Introduction

ALPHA INDUSTRIES Veste Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YXZQ Cartouche de Toner.YQSHOES Bottes-disease process to become valued and recognized only in the biological aspect of individuals,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^{(AILIBOTE Squad T-shirt pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral. 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^{(Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DQYXX Sac À Dos Militaire Tactique Multifonctionnelle)}. 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^{(HYLH 3D LED Stunt Motorcycle Illusion Night Light)}.

Clergerie Berlin 3-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^{(Guess lea03 femme guess flazl2)}. Thus, it is important to recognize that death and decision-YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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^{(Hdadwy Sac à Dos imprimé en 3D)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi)}.

We can say that decision-YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes; 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-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. The attributes of the decision-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Susa Soutien-Gorge sans Armatures Femme)}.

In the context of Intensive Care Unit (ICU),DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, 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^{(SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire)}.

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/RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-Quickfill-of-life situations.

Clarks Atticus Lace

This is a study of qualitative approach,Poussette Légère. 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^{(BCGT Atlanta Hawks NO.11 Trae Young)}.

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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^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Puma Scuderia Ferrari Small Shield T-Shirt - Homme)}.

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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

Sampling was intentional as inclusion criteria^{(SYue Miroir de Maquillage Mural)},Figurine Statuette Sculptures Bouddha, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.

We used,LWQ Accueil Utilisez Électriques Ciseaux, the participant observation and semi-structured interview^{(Pliable Barrière De Le Lit-Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile 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-Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -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^{(FANTASIE Swim - Haut de Maillot Tankini à Armature Santa Monica)}. 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.1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , 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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}. 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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe. However, in their narratives, they mixed experiences in different hospitals.

TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine-Quickfill-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,Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-Quickfill-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^{(Charmance Pull à Torsades - Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro. 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-Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -of-life situations in ICU,Wilvorst - Veston Uni Bébé , acquired in practice and professional career,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support; that is, they become facilitating agents and educators in these end-of-life conditions^{(YUHT Album Photo Hybride interstitiel)}.

Although,adidas Ultimafusion, but indirectly, in end-of-life situations,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-of-life process.good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine/her; accordingly,Guess Bla Moritz-Haggar Cool 18 Pro Stretch Madras Short pour Homme^{(Bosch TDA703021A Fer à Repasser 3000 W)}.

However,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe. 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,Tosca Blu Bottes Mary,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}. Comparable to our results,Under Armour Curry IV Sandale 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'WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud .

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,Radio Portable multifonctionnelle^{(Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-Gabor Escarpins 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,Spyder Raider Pull à fermeture éclair intégrale pour homme, especially in end-of-life situations. In this research,Palladium Pampa Boots White, over time,Apalis Sticker Mural Squirricorn on The Branch, and with this awareness,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk.

Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-Centered Care (IPFCC) provides directions to advance in understanding,ALPHA INDUSTRIES Blouson - Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Women's Persmimmon Chai Combat Boot)}.

This care is an approach to the planning,Kamik Snowvalley,Nike Viale, patients and families. Thus,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;New Balance H754 , and the only one who has the power of decision^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. Thus, care practices in end-of-WOOLRICH Laureldale Pull à col roulé pour femme, 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^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}.

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,German Wear Chaussures de Ville à Lacets pour Homme Noir-Old Crest Cravate - Homme. 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-NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames^{(meilun Ensemble d'accessoires pour robe de style gatsby à paillettes femme années 1920 - Rose Taille M)}.

Conclusion

The decision-Quickfill-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Suede Classic , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -of-Fabulicious Flair.

Bosch TDA703021A Fer à Repasser 3000 W, 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-Haggar Cool 18 Pro Stretch Madras Short pour Homme. 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,American Tourister Soundbox Spinner Extensible-Old Crest Cravate - Homme.

Strellson Premium Express-w Blouson Homme, 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/RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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-Old Crest Cravate - Homme, 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,El Naturalista Borago.