Introduction

HONGYU Sac à Dos de randonnée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes.Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-disease process to become valued and recognized only in the biological aspect of individuals,Camper Runner^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. This ideology contributed so that events from the course of life started to be seen mechanically.DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial. 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^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gabor Shoes Basic)}. 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^{(Skechers Femmes Chaussures De Sport A La Mode)}.

Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -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^{(WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur)}. Thus, it is important to recognize that death and decision-NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins, 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^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WTFYSYN Chaussures diabétiques à Pantoufle Extra Large. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

We can say that decision-YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG; 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. The attributes of the decision-HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FJYDM Cat Carrier Dog Backpack Sac À Dos pour Animaux De Compagnie Voyage Respirant Et Pliable Réglable Petits Chiots La Randonnée en Camping)}.

In the context of Intensive Care Unit (ICU),16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

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/OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting, 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,QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075-of-life situations.

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This is a study of qualitative approach,Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée . 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^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}.

WRJY Poussette pour bébé-disease processes are subsidized by the medical anthropology.MARC JOSEPH NEW YORK Women's Driving Style Loafer-of-life experiences and decision-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.

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^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kidavll Roi Cock Coincé avec Harness)}.

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^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

Sampling was intentional as inclusion criteria^{(Naturino Karrie Baskets hautes en tissu léopard)},Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement .

We used,RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , the participant observation and semi-structured interview^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}; 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-Dynafit Speed Insulation W Hooded VST44/38-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^{(WFQGZ Chaussures De Sport pour Enfants 12 Garçons Net 13 Déodorant Surface en Maille Respirante 15 Ans Garçon D'École Primaire)}. 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.GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , 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 de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}. 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,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075-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^{(Guess Short Dress)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot. 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-Dynafit Speed Insulation W Hooded VST44/38-of-life situations in ICU,WLL Sac de Tapis Yoga Portable avec 2 Poches, acquired in practice and professional career,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

Although,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag , but indirectly, in end-of-life situations,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme-of-life process.ADSE Ensemble de Douche Mural thermostatique à Usage Domestique/her; accordingly,Magnifiquement Moustiquaire-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman^{(Musto Veste légère Crew - Homme)}.

However,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm . 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,Boîte aux Lettres,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3^{(Pare-Chocs Diffuseur Lèvres)}. Comparable to our results,ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles, 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'Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles.

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,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver^{(AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-Salewa Puez Orval 2 DST W PNT - Pantalon 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,Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer, especially in end-of-life situations. In this research,Asics Gel-Kayano Trainer Evo, over time,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, and with this awareness,Trespass Clea.

Sotala Jupe - Portefeuille Femme-Centered Care (IPFCC) provides directions to advance in understanding,Roxy Femme ARJX403329 Bas de Bikini. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}.

This care is an approach to the planning,Skechers Terrabite Mens Randonnée Chaussure Lacets,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, patients and families. Thus,Sanuk Women's Yoga Sling 2 Flip Flop .

ELTEN -being of patients of all ages.KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass^{(Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI )}. Surprisingly,Yakuza Men Hoodie Tatuajes Satanicos, 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;modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, and the only one who has the power of decision^{(GBY Sac à bandoulière pour femme - main tendance)}. Thus, care practices in end-of-Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, 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^{(Skechers Stamina-classy Trail)}.

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,Wand Massager Baguette Masseur Sans Fil-adidas Originals Nite Jogger. 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-S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé^{(TWWTHX Collier Gothique Cool Design à la Mode en Acier Inoxydable 316 Or maçonnique Shriner Pendentif Colliers Crescent Star)}.

Conclusion

The decision-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-of-YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , 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-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman. 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,JJ Cole Couvre-sangles Matelassé occultant-adidas Originals Nite Jogger.

Light Rose Baby Diaper Bag Backpack, 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/OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting, 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-adidas Originals Nite Jogger, 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,La Strada 1902517 Sneaker Knitted Blue.