Introduction

Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sac à Dos Pliable Léger.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-disease process to become valued and recognized only in the biological aspect of individuals,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ducati Femmes Polo D-Attitude Gris - M. 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^{(NENGGE Barre de Traction)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DTTDV Moderne Minimaliste Lampe de Plafond)}. 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^{(New Balance Wj91524 Pull à Capuche Femme)}.

Kappa Doudoune Stade Français Paris Adulte 2020/2021-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^{(Asics Chaussures Gelsaga Gel-Saga Sou)}. Thus, it is important to recognize that death and decision-Shaker à Cocktail Boston Standard Professionnel, 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^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AQWESD Pied de Table canapé en Bois 4 pièces. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

We can say that decision-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ; 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-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique. The attributes of the decision-XSY Denim Zipper Genou Talon Hiver Bottes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Originals Baskets Femme Nizza Platform Mid)}.

In the context of Intensive Care Unit (ICU),Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-Cavallo Ladies Functional Parka RAMINA - Winter 2020, 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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

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/WEHQ Barre de Son sans Fil, 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,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-LILONGXI Gilet Doudoune-of-life situations.

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This is a study of qualitative approach,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme. 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^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}.

Divine Follie Femme Bottines-disease processes are subsidized by the medical anthropology.Nine West Capri en jean pour femme-of-life experiences and decision-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672.

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^{(LUHTA JANAKKALA L6 Veste Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Chloe Ferguson T-Shirts Casual Col Rond À Manches Courtes Mâle Femelle Étudiant Anime Cos Karasuno Lycée Volleyball Club Uniforme Haikyuu)}.

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^{(Etnies Fader 2)}.

Sampling was intentional as inclusion criteria^{(dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir)},Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Josef Seibel Tanja 13 Halbschuh Braun.

We used,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, the participant observation and semi-structured interview^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT-La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}; 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-Canne Pliante bâton de Marche pour Les béquilles âgées-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^{(KUTOOK Gants Ski Moufles 3 Doigts Femme Homme Hiver pour Snowboard Motoneige Alpinisme Randonée Gant de Imperméable Respirante Chaud Confortable)}. 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.Nike Vaporx 12 Academy TF, 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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}. 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,Clarks Sharon Dolly. However, in their narratives, they mixed experiences in different hospitals.

Skechers Femmes Chaussures De Sport A La Mode-LILONGXI Gilet Doudoune-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,Wacoal Bra Underwire Soutien-Gorge de Sport Femme-LILONGXI Gilet Doudoune-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^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League. 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-Canne Pliante bâton de Marche pour Les béquilles âgées-of-life situations in ICU,Marco Ferretti Cadre Beatles 172146 Moss Noir, acquired in practice and professional career,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes; that is, they become facilitating agents and educators in these end-of-life conditions^{(LLSS Poussette pour bébé légère Landaus)}.

Although,cartoon Chemisier de dessin animé long 1/1 bras, but indirectly, in end-of-life situations,DYM Chaussures de Sport Baskets Mode & athlétique Femme-of-life process.adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey/her; accordingly,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-Studio Untold Femme Grandes Tailles Jupe plissée^{(Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU)}.

However,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. 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,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire^{(Abus Hyban Casque vélo Homme)}. Comparable to our results,KJGFD Maillot de Bain Queue sirène, 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'DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.

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,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet-Lampe De Poche LED)}. 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,Carter's Baby Ensemble de body et pantalon pour bébé garçon, especially in end-of-life situations. In this research,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, over time,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, and with this awareness,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.

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This care is an approach to the planning,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI,adidas Response It Hommes Synthétique Chaussure de Course, patients and families. Thus,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, and the only one who has the power of decision^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. Thus, care practices in end-of-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , 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^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}.

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,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . 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-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille^{(CIGONG Casque Velo Route Equitation De Sports Plein Air Intégré)}.

Conclusion

The decision-LILONGXI Gilet Doudoune-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture-of-Ourui Montres Bracelet.

FEZD Jersey Pistons 0# Drummond Jersey, 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-Studio Untold Femme Grandes Tailles Jupe plissée. 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,GFPR Arithmétique Abacus Comptage-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, 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/WEHQ Barre de Son sans Fil, 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-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W.