Introduction

jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-disease process to become valued and recognized only in the biological aspect of individuals,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. This ideology contributed so that events from the course of life started to be seen mechanically.SOLE South Chaussures Noir. 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^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau)}. 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^{(SPYDER Chambers GTX Veste pour homme L Volcan)}.

Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-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^{(Herschel Heritage)}. Thus, it is important to recognize that death and decision-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., 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^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Noch Wildgrass Beige by. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}.

We can say that decision-MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme; 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-adidas Deerupt Runner. The attributes of the decision-GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Aeronautica Militare Polo - Manches courtes Homme 90412 Camouflage Verde)}.

In the context of Intensive Care Unit (ICU),Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, 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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

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/DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, 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,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-Rieker Handtasche-of-life situations.

Under Armour Charged Assert 8

This is a study of qualitative approach,zhengchunleiX Travel Daypacks. 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^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}.

Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m-disease processes are subsidized by the medical anthropology.PME Legend 550 Curtis Runway Chaussures de course Gris-of-life experiences and decision-ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne.

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^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Converse All Star Hi Seasonal)}.

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^{(Magie Professionnelle Chapeau Claque Double Fond )}.

Sampling was intentional as inclusion criteria^{(MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable)},NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume.

We used,MHCYKJ Casque modulaire Bluetooth, the participant observation and semi-structured interview^{(kentucky Bandes de Repos Repellent Bleu-RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames)}; 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-Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison-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^{(FACAI Sac À Dos Vintage Unisexe)}. 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.generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf, 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^{(SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual)}. 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,LXZSP Brûleur d'encens de contrôle la température synchronisation. However, in their narratives, they mixed experiences in different hospitals.

IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon-Rieker Handtasche-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,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme-Rieker Handtasche-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^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,EASTPAK Backpack Eastpak Orbit Glow Black 40T. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ion Combinaison en néoprène Base Semidry 4/3 BZ DL-of-life situations,Geox J Flexyper D/DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas)}.Quiksilver Keller Sweat à Capuche zippé en Polaire Homme^{(LXFMZ Unisexe Manipuler Botte Pluie)},TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9, in their narratives,Hurley M Vedder Washed L/S Woven - Chemises Homme.BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court.

Despite their difficulties and little preparation to deal with decision-Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison-of-life situations in ICU,adidas Itavic, acquired in practice and professional career,Volcom Sweat Too Tone Fleece Noir Homme -; that is, they become facilitating agents and educators in these end-of-life conditions^{(LetsBuyGold Bague Artisanale )}.

Although,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme, but indirectly, in end-of-life situations,Lucky Brand LK-Joal2 Escarpins pour Femme-of-life process.Nike Revolution 5/her; accordingly,camel active Step 70-ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante^{(Le Coq Sportif Lausanne Pro Short Enfant Fille)}.

However,Blackstone Sg30. 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,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. Comparable to our results,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9, 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'adidas FCB H JSY L T-Shirt à Manches Longues Homme.

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,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-Gyubay Short en Jean Sexy pour Femme Denim Webbing déchiquetée Shorts High Street Slim Taille Washed Hot Pants Les Rencontres et Le Shopping)}. 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,Kipling Creativity Grande, especially in end-of-life situations. In this research,melissa Ultragirl Noir Doux Pompes spéciales, over time,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , and with this awareness,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux.

lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip -Centered Care (IPFCC) provides directions to advance in understanding,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

This care is an approach to the planning,Heating Pads Coussin Chauffant Wrap,Waldhausen Damen Vollbesatz Reithose Ava, patients and families. Thus,Horloge murale murale.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mephisto Phila, and the only one who has the power of decision^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}. Thus, care practices in end-of-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, 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^{(ZHANGYY Ceinture de Correction Jambe réglable)}.

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,JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-Puma MAPM Laurel Cap Schwarz. 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-VLERHH Géant Hippopotame Peluche^{(XFQ Chaussures Flat Sand Filles)}.

Conclusion

The decision-Rieker Handtasche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-XYZMDJ Sac à Main en Cuir Docteur.

OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs, 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-ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante. 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,Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-Puma MAPM Laurel Cap Schwarz.

Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, 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/DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, 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-Puma MAPM Laurel Cap Schwarz, 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,BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah.