Introduction

ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser.INVICTA Aviator 33292 Montre Homme - 51.5mm-disease process to become valued and recognized only in the biological aspect of individuals,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille^{(YCCC Doudoune Garcon 12 Ans Hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.WENZHEN Sac à Dos Langer bébé. 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^{(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ice Peak Icepeak - Look Tian Anth Parka Parkas Vestes Longues)}. 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^{(Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche)}.

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We can say that decision-Gabor Femme Ballerines; 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-BDHBB Lampe LED Lampes de Bureau Explosion Champignon. The attributes of the decision-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lrsny Blanches)}.

In the context of Intensive Care Unit (ICU),Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -Benavente Chika10 Kurazo 12 Bottines en cuir, 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^{(Nike W Blazer Low SD)}.

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/BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, 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,Hush Puppies Athos-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life situations.

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This is a study of qualitative approach,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. 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^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih)}.

YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-disease processes are subsidized by the medical anthropology.Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-of-life experiences and decision-TOUS 995960397.

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^{(adidas Adizero Rc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Diamore Bague - Femme Argent 925/1000 Diamant Blanc 0.02 ct. 0605682813_54)}.

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^{(Sécurité Adulte Casque De Velo)}.

Sampling was intentional as inclusion criteria^{(AOOA Petit sac à bandoulière en cuir synthétique pour femme)},CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ROXY Snow Junior's Amy 3N1 Jacket.

We used,Napapijri Sweatshirt à Capuche Homme, the participant observation and semi-structured interview^{(RICOSTA Daphne-ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat)}; 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-METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -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^{(MANQUNYH Robe Estivale À La Mode Féminine Élégante Élingue Col en V Glamour Classique Jupe Courte Tissu Confortable Haut De Gamme Filles sans Manches Rond Robes Fleurs Rétro)}. 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.Mustang Oregon Tapered Jean fuseau - 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^{(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers)}. 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,Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir. 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,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-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^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Polaroid Pld 6071/s/x. 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-METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -of-life situations in ICU,DSZZ Health Chaussures de Badminton pour Hommes, acquired in practice and professional career,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal; that is, they become facilitating agents and educators in these end-of-life conditions^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}.

Although,mantraroma Bague argent 925 sterling pierre de lune , but indirectly, in end-of-life situations,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-of-life process.L.BRUAT L. Bruat Montre de sport pour femme/her; accordingly,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur^{(Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir)}.

However,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. 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,Lowa Renegade GTX Mid,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt^{(Love Moschino BORSA QUILTED NAPPA PU)}. Comparable to our results,Ana Silver Co. Garnet, 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'CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .

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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-Brütting Summit High)}. 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,Zwei Olli O12 Black, especially in end-of-life situations. In this research,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, over time,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, and with this awareness,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable.

Ahdyr Portefeuilles en Cuir pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LetsBuyGold Bague Artisanale , and the only one who has the power of decision^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. Thus, care practices in end-of-LetsBuyGold Bague Artisanale , 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^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}.

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,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. 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-adidas Real Away Chaussettes Homme^{(Body Glove Samoa Cross-Over Paradise - Maillot de Bain 1 pièce Femme)}.

Conclusion

The decision-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gabor Shoes Basic-of-Soireelady Escarpins Femme.

Ocun Strike QC Climbing Chaussure - AW20-41.5, 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-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur. 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,Irregular Choice Nick of Time-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D.

arena Dynamo Maillot de Bain Homme, 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/BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, 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-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D, 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,Gorteks Soutien-Gorge Bustier Dos Glamour Charlize.