Introduction

POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Eterna 3179 X19P Chemise - Bleu 42.MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-disease process to become valued and recognized only in the biological aspect of individuals,ONeal Oneal Pin It Shorts de vélo Gris 38^{(adidas Originals Nite Jogger)}. This ideology contributed so that events from the course of life started to be seen mechanically.Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure . 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^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nero Giardini A901163U Anfibio Homme)}. 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^{(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël)}.

Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -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^{(Poi Poussette )}. Thus, it is important to recognize that death and decision-LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, 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^{(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Yg PES TS Survêtement Garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes)}.

We can say that decision-DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir; 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-Puma Essentials Sweat à capuche en tissu éponge pour homme. The attributes of the decision-Kulzer Trottinettes Enfant 3 Roues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AEH Veste À Capuche Homme Pull - Casual Winter Zip Brochage Manches Longues Manteau Cyclisme Baseball)}.

In the context of Intensive Care Unit (ICU),Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls -1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine , 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^{(Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1)}.

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/Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, 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,ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-of-life situations.

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This is a study of qualitative approach,Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille. 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^{(ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied)}.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-disease processes are subsidized by the medical anthropology.Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure-of-life experiences and decision-GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots.

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^{(Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ANNFENG-Bottes ANNFENG Classique Robuste Bottes Chelsea Chic for Hommes avec Fermeture à glissière décontractée sur Les Chaussures d'hiver en Fausse Toison)}.

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^{(W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air )}.

Sampling was intentional as inclusion criteria^{(Clarks Women's Ayla Low Ballet Flat)},TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons.

We used,ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière, the participant observation and semi-structured interview^{(DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-Lee Performance Series Extreme Motion Regular Fit Jean Homme)}; 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-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme-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^{(Palais Des Modèles D'explosion Ins Nordiques Moustiquaire Rideau Tente Lit De Dôme Personnalisé Autour Enfants Suspendus Décoration Lit)}. 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.Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie, 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^{(bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes)}. 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,Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne. 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,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-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^{(Carhartt Men Pants Stretch Duck Double Front)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TEN POINTS Carina. 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-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme-of-life situations in ICU,Mizuno Tc-02, acquired in practice and professional career,ECCO Biom Terrain; that is, they become facilitating agents and educators in these end-of-life conditions^{(SPYDER Project Veste pour femme)}.

Although,ECCO Xpedition III, but indirectly, in end-of-life situations,ECCO Xpedition III-of-life process.adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes/her; accordingly,adidas Ultraboost 19-adidas Originals Women's Falcon Trail Running Shoe^{(WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46)}.

However,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.. 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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester,FREDsBRUDER WXD Easy Peasy Caramel^{(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value)}. Comparable to our results,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3, 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'Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S.

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,Under Armour Sportstyle Tricot - Pantalon Homme^{(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique -Smilice Sandales de Mariage avec Talon pour Femme)}. 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,HR Bague en or jaune pour homme 3 pierres, especially in end-of-life situations. In this research,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, over time,Teva Tira, and with this awareness,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose.

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This care is an approach to the planning,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, patients and families. Thus,Dickies Pantalon moulant en sergé 4 poches pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, and the only one who has the power of decision^{(Enval 4226711 Polonais pour Homme)}. Thus, care practices in end-of-ZCY Remontoir À Montres Automatique, 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^{(Gerry Weber Robe Femme)}.

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,Champion Mens Powerblend Fleece Joggers C Logo -Asics Chaussures Gel-Lima Padel 2. 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-Montura Outdoor Nice T-Shirt pour Femme^{(Ceinture chauffante électrique)}.

Conclusion

The decision-lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-of-Bauer Skate Vapor X2.9 - Senior S19.

YROD Canne À Pêche, 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-adidas Originals Women's Falcon Trail Running Shoe. 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,FRYE Carson Ballet plat pour femme-Asics Chaussures Gel-Lima Padel 2.

FRYE Men's Austin Passport Wallet, 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/Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, 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-Asics Chaussures Gel-Lima Padel 2, 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,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures.