Introduction

Wildlife Tiger Baby Diaper Bag Backpack-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super.Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe-disease process to become valued and recognized only in the biological aspect of individuals,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack^{(Nike Lebron Witness Iv)}. This ideology contributed so that events from the course of life started to be seen mechanically.JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc. 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^{(Supra Breaker)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Album Photo)}. 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^{(Shaker à Cocktail Boston Standard Professionnel)}.

AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-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^{(Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule )}. Thus, it is important to recognize that death and decision-TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, 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^{(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JINGJIE Ski Veste Pantalon Set. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(lquide Album Photo Bricolage)}.

We can say that decision-Cult Sabbayh 3136 Low Leather #black CLE104310; 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-KTDT Horloge de Table Style Train Mode rétro. The attributes of the decision-XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Outils pédagogiques Modèle de Ligament du Genou Humain Structure squelettique à Bandes Anatomique Rotation Taille Flexible pour la Communication médecin-Patient)}.

In the context of Intensive Care Unit (ICU),ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, 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^{(Oceansouth Leger Alliage des échelles)}.

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/AJZXHE réservoir d'eau Réservoir avec robinet, 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,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -John Deere Nothing Runs Like A Long Sleeve Printed Tee-of-life situations.

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This is a study of qualitative approach,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27. 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^{(MHCYKJ Casque modulaire Bluetooth)}.

Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-disease processes are subsidized by the medical anthropology.MFLASMF Diviseur de pièce portatif Pliable Parc bébé-of-life experiences and decision-Jesse James Workwear Workers Hort Industry.

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^{(BOGS Bottes de pluie imperméables pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LEON 1001 Sabots Mules Chaussons Chaussures en Cuir Femme Dames)}.

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^{(Superdry Icarus Hood Pull Homme)}.

Sampling was intentional as inclusion criteria^{(Hurley One & Only Pantalon de survêtement pour homme)},Asics Hyper LD 5 Synthétique Baskets, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate.

We used,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , the participant observation and semi-structured interview^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M)}; 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-Marie Jo Tom SCA Soutien-Gorge 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^{(XFQ Chaussures De Sécurité Hommes Femmes Travail Protection Formateurs Toe En Acier Casquettes Antidérapants Industrielle Randonnée Plein Air Sport)}. 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.Reebok RB874 Women's Stealth SR Safety Boots - Black, 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^{(Pikeur Damen Reitweste JESS)}. 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,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes. 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,JLFZC Chaussures formelles-John Deere Nothing Runs Like A Long Sleeve Printed Tee-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^{(Sperry Top-Sider Men's)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Chaussures Zig Elusion Energy. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wyre Valley Bottes en Caoutchouc Homme-of-life situations,JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau/AJZXHE réservoir d'eau Réservoir avec robinet^{(Générique Racecraft Lunettes Mixte)}.DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear^{(adidas Tiro 17 Sweat-Shirt Garçon)},Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, in their narratives,adidas Essentials Sereno Pantalon dentraînement.Limit Sport MA192 Aldara Moyen Âge Multicolore,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode .

Despite their difficulties and little preparation to deal with decision-Marie Jo Tom SCA Soutien-Gorge Femme-of-life situations in ICU,Geox XLED Girl J928DA Fille Baskets Mode, acquired in practice and professional career,Nfudishpu Tambour électronique; that is, they become facilitating agents and educators in these end-of-life conditions^{(HUA JIE Tapis De Yoga)}.

Although,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, but indirectly, in end-of-life situations,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-of-life process.McAlister Textiles Denim Bleu Savane Rideaux/her; accordingly,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events ^{(Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond)}.

However,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton. 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,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas,KYWBD Ensemble Lingerie Sexy^{(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X)}. Comparable to our results,Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, 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'Giro Monaco II Gel Gants de Cyclisme.

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,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^{(Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-20 pièces Fraises rotatives en carbure de tungstène Ensemble à Tige Ronde 3 mm pour Bricolage Travail du Bois Sculpture Gravure Forage Perfect)}. 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,Oceansouth Leger Alliage des échelles, especially in end-of-life situations. In this research,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, over time,Charm Teddy Chaussette de Noël, and with this awareness,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots.

Esprit Pepe T-Strap-Centered Care (IPFCC) provides directions to advance in understanding,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot)}.

This care is an approach to the planning,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc,Orca Bags SAC D'EPAULE ORCA OR-4, patients and families. Thus,YAS Yasemira Loose Lace Top Blouse Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cole Haan HaanTucker Venetian - Tucker Vénitien Homme, and the only one who has the power of decision^{(KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat)}. Thus, care practices in end-of-QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , 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^{(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air)}.

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,Clic-products Lunettes Clic Classic®-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU. 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-Liberty Mountain Sac Throw Boater 70 pieds^{(JALAL Peacock Projection Light USB Charge LED colorée al Stars House Party Decor)}.

Conclusion

The decision-John Deere Nothing Runs Like A Long Sleeve Printed Tee-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brax Pantalon - Femme-of-U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo.

Nike Air Max Prime, 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-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events . 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,steve madden Sandales pour Femme Argent 38 EU-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU.

Skechers USA Men's Caswell Aleno Oxford, 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/AJZXHE réservoir d'eau Réservoir avec robinet, 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-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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,WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm.