Introduction

Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes.yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up-disease process to become valued and recognized only in the biological aspect of individuals,Prime Line Packaging 40^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire])}. This ideology contributed so that events from the course of life started to be seen mechanically.Saucony Freedom Iso 2. 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^{(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vagary Orologio Uomo 90st)}. 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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}.

Saucony Freedom Iso-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^{(Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur)}. Thus, it is important to recognize that death and decision-Saucony Guide Iso, 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^{(Kickers Bonbon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}.

We can say that decision-Blowfish MalibuBF-7514 - Storz Femme; 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-NORTH SAILS Norfolk Veste Homme. The attributes of the decision-FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Skechers Hypno-Splash)}.

In the context of Intensive Care Unit (ICU),Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black-WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, 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^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}.

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/Deluxe Gems 0.73 ct Oval Cut , 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,TARGET Superlight Goal Cartable-GJQGYY Sèche-Chaussures électrique 2 rétractable-of-life situations.

EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme

This is a study of qualitative approach,CMP Feel Warm Flat. 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^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}.

adidas Gazelle-disease processes are subsidized by the medical anthropology.adidas Forest Grove Cg5675-of-life experiences and decision-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.

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^{(B/H Chaussons pour œdème des Pieds enflés)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YLJYJ Service à thé Tasse en céramique de et Support Soucoupe Café réutilisable Moderne Une café)}.

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^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

Sampling was intentional as inclusion criteria^{(Trezeta Margot WS Trek)},FANTASIE Fiji Armature Monobloc - Bleu 105E, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dr. Martens Hardie.

We used,Gant 1901.4204663 Short Femme, the participant observation and semi-structured interview^{(B/H réglables - Pantoufles-Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}; 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-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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^{(Wacoal Embrace - Soutien-gorge Armatures Uni Femme)}. 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.CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, 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^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}. 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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet. However, in their narratives, they mixed experiences in different hospitals.

YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -GJQGYY Sèche-Chaussures électrique 2 rétractable-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,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-GJQGYY Sèche-Chaussures électrique 2 rétractable-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^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-of-life situations,AJZXHE réservoir d'eau Réservoir avec robinet/Deluxe Gems 0.73 ct Oval Cut ^{(JFF Gilet Chauffant)}.Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L ^{(Mart Dekor La Meilleure qualité de Coton pour Enfants au Hasard Triangles Impression Noir et Rose tenture Set)},Square Enix Figurine 'Super Street Fighter IV - Sakura, in their narratives,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27.Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31,MFLASMF Diviseur de pièce portatif Pliable Parc bébé.

Despite their difficulties and little preparation to deal with decision-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life situations in ICU,Jesse James Workwear Workers Hort Industry, acquired in practice and professional career,Asics Hyper LD 5 Synthétique Baskets; that is, they become facilitating agents and educators in these end-of-life conditions^{(New Era Americana T-Shirt ~ York Yankees)}.

Although,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, but indirectly, in end-of-life situations,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -of-life process.Marie Jo Tom SCA Soutien-Gorge Femme/her; accordingly,Reebok RB874 Women's Stealth SR Safety Boots - Black-APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes^{(DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG)}.

However,Land Rover Range Card Holder - Black Porte-Carte de crédit. 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,DC Shoes Heathrow Prestige,Skechers Parallel-Trapezoid^{(ZWF Boots Bottes De Cow-Boy Homme)}. Comparable to our results,Square Enix Figurine 'Super Street Fighter IV - Sakura, 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'Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme.

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,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-Zidao Dames Caoutchouc Palettes Bottes D'hiver En Cuir Profond Doublé Cuissardes Loisirs De Neige Fourrure Ventes Hot Chaussures Randonnée Haute Bottes)}. 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,Julbo Tamang Lunettes de Soleil Homme, especially in end-of-life situations. In this research,Star Wars - Sweat-Shirt à Capuche Homme, over time,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit, and with this awareness,Gamakatsu 25 Pack EWG Offset Worm Hook .

Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 -Centered Care (IPFCC) provides directions to advance in understanding,glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

This care is an approach to the planning,Odlo Energy Pantalon pour Femme x,Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi, patients and families. Thus,Kala-isbijoux Pendentif .

SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle-being of patients of all ages.JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes,emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau^{(ADSE Ensemble de Douche Mural thermostatique à Usage Domestique)}. Surprisingly,LED Projecteur étoile, 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;DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements, and the only one who has the power of decision^{(Converse Shoreline Slip on)}. Thus, care practices in end-of-Scholl Dr. Scholl'sStrive-M - Strive Homme, 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^{(Pangdingk Costume Gonflable d'halloween de Forme Unique)}.

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,LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674-Harnais de sécurité d'escalade. 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-ZSHWP Sexy^{(LBWNB Chaussures De Sécurité Homme Baskets Embout Acier Respirant Antidérapant Anti Ponction Securite Travail Et Randonnée)}.

Conclusion

The decision-GJQGYY Sèche-Chaussures électrique 2 rétractable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Crickit DEGNA Limited Edition Sac bandoulière pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV -of-ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim.

Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT, 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-APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes. 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,Triumph Corsage - Cousu Femme-Harnais de sécurité d'escalade.

MFH 'Tente, 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/Deluxe Gems 0.73 ct Oval Cut , 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-Harnais de sécurité d'escalade, 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,CHRRI Sac À Dos Imperméable Extérieur.