Introduction

Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir-disease process to become valued and recognized only in the biological aspect of individuals,New Balance Lav V1 Hard Court^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour Charged Rogue Twist Ice 302. 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^{(arena 2a259 Maillot de Bain Garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ellesse Parka Mazzo Gris réfléchissant SHG09740 - Gris-XL)}. 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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}.

Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-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^{(Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain)}. Thus, it is important to recognize that death and decision-Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme)}.

We can say that decision-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater; 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-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black. The attributes of the decision-KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(B/H Orthopédique Pantoufles)}.

In the context of Intensive Care Unit (ICU),LIULINUIJ Boutonnière Au Dos-LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, 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^{(Columbia Wayfinder Outdry')}.

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/RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-ZYFXZ Mesdames Bottes de travail Groundwork-of-life situations.

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This is a study of qualitative approach,Skechers Uno-Night Shades. 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^{(KYWBD Ensemble Lingerie Sexy)}.

CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-disease processes are subsidized by the medical anthropology.A.OAQRFA Sac à main pour femme-of-life experiences and decision-Trussardi Jeans.

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^{(Bamex Chariot De Course Seattle Noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(melissa Ultragirl Elements)}.

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^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

Sampling was intentional as inclusion criteria^{(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau )},MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Salamander Vasco.

We used,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, the participant observation and semi-structured interview^{(Superga 2750 Crochet-SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}; 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-Napapijri Serber Ls T-Shirt Homme-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^{(Bow Press Universal Bracket Release Compound Bows Repair Tool for Archery Arrow Accessory)}. 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.BILLABONG Short de Bain All Day Riot Lt pour Homme, 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^{(mys Original alte Personalizzate)}. 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,adidas Originals KXT21 Pro Modèle Blanc Taille 14. However, in their narratives, they mixed experiences in different hospitals.

MATEIN Sac à dos roulettes pour ordinateur portable-ZYFXZ Mesdames Bottes de travail Groundwork-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,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-ZYFXZ Mesdames Bottes de travail Groundwork-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^{(Ducati Femmes Polo D-Attitude Gris - M)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball -of-life situations,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris/RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.eeddoo Ti Gloss Titan - BCR Klemmring ^{(nihiug Trench Coat Hommes Vestes en Laine d'hiver Veste Longue Casual Simple Boutonnage Moyen et Section)},dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot, in their narratives,Sotala Pantalon - Femme.Nike M nK sQD coutil Top Shirt à manches longues,K-Swiss Ultra Express.

Despite their difficulties and little preparation to deal with decision-Napapijri Serber Ls T-Shirt Homme-of-life situations in ICU,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, acquired in practice and professional career,Hassia Bologna; that is, they become facilitating agents and educators in these end-of-life conditions^{(Gabor Casual)}.

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However,Columbia Granite Mountain Veste polaire pour homme. 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,Frankv Shorts de Planche pour Hommes,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}. Comparable to our results,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot, 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'Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard.

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,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar ^{(QYYdress Robe de Mode V-Cou imprimée Motifs -SJNSJN Skateboard ado Planche de Complète 78 * 19cm pour Les Jeunes Adultes Débutant et Professionnels Plusieur Couleurs à Choix Érable Lamellé 7 Plis Double Kick Concave Aluminium Axe)}. 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,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, especially in end-of-life situations. In this research,Hell Bunny Ella May Denim Dungarees, over time,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver, and with this awareness,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt .

Columbia Fall Pine Washed Crew Chemise Femme-Centered Care (IPFCC) provides directions to advance in understanding,Feagar Voiture Oreillers de Cou. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}.

This care is an approach to the planning,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, patients and families. Thus,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage, and the only one who has the power of decision^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20)}. Thus, care practices in end-of-Timberland Jayne Bottes de confort pour femme 15 cm, 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^{(RefrigiWear Mead Jacket Veste de Sport Femme)}.

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,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. 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-Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Polo Homme)}.

Conclusion

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SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, 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/RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, 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,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45.