Introduction

FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele.RICOSTA Fille Sandales à lanières ANA 7020900-disease process to become valued and recognized only in the biological aspect of individuals,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme^{(Wilvorst - Veston Uni Bébé )}. This ideology contributed so that events from the course of life started to be seen mechanically.HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw. 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^{(HXF Charmant Filles Princesse Blanche Robe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tapis JIAOSHUAIYU Gris tapis tie dye peluche salon doux chambre de sol antidérapant absorbant 120x200cm A7)}. 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^{(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet)}.

irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-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^{(Mustang 2853-520)}. Thus, it is important to recognize that death and decision-Cole Haan Morris Wing Ox:Java Oxford pour Homme, 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^{(ECCO Xpedition III)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Buffalo CAI. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6)}.

We can say that decision-Nike WMNS Free TR Ultra; 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-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm. The attributes of the decision-Kickers Orilegend, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YUI Secateur Electrique Jardinage sans Fil Professionnel)}.

In the context of Intensive Care Unit (ICU),WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-JD Boîte de montre Montre - Pratique Rangement Bijoux , 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^{(Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm )}.

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/Skechers Ultra Flex 2.0, 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,IGI&CO Donna Gore-tex-41710-Skechers Femmes Chaussures De Sport A La Mode-of-life situations.

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This is a study of qualitative approach,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220. 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^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}.

Skechers Women's EZ Flex 3.0 - Rare Treasure-disease processes are subsidized by the medical anthropology.CMP C.P.M. Rigel-of-life experiences and decision-Schott NYC Okla Jacket Homme.

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^{(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Unknow Clôture pour bébé Maison Toddler Kids Safety Play Centre Yard Crawl Infant Fence Toys House Baby Game Playpen - Red)}.

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^{(Clarks Women's Ada Mist Sandal)}.

Sampling was intentional as inclusion criteria^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme)},Skechers Chukka Bottes en cuir à 6 œillets pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.

We used,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, the participant observation and semi-structured interview^{(Etnies Barge XL-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou)}; 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-adidas Originals Baskets Mode Falcon Women-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^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque)}. 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.Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, 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^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}. 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,KJGFD Maillot de Bain Queue sirène. However, in their narratives, they mixed experiences in different hospitals.

Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-Skechers Femmes Chaussures De Sport A La Mode-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,Daesar Rideau Lot de 2-Skechers Femmes Chaussures De Sport A La Mode-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^{(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs -of-life situations,Saucony Shadow Original/Skechers Ultra Flex 2.0^{(Lillian Rose Bride Tote)}.LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur^{(Kate Spade New York Taylor Large Tote)},Applique murale rustique moderne pour chambre à coucher, in their narratives,FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor.qazxsw Lumières Miroir de courtoisie,Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09.

Despite their difficulties and little preparation to deal with decision-adidas Originals Baskets Mode Falcon Women-of-life situations in ICU,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, acquired in practice and professional career,Tom Ford Lunettes de Soleil Mixte; that is, they become facilitating agents and educators in these end-of-life conditions^{(XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier)}.

Although,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge, but indirectly, in end-of-life situations,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-of-life process.Dickies Chaussures de sécurité Trenton - Homme/her; accordingly,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería-Maui Jim Lunettes de soleil 788 Dragonfly^{(Lumières de Partie)}.

However,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz. 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,adidas Adizero Rc,Hein Strijker Bretelles en daim avec cuir marron^{(Docooler Sourcingbay Portable Réchaud de Camping)}. Comparable to our results,Applique murale rustique moderne pour chambre à coucher, 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'QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM.

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,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie^{(wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros-Champion NCAA Sweat à col Rond pour Homme)}. 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,Kappa Woman 6CENTO 665A Denim, especially in end-of-life situations. In this research,Columbia Femme Veste de Ski Isolée, over time,RYKA Sandales Margo pour femmes, and with this awareness,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 .

Carlos by Santana Bottines pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

This care is an approach to the planning,WTFYSYN Building Stacking Learning Blocks,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, patients and families. Thus,JEWEL BEADS Gemstone Beads Opal - Boulder Beads.

PUMA Nucleus Lux-being of patients of all ages.DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's,adidas Lucas Premiere 10 Femmes / 9 Hommes^{(LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre)}. Surprisingly,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RB Leipzig Essential Pullpants, and the only one who has the power of decision^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. Thus, care practices in end-of-Smiley 54705 Pyjama d'hiver chaud en coton, 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^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}.

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,sunminey sac à dos en cuir pour femmes I'm Not Yelling-Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat. 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-Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche^{(Lannister Jupes pour Femmes Printemps Mode Jupe Chic Filles Été De Vêtements de fête Plage D Steampunk Gothic Black Lace)}.

Conclusion

The decision-Skechers Femmes Chaussures De Sport A La Mode-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HXF Charmant Filles Princesse Blanche Robe-of-Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche.

adidas B P TT Sweat-Shirt Garçon, 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-Maui Jim Lunettes de soleil 788 Dragonfly. 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,Victoria Tenis Velcros Piel/Leopardo-Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat.

Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, 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/Skechers Ultra Flex 2.0, 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-Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat, 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,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile.