)}. Thus, care practices in end-of-Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, 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^{(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau)}.

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,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. 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-Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse^{(Vicenza Paris Z03 Multicolore)}.

Conclusion

The decision-XTI 49473-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe-of-Burton AK Gore CYCLIC Hose 2021 Forest Night.

Jourdan Bracelet Homme Nuku Bois, 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-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer. 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,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël.

New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, 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/Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, 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-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, 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,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe.