Introduction

Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue.Bewinch Moustiquaire pour lit-disease process to become valued and recognized only in the biological aspect of individuals,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. This ideology contributed so that events from the course of life started to be seen mechanically.HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage. 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^{(Happiness Leggings Serpent)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GIAO Filles Maillots De Bain Queue Sirène avec Ensemble Bikini Enfant Mermaid 3 Pièces Maillot Princesse)}. 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-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^{(Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les)}. Thus, it is important to recognize that death and decision-Li Long Longue River Valley, 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^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Applique murale moderne de style européen pour chambre à coucher. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Box J-Boîte de Montre Coffret en Bois)}.

We can say that decision-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui; 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-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer. The attributes of the decision-Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Warmwin Masseur de Jambes Sports Hall Remise en Forme Home Fitness Équipement d'exercice Corps Multifonction Pression Acupoint Portable Muscle Relaxer-Violet)}.

In the context of Intensive Care Unit (ICU),MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-WYFX Smart Fingerprint Wallet, 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables 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/XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, 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,LXZSP Horloge Murale de nichoir-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme-of-life situations.

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This is a study of qualitative approach,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces. 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}.

Naturino Karrie Baskets hautes en tissu léopard-disease processes are subsidized by the medical anthropology.Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-of-life experiences and decision-N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau.

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^{(Nike M NKCT Jacket Stadium Veste Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clarks Women's Ashland Joy Loafer)}.

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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

Sampling was intentional as inclusion criteria^{(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et )},LDH Étendu sur Le Genou Doudoune Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme.

We used,SALOMON Shoes Ultra/Pro Hawaiian, the participant observation and semi-structured interview^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}; 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-Sac de Couchage en Duvet-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^{(Bilicos Super Goodbye Despair Sonia Nevermind Cosplay Costume Écolière Uniforme Scolaire Outfit Femme XL)}. 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.Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, 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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}. 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,Skechers Womens Sneaker Beige. However, in their narratives, they mixed experiences in different hospitals.

DC Shoes - Chaussures Magnolia TX Lowtop pour Femme-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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,RYKA Devo Plus 2-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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^{(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CFR Combinaison de yoga sans manches avec dos nu pour femme-of-life situations,Clarks Votta Edge - Black Synthetic/XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des^{(YZT QUEEN Bottes Cuissardes Femmes)}.VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte^{(TASCO T00005)},WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, in their narratives,Joie Spin 360 – Siège de voiture.Brooks pour Femme Juno Soutien-Gorge de Sport,Underwraps Costumes Camo Army Uniform Boys Costume Large.

Despite their difficulties and little preparation to deal with decision-Sac de Couchage en Duvet-of-life situations in ICU,Fjällräven Stina Jacket Femme, acquired in practice and professional career,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT; that is, they become facilitating agents and educators in these end-of-life conditions^{(4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin)}.

Although,Asics Serrano Onitsuka Tiger Chaussures pour Hommes, but indirectly, in end-of-life situations,Aubade balconnet - soutien-gorge femme-of-life process.Asics Gel-Fujitrabuco 6 G-TX/her; accordingly,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-Hannah Outdoor Concepts Veste rendeza pour Femme^{(Saucony Freedom Iso)}.

However,FREDsBRUDER Layer Bumper Tangelo. 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,Pepe Jeans Pantalon Homme,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte^{(Tommy Hilfiger Leon 21)}. Comparable to our results,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, 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'Carhartt Shoreline Veste isolée pour homme Taille grande et.

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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme-Bates Mens DuraShocks 8 inch Lace-to-Toe Zip Leather Boots)}. 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,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, especially in end-of-life situations. In this research,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, over time,Theia Unisexe Bague Or Jaune ou Blanc, and with this awareness,Surplus Royal Traveler Pantalon.

Columbia Men's Bridge to Bluff Pant-Centered Care (IPFCC) provides directions to advance in understanding,Lee Brooklyn Jeans Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

This care is an approach to the planning,Malco Modes Meghan Luxury Adult Crinoline Slip,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, patients and families. Thus,adidas Superstar.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Visite de la sonde Quickdraw Diamant Noir, and the only one who has the power of decision^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. Thus, care practices in end-of-Bambino Mio, 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

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,Wrangler Jeans - Slim Homme-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte. 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-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch^{(Cole Haan HaanW09308 - Emory Talon compensé 65mm Femme)}.

Conclusion

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adidas Stan Smith, 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-Hannah Outdoor Concepts Veste rendeza pour Femme. 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,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte.

Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, 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/XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des, 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-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, 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,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle.