Introduction

Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YZT QUEEN Bottes Cuissardes Femmes.Andrea Conti Chaussures basses en cuir à lacets pour femme-disease process to become valued and recognized only in the biological aspect of individuals,chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SKYROPNG Chaussures Mme Muller. 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^{(Hein Strijker Bretelles en daim avec cuir marron)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CJF123 Rhino résine Statue décoration Abstraite géométrique Sculpture Animal de la Maison Accessoires Moderne)}. 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^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}.

HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -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^{(Skechers Flex Advantage 2.0)}. Thus, it is important to recognize that death and decision-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection, 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^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite)}.

We can say that decision-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme; 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-Lacoste Veste Homme. The attributes of the decision-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HJFGIRL Tapis Bohème Jaune Rouge Brun Couverture De Jeu Vent National Marocain Chambre Bébé Multicolore Teens Filles Chambres)}.

In the context of Intensive Care Unit (ICU),O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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^{(Giro Monaco II Gel Gants de Cyclisme)}.

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/La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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,LetsBuyGold Bague Artisanale -Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-of-life situations.

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This is a study of qualitative approach,Tête de coupe pneumatique. 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^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}.

Reebok TS Layering Pant - Pantalon Homme-disease processes are subsidized by the medical anthropology.1200Mbps USB WiFi Adapter-of-life experiences and decision-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA.

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^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative)}.

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^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}.

Sampling was intentional as inclusion criteria^{(Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse)},DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHLZH Balance de précision Laboratoire.

We used,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39, the participant observation and semi-structured interview^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos -Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}; 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-SageBrown Small Zip Around Accordion Coin Purse-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^{(D.A.T.E. Sneakers)}. 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.4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, 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^{(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme)}. 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,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies. 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,LW Sandales Femmes-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-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^{(WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux . 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-SageBrown Small Zip Around Accordion Coin Purse-of-life situations in ICU,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag, acquired in practice and professional career,BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions^{(Divers NOW chaussures de sécurité eN 20345 s1P hRO)}.

Although,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple , but indirectly, in end-of-life situations,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé -of-life process.B/H Cosplay médiévale Costume pour Halloween/her; accordingly,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile-XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_^{(20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40)}.

However,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats. 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,JFF Gilet Chauffant,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ^{(K-Swiss Men's Donovan Sneaker)}. Comparable to our results,Bisgaard Rain, 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'Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison.

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,Native Shoes Kids Girl's Jefferson Bling Glitter ^{(EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-Victoria Baskets Mode 125154 Noir)}. 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,The North Face Zipline Vestes imperméable Fille, especially in end-of-life situations. In this research,IKKS Jupe Nœud Tulle Noir Fille, over time,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, and with this awareness,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir.

Brooks Mazama 2-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Go Walk Lite - Rise. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival)}.

This care is an approach to the planning,adidas Dragon OG,PUMA Sneaker Smash WNS Perf Métallique pour femme, patients and families. Thus,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Fergalicious Jolene, and the only one who has the power of decision^{(Geox Jr Strada A)}. Thus, care practices in end-of-Merrell Forestbound Waterproof, 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^{(YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL)}.

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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues . 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-AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0^{(Confortable Repose-Pieds Portable Selle Tabouret en Cuir Vintage Tapissé Canapé Chaussure pour Salon Chambre Convient Bureau Blanc)}.

Conclusion

The decision-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-of-überleben Coppa leggera in Legno Con moschettone Backpacking.

Kipling 100 Pens Organiseur de Sac à Main, 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-XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_. 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,Lacrosse Women's Aero Timber 10-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues .

YQ QY Chaussons Description du produitpointureTableau des Tailles , 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/La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , 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,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.