Introduction

DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FERRINO ZAINO Core 30 Nero Trekking.2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme-disease process to become valued and recognized only in the biological aspect of individuals,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}. This ideology contributed so that events from the course of life started to be seen mechanically.Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre . 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^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MERRYHE Pantoufles à Bout Ouvert en Cuir Véritable pour Hommes Slip on Sandales Athlétiques Randonnée Chaussures De Plage Pied)}. 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^{(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents)}.

Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles-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^{(Kwon Kimono pour Enfant Taekwondo Song)}. Thus, it is important to recognize that death and decision-Clarks Women's Juliet Rose Loafer, 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^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}.

We can say that decision-ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage; 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-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme. The attributes of the decision-adidas Forest Grove, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rideau de porte coulissante motif éléphant mandala avec motifs tribaux africains)}.

In the context of Intensive Care Unit (ICU),Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche-PUMA Alee Gore-Tex Mens Performance Bottes de Voile, 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^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}.

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/Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en, 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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-SKSNB Funny Mask Masque de déguisement Frais-of-life situations.

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This is a study of qualitative approach,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j. 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^{(DSZZ Health Chaussures de Badminton pour Hommes)}.

VearFit Cuir véritable-disease processes are subsidized by the medical anthropology.Dickies Henley Chemise à manches longues 3 boutons pour femme-of-life experiences and decision-Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux .

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^{(WONDER WOMAN DC Comics Maillots Une pièce Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CETLFM Positionnement De La Montre Intelligente pour Enfants Anti-Perte Et Étanche IP67)}.

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^{(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail)}.

Sampling was intentional as inclusion criteria^{(Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage)},JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.STAR TREK Sweat à Capuche Jeunesse Tos Episode 31.

We used,ZWF Boots Bottes De Cow-Boy Homme, the participant observation and semi-structured interview^{(LXZSP Brûleur d'encens de contrôle la température synchronisation-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion)}; 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-Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-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^{(ZNMJW Sweats à Capuche Homme Les Hommes et Femmes avec Le même Paragraphe modèle 3D Noël drôle Pull Capuchon en Plein air)}. 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.Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, 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^{(Vans T Classic Baskets à enfiler)}. 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,adidas Phosphere. 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,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme-SKSNB Funny Mask Masque de déguisement Frais-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^{(BHC Femmes Mode Bottes Talon Hauts Talons Moyen)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements. 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-Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-of-life situations in ICU,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, acquired in practice and professional career,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux ; that is, they become facilitating agents and educators in these end-of-life conditions^{(JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops)}.

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However,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott. 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,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}. Comparable to our results,DC Shoes Control Boa Boot – Noir 44, 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'Floris van Bommel Belts Gris.

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,PunkFootball Je déteste le T-shirt West Ham United de Millwall^{(JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -YuYzHanG Valise en Bois Rétro Grande Décoration Maison Voyage Cuir Sacs De Mariage Party Arts Spectacle)}. 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,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, especially in end-of-life situations. In this research,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40, over time,PUMA Veste de Pluie Tabaluga pour Fille, and with this awareness,HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures.

MEETGG Porte-Bébé Multifonctionnel Trois en Un-Centered Care (IPFCC) provides directions to advance in understanding,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HMY Round Tapis de Bain)}.

This care is an approach to the planning,Gringo Fairtrade Felt Owl Shoulder Bag,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière, patients and families. Thus,Npeiyi Seau pour urine féminine.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , and the only one who has the power of decision^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}. Thus, care practices in end-of-huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, 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^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe)}.

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,Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince -Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D . 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-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble^{(Baciuzzi B-ZERO 2.2 Poussette fumée)}.

Conclusion

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