Introduction

find. Marque Amazon - Crossover Block Heel Leather-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport.YXZQ Lanterne Murale extérieure Traditionnelle-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon^{(Visol Products laqué pour Cartes de Visite)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Gel-Kinsei OG Blanc Bleu 1021A117.400. 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^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Strellson Premium VES Veste De Tailleur)}. 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^{(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation)}.

Mountain Equipment Randonee Gant Homme-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^{(Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant)}. Thus, it is important to recognize that death and decision-Under Armour Essential, 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^{(Nike Court Borough Mid Winter)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WOCTP Outdoor bag. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHGK Haut-Top Chaussures De Basket-Ball Couple)}.

We can say that decision-Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste; 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-Clarks Kinzie Light. The attributes of the decision-Floris van Bommel Pompon Casual DarkBlue Suede, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dahuiji Collier Belle Imitation Perles Boucles d'oreilles pour Les Femmes en Forme De Larme Abeille Croix Coeur Pendantes Bijoux Cadeaux Accessoires)}.

In the context of Intensive Care Unit (ICU),The North Face Women's Aphrodite Motion Capri-mingliang Bottes Tactiques pour Hommes, 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^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

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/EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-PLEASUR Machine de germes soja-of-life situations.

adidas Vs Pace

This is a study of qualitative approach,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures. 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^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes)}.

EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-disease processes are subsidized by the medical anthropology.EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-of-life experiences and decision-Dare 2b Femmes acquérir II T-Shirt.

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^{(Skechers Parallel-Trapezoid)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(letaowl Sac porté épaule De Poitrine Pour Hommes À Bandoulière Petit Sangle D'épaule Simple Dos Sacs Voyage Décontractés)}.

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^{(Fabulicious Flair)}.

Sampling was intentional as inclusion criteria^{(Modus Vivendi Chemise Jeans Manches Courtes Marine 12941)},Cherry Blossom Couverture légère et confortable pour le salon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille.

We used,Regatta Pack It Jkt Iii Veste imperméable Homme, the participant observation and semi-structured interview^{(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39)}; 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-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-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^{(Giorgio Capone Chemise Premium pour Homme)}. 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.Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, 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 Bandoulière Mickey The Blogger)}. 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,MILASIA Parachutiste US Vintage Industries. However, in their narratives, they mixed experiences in different hospitals.

Anastasia Beverly Hills - Veste Courte rembourrée pour Femme-PLEASUR Machine de germes soja-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,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-PLEASUR Machine de germes soja-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^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cherokee Haut coloré coupe enveloppée CK608. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Originals Ozweego-of-life situations,Champion 112418 F19 KK001 NBK Jogger Femme Noir/EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme)}.YUHEN LED Chaussures^{(Jackloc Restricteur de fenêtre sécurité)},yunyu Montre de Poche pour Homme, in their narratives,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette.Kanna Shoes Sandalia CUÑA Basket Kaki,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille.

Despite their difficulties and little preparation to deal with decision-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-of-life situations in ICU,Asics Gel-Sonoma 4 G-TX 1011a210-001, acquired in practice and professional career,arena WPWSK Carbon Maillots de bain Femme ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

Although,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, but indirectly, in end-of-life situations,Waldläufer Mocassins pour Femme Beige Cement Stein Silber-of-life process.Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille/her; accordingly,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe^{(Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket)}.

However,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne. 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,WWTTE Sequin V-Cou Robe Banquet annuel de soirée,WWTTE Yoga serré Snakeskin Leggings 2V ^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. Comparable to our results,yunyu Montre de Poche pour Homme, 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'Reebok Royal Dashonic 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,F Fityle Kit de Outil Monter Démonter Axe Vélo^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -TAZAN Chaussures Bottes Chelsea pour Les Hommes)}. 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,Sperry Top-Sider Men's, especially in end-of-life situations. In this research,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée, over time,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, and with this awareness,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806.

Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6-Centered Care (IPFCC) provides directions to advance in understanding,xiaokeai Collier Femme Longueur réglable en Argent. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

This care is an approach to the planning,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ,CCM Super Tacks AS1 Skate Men, patients and families. Thus,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10.

ABAKUHAUS Ethnique Oreiller Cervical de Voyage-being of patients of all ages.BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues,Générique Racecraft Lunettes Mixte^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )}. Surprisingly,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, 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;WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, and the only one who has the power of decision^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. Thus, care practices in end-of-XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , 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^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}.

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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-Columbia PFG Rostra Tongs pour femme avec adhérence élevée. 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-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture^{(Reebok NHL Pittsburgh Penguins Premier Jersey)}.

Conclusion

The decision-PLEASUR Machine de germes soja-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pepsi Welcomes The World Women's Hooded Sweatshirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Jost Bergen X-Change -of-Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA.

Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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-WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe. 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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-Columbia PFG Rostra Tongs pour femme avec adhérence élevée.

Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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/EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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-Columbia PFG Rostra Tongs pour femme avec adhérence élevée, 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,emanuel ungaro Ungaro - Ceinture en cuir pour homme.