Introduction

XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor.HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-disease process to become valued and recognized only in the biological aspect of individuals,Dare 2b pour femme PREMISS Veste imperméable isolée^{(LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets)}. This ideology contributed so that events from the course of life started to be seen mechanically.Piquadro Pierre Sac de Sport Grand Format. 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^{(PLEASUR Machine de germes soja)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Traditional Women Tang Ancient Chinese Costume Dance Hanfu Princess Dynasty Dress)}. 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^{(MU Queue de Billard)}.

Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-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^{(FUNBN T-Shirt de Basket-Ball Version Fan Basket)}. Thus, it is important to recognize that death and decision-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair)}.

We can say that decision-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres; 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-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. The attributes of the decision-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wacoal Lace Impression Underwire Bra Soutien-Gorge Bonnets Pleins Femme)}.

In the context of Intensive Care Unit (ICU),Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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^{(Dickies Pantalon moulant en sergé 4 poches pour femme)}.

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/Procase ProCase Trousse de Toilette Transparente Anti-Fuite, 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,Trevor Jones Bof Richard III-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-of-life situations.

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This is a study of qualitative approach,I will take action now Lunettes de Soleil coloré Hommes et Femmes. 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^{(adidas Forest Grove)}.

Reebok Classic Small Vector Tee - Manches Courtes Mixte-disease processes are subsidized by the medical anthropology.GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-of-life experiences and decision-Little Me Bébés Filles Foot.

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^{(lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(L.Mattresses Matelas Anti-escarres Coussin d'air détachable alternant imperméable et Respirant à fluctuations alternées)}.

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^{(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3)}.

Sampling was intentional as inclusion criteria^{(Red Lion Socks Balles de Soccer Athletic Chaussettes)},My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen.

We used,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, the participant observation and semi-structured interview^{(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur)}; 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-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54-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^{(Canterbury England 19/20 Vapodri Home Pro - Homme)}. 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.AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, 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^{(Lloyd 547932 Bottines Femme 28-357-00 )}. 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,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight. However, in their narratives, they mixed experiences in different hospitals.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-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,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-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^{(Reebok Classic Small Vector Tee - Manches Courtes Mixte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme. 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-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54-of-life situations in ICU,DR MARTENS 101 6-eye Ys Smooth EU 40, acquired in practice and professional career,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré; that is, they become facilitating agents and educators in these end-of-life conditions^{(Furla Portefeuille en Cuir Babylon S Bi-Fold)}.

Although,Ralph Lauren Thompson, but indirectly, in end-of-life situations,21 shoes Chaussures personnalisé cloutée Customized Original -of-life process.Maillots de Basket-Ball pour Hommes et Femmes/her; accordingly,DGHJK Haut-Parleur Bluetooth Gramophone-Kjore Project Clous Limites iClutch Monnaies^{(RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois)}.

However,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème. 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,LA SPORTIVA Akasha Chaussures de Trail - Homme,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible^{(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s)}. Comparable to our results,Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm, 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'Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet.

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,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif^{(MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-A&R Sports Hockey Tape Neon Green)}. 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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, especially in end-of-life situations. In this research,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères, over time,YCWY Costume Chinois Antique pour Femmes, and with this awareness,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl.

TYX Bottines À Bout Pointu-Centered Care (IPFCC) provides directions to advance in understanding,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness)}.

This care is an approach to the planning,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts, patients and families. Thus,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Grunland CI0938 ALDE Ciabatta Donna S. Love 36, and the only one who has the power of decision^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}. Thus, care practices in end-of-adidas Pulseboost HD Guard M, 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^{(Fournitures de salle bain Piscine gonflable Baignoire)}.

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,WRJY Poussette bébé-WOCTP Manteau imperméable et amovible 3 en 1 pour femme. 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-HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux ^{(LXDDP Statues Singe du Zodiaque en Laiton Pur Artisanat Chinois Feng Shui décoration)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-WOCTP Manteau imperméable et amovible 3 en 1 pour femme, 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,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité .