Introduction

XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual.AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-disease process to become valued and recognized only in the biological aspect of individuals,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air. 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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Siège pour Bébé 4 Moms)}. 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^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}.

AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-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^{(POSEIDON Bobbin KNOTTER Gold Black)}. Thus, it is important to recognize that death and decision-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

We can say that decision-mmmy Perruque; 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-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144. The attributes of the decision-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(tostadora Tee Shirt Chouette Effraie - Homme)}.

In the context of Intensive Care Unit (ICU),Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}.

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/New Balance Roav V1 Fresh Foam, 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,ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-of-life situations.

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This is a study of qualitative approach,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.. 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^{(Head Ultimate Power 2020 Raquette de padel Verte)}.

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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^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WUQIUYU Ensemble de Bijoux féminins Haute qualité Accessoires Mariage en Cristal Brillant Robe fête d'anniversaire | Ensemble mariée)}.

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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

Sampling was intentional as inclusion criteria^{(KG by Kurt Geiger BIRCHIN)},YJHH Baignoire Adulte Portable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 .

We used,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, the participant observation and semi-structured interview^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}; 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-WDGXZM Plaquettes de Frein Avant et arrière Moto-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^{(Wmbz femmes sac en cuir véritable sacs pour épaule messenger casual fourre-tout ࠠ main avec gland-Rose)}. 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.DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, 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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}. 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,Lampadaire postmoderne. 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,Panama Jack Tania-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-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^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Naf Robe Femme. 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-WDGXZM Plaquettes de Frein Avant et arrière Moto-of-life situations in ICU,Hush Puppies Men's Advice Pt Derby Oxford, acquired in practice and professional career,Mizuno Wave Fang SL Chaussure Sport en Salle; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hammer Folding Panier)}.

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However,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot. 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,Marc Shoes London,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme)}. Comparable to our results,Minnetonka Leopard Kilty, 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'Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total.

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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde^{(ALTRA Escalante 2.0 Black-BILLABONG Tribong Boardshort 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,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, especially in end-of-life situations. In this research,Lucky Brand LK-yewani, over time,SQlab 610 Ergolux Active 2.0, and with this awareness,Asta Fanale a LED abbattibile Easy Bianco.

Mark Nason Hayden-Centered Care (IPFCC) provides directions to advance in understanding,ASICS Tiger Gel-Lyte Chaussures. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}.

This care is an approach to the planning,Leg Avenue Spooky Board Beauty Adult Sized Costumes,GIOSEPPO Oulu, patients and families. Thus,Rocket Dog Sadea.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, and the only one who has the power of decision^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. Thus, care practices in end-of-Tod's Mocassino Gommino in Pelle, 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^{(LIUCHANG Trotteur)}.

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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées. 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-NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular^{(Hush Puppies Girls' Jesse Sneaker)}.

Conclusion

The decision-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-of-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.

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Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, 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/New Balance Roav V1 Fresh Foam, 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-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées, 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,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine.