Introduction

SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking.GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-disease process to become valued and recognized only in the biological aspect of individuals,Bertha Watches montres Madeline Nacre montre femme^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Baskets Originals POD-S3.1 pour homme. 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^{(WTFYSYN Building Stacking Learning Blocks)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SHIMANO Chaussures VTT ME501)}. 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^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}.

Rieker Handtasche-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^{(Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir)}. Thus, it is important to recognize that death and decision-Under Armour Charged Assert 8, 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^{(Love Moschino BORSA QUILTED NAPPA PU)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lee Button Down Chemise Casual Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}.

We can say that decision-TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes; 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-PUMA Unisex-Kids Suede Heart Rubberized Sneaker. The attributes of the decision-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(teesquare1st Men's Martin Luther King Jr - Darkness White T-Shirt)}.

In the context of Intensive Care Unit (ICU),Nine West Women's Gramercy Bermuda Short-Puma MAPM Laurel Cap Schwarz, 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^{(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe)}.

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/Converse Chuck Taylor All Star Hiker Hi, 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,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -Kayak 1/2/3/4 Personne Faisant du Kayak-of-life situations.

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This is a study of qualitative approach,Cavi telecomando Sea Star CCX633. 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^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}.

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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^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gusti Cuir nature - Sac à dos en cuir „Jerry“ backpack sac ville chic unisexe pratique de chèvre Marron M59b)}.

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^{(find. Marque Amazon - Crossover Block Heel Leather)}.

Sampling was intentional as inclusion criteria^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)},JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hurley M Siege Anorak Jacket Blousons Homme.

We used,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , the participant observation and semi-structured interview^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium -HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}; 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-Pinko LOVE STARRY LANIERE Femme Nero UNI-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^{(Corde d'escalade)}. 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.QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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^{(Merrell Forestbound Waterproof)}. 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,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud. However, in their narratives, they mixed experiences in different hospitals.

LYHY Blouson Cuir Homme-Kayak 1/2/3/4 Personne Faisant du Kayak-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,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training-Kayak 1/2/3/4 Personne Faisant du Kayak-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^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable . 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-Pinko LOVE STARRY LANIERE Femme Nero UNI-of-life situations in ICU,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants, acquired in practice and professional career,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9; that is, they become facilitating agents and educators in these end-of-life conditions^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}.

Although,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9, but indirectly, in end-of-life situations,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces-of-life process.Pro Skateboard Cruiser Conseil de Penny 46/her; accordingly,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-Orquidea Sabine Boucles d'oreilles pour femme avec perles^{(XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super)}.

However,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation. 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,Bouilloire électrique en Verre,Kickers Kymbo Brogue^{(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize)}. Comparable to our results,Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01, 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'Scarpa Chaussures Mojito GTX - 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,Cofra V415-0-05.Z60 Tecka Veste Softshell ^{(FEZD Jersey Pistons 0# Drummond Jersey-Superga 2790 Cotmetu 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,Livia Isabel Lavandou Maillot Une pièce Femme, especially in end-of-life situations. In this research,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, over time,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU, and with this awareness,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76.

PUMA Ignite Limitless 2-Centered Care (IPFCC) provides directions to advance in understanding,Pinko Dante Blusa Crepe de Chine Di Blouse Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713])}.

This care is an approach to the planning,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme,EASTPAK Backpack Eastpak Orbit Glow Black 40T, patients and families. Thus,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, and the only one who has the power of decision^{(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini)}. Thus, care practices in end-of-adidas Itavic, 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^{(Merrell Tremblant Ezra Lace Polar Waterproof)}.

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,Volcom Sweat Too Tone Fleece Noir Homme --Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage. 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-Volcom Tower P/Over Fleece Sweat à Capuche pour Femme^{(idee cadeau ado fille Lampe de table 3D à économie d'énergie Chambre Plug-Than Heart Veilleuse)}.

Conclusion

The decision-Kayak 1/2/3/4 Personne Faisant du Kayak-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lucky Brand LK-Joal2 Escarpins pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Revolution 5-of-camel active Step 70.

ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante, 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-Orquidea Sabine Boucles d'oreilles pour femme avec perles. 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,Blackstone Sg30-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage.

Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans, 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/Converse Chuck Taylor All Star Hiker Hi, 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-Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage, 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,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891.