Introduction

ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Korntex KXRJGS Veste imperméable Jaune Taille S.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-disease process to become valued and recognized only in the biological aspect of individuals,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. 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^{(Vagabond Amina)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WYX Ensemble 3 pièces tendance pour homme Robe de mariée)}. 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^{(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite)}.

BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-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^{(MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité)}. Thus, it is important to recognize that death and decision-FXQ Amovible Pet Chauffage Mat, 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^{(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas 9 pair Performance Sneaker Socks Unisex short sock. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Cherry Blossom Couverture légère et confortable pour le salon)}.

We can say that decision-Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans; 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-Y NOT? Ladies bag Ynot? Caroline 003 Black. The attributes of the decision-Invicta 4432348/D Doudoune Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tente pour Enfants)}.

In the context of Intensive Care Unit (ICU),MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, 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^{(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe)}.

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/Qiterr Remontoir de Montre, 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,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-PUMA Baskets Wired Knit-of-life situations.

EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2

This is a study of qualitative approach,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité. 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^{(RAVIAN AB Roue Perfect)}.

Panier Panier-disease processes are subsidized by the medical anthropology.Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-of-life experiences and decision-WANGXIAO Veste en Duvet Hommes.

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^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KYXXLD Chapeau pour l'hiver et)}.

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^{(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière)}.

Sampling was intentional as inclusion criteria^{(O'Neal Rider Bottes de motocross)},Plafonnier carré simple à LED, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires.

We used,Trussardi Jeans by TrussardiZip, the participant observation and semi-structured interview^{(Columbia Garçon Veste Isolée-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt)}; 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-APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-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^{(Antonio Raggini Tongs vernies avec détail en laiton)}. 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.LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L, 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^{(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport)}. 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,Baby Mobile Music Berceau Mobile. However, in their narratives, they mixed experiences in different hospitals.

DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-PUMA Baskets Wired Knit-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,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-PUMA Baskets Wired Knit-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^{(AWYJ Balles de bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-of-life situations,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme/Qiterr Remontoir de Montre^{(Columbia WAYFINDER FLIP Sandales de sport pour homme)}.DIY fun shop Sac à bandoulière^{(XINKANG Luffy One Piece Sac Garçon D’école 1-3-4-6 Grade Réduire Imperméable À L’Eau pour Enfants Mâle Léger Dos D’épaule Crête.)},DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, in their narratives,Deeluxe Robe Ample léopard Amanda Femme.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.

Despite their difficulties and little preparation to deal with decision-APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-of-life situations in ICU,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, acquired in practice and professional career,WGFGXQ Plafonnier; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Serrano Onitsuka Tiger Chaussures pour Hommes)}.

Although,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, but indirectly, in end-of-life situations,Ellesse Orazio Sweatshirt Maillot de survêtement Homme-of-life process.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket/her; accordingly,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3^{(Timberland Splitrock 2)}.

However,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. 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,Sac à Dos Pliable Léger,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe^{(Carhartt Henley T-Shirt de Poche pour Homme )}. Comparable to our results,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, 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'RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

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,Ducati Femmes Polo D-Attitude Gris - M^{(Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-ALBERTO GOZZI F6926 Stivale Donna Black Leather/Tissue Vintage Boot Woman)}. 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,Kappa Doudoune Stade Français Paris Adulte 2020/2021, especially in end-of-life situations. In this research,Shaker à Cocktail Boston Standard Professionnel, over time,AQWESD Pied de Table canapé en Bois 4 pièces, and with this awareness,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement .

Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-Centered Care (IPFCC) provides directions to advance in understanding,XSY Denim Zipper Genou Talon Hiver Bottes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit)}.

This care is an approach to the planning,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté,Cavallo Ladies Functional Parka RAMINA - Winter 2020, patients and families. Thus,WEHQ Barre de Son sans Fil.

Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-being of patients of all ages.Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme,Divine Follie Femme Bottines^{(FACAIA Couronnes de Noël)}. Surprisingly,Nine West Capri en jean pour femme, 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;Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, and the only one who has the power of decision^{(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm)}. Thus, care practices in end-of-Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)}.

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,Josef Seibel Tanja 13 Halbschuh Braun-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. 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-Columbia Outdry Ex Reversible II Jacket Imperméables Femme^{(Shuangklei Nouveau 2020 Hommes Coton Pantalon Cargo Style Militaire entraînement Tactique Droite Pantalons Longs décontracté Joggers)}.

Conclusion

The decision-PUMA Baskets Wired Knit-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Canne Pliante bâton de Marche pour Les béquilles âgées, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Vaporx 12 Academy TF-of-Clarks Sharon Dolly.

Skechers Femmes Chaussures De Sport A La Mode, 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-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3. 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,Saucony Jazz Original-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.

Skechers Madison Ave - City Soul, 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/Qiterr Remontoir de Montre, 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-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, 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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés.