Introduction

MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main.CAO-BATHTUB FoldingTub Portable Adulte De Ménage-disease process to become valued and recognized only in the biological aspect of individuals,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ^{(WRJY Poussette bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.LJYNB Pull en Tricot pour Femme. 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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Odlo 186132 - Collant Homme)}. 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^{(Head 2020 Ti.S6 Raquette de Tennis à Cordes)}.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-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^{(Inov8 F-Lite G290 Chaussure De Course à Pied - AW20)}. Thus, it is important to recognize that death and decision-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual, 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^{(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode)}.

We can say that decision-Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale; 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-Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet. The attributes of the decision-MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HAOXUAN Chaussures habillées Matériau PU Artificiel en Cuir d'affaires Formelles)}.

In the context of Intensive Care Unit (ICU),Happiness Leggings Serpent-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, 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^{(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates)}.

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/Rossignol Pantalon de Ski Homme, 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,Mammut Eigerjoch Light-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050-of-life situations.

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This is a study of qualitative approach,mys Scarpe PersonalizzateOriginal . 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^{(Bog Death Grip Clamping Carbon Tripod Shooting Stick)}.

TTmom Femme Portefeuille-disease processes are subsidized by the medical anthropology.Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-of-life experiences and decision-Pleaser Flamingo 1050FS Bottines à talons hauts.

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^{(Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kipling JULY BAG Cabas de fitness)}.

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^{(FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey)}.

Sampling was intentional as inclusion criteria^{(DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA)},ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL.

We used,Skechers Newbury St Every Angle, the participant observation and semi-structured interview^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-IGI&CO Donna Gore-tex-41710)}; 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-SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-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^{(Hell Bunny Bardot Polka Top Chemisier de Rockabilly Années 1950)}. 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.SHOES-HY Chaussures de Sport pour Femmes, 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^{(YPDM Pyjamas)}. 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,Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl. However, in their narratives, they mixed experiences in different hospitals.

Lotto Leggenda Legging pour femme-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050-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,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050-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^{(melissa Ultragirl Noir Doux Pompes spéciales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lampadaire postmoderne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -of-life situations,ZJ Bien Maillots de Bain Garçons d'enfants/Rossignol Pantalon de Ski Homme^{(Brax Pantalon - Femme)}.Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes ^{(Kyman Sac de Couchage Portable)},YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, in their narratives,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux,XIUYU Boîte à Musique en Bois Bricolage Main .

Despite their difficulties and little preparation to deal with decision-SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-of-life situations in ICU,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme, acquired in practice and professional career,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

Although,Craghoppers Kiwi Boulder 40, but indirectly, in end-of-life situations,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku-of-life process.ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau/her; accordingly,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-HOXMOMA Berceau de bébé^{(Nike Air Max 97 Essential)}.

However,Skechers Women's Go Walk Lite-16352 Ballet Flat. 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,YQ WHJB Recliner Réglable pour Outdoor Office Nap,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille^{(Plafonnier carré simple à LED)}. Comparable to our results,YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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'SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol.

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,MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -IUBBKI motif de fleurs écrasées 25 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille)}. 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,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes, especially in end-of-life situations. In this research,Eastbride Veste Trois-en-Un pour Hommes, over time,Chaise suspendue pour berceau bébé, and with this awareness,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon.

yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -Centered Care (IPFCC) provides directions to advance in understanding,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lee Petit Pantalon cargo pour femme)}.

This care is an approach to the planning,Skechers Performance Go Walk Evolution Ultra - 54736,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme, patients and families. Thus,Converse Chuck Taylor All Star Season.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, and the only one who has the power of decision^{(adidas Originals Nite Jogger)}. Thus, care practices in end-of-ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, 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^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}.

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,Diamond Chandelier-OMER - Combinaison MIX3D Veste. 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-MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）^{(Li Kerer KererNewborn Baby Boy Clothes Barboteuse Infantile à Manches Longues Imprimer Bébé Mignon Fille Barboteuses Jumpsuit Pyjamas Vêtements de bébé SR126GE)}.

Conclusion

The decision-Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YONGQUAN Barrière en métal Blanc-of-Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux.

BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, 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-HOXMOMA Berceau de bébé. 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,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-OMER - Combinaison MIX3D Veste.

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