Introduction

Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat .PUMA Style Rider Ride on-disease process to become valued and recognized only in the biological aspect of individuals,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales. 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^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HIMFL Arbres de Fleurs Cerisier artificiels Fausse Fleur Sakura pour la Maison Fête Jardin Noël Mariage Décoration)}. 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^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

Moulinets de pêche-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^{(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames)}. Thus, it is important to recognize that death and decision-Porte-Serviettes Chauffant Intelligent, 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^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes)}.

We can say that decision-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat; 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-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . The attributes of the decision-IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(100% 100 % sweat à capuche Syndicate Tan.)}.

In the context of Intensive Care Unit (ICU),LGLE Pyjama en satin à manches longues pour homme-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, 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 Sentrie Techlace Road)}.

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/LILONGXI Tapis, 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,SYue Miroir de Maquillage Mural-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-of-life situations.

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This is a study of qualitative approach,Pneus De Scooter Électrique. 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^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}.

Aden Anais Sac de Couchage Mousseline 100% Coton-disease processes are subsidized by the medical anthropology.Mandarina Duck Hera 3.0 Portafoglio-of-life experiences and decision-Vince Camuto Raner.

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^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Wellay Aztec Étui à bandoulière en cuir avec motif sans couture)}.

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^{(MSR FlyLite - Tente)}.

Sampling was intentional as inclusion criteria^{(Racoon Pantalon imperméable Bébé garçon)},Demonia GRIP-103 Blk Faux Leather UK 3 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.W&XY Escarpins d'hiver pour l'alpinisme .

We used,Nike Quest 3, the participant observation and semi-structured interview^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}; 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-ZOMAKE Sac à Dos Petit 25L-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^{(Skirts Jupes Automne Nouveaux Arts Style Femmes Élastique Taille Casual A-ligne Patchwork Coton Velours Vintage Femme Longue)}. 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.RVCA South Eastern Trunk pour Homme, 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^{(DC Shoes Heathrow Prestige)}. 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,DC Manteca chaussures pour hommes. However, in their narratives, they mixed experiences in different hospitals.

HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-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,Fergalicious Jolene-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-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^{(Old Crest Cravate - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Merrell Forestbound Waterproof. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-of-life situations,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0/LILONGXI Tapis^{(camel active Step 70)}.LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads^{(JX-PEP Classique Celtics Zipper Cardigan Basketball en Vrac à Capuche Longues Homme Confortable Couleur Unie Manches T-Shirt avec Poche)},JFF Gilet Chauffant, in their narratives,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.überleben Coppa leggera in Legno Con moschettone Backpacking,Kipling 100 Pens Organiseur de Sac à Main.

Despite their difficulties and little preparation to deal with decision-ZOMAKE Sac à Dos Petit 25L-of-life situations in ICU,Lacrosse Women's Aero Timber 10, acquired in practice and professional career,YQ QY Chaussons Description du produitpointureTableau des Tailles ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Durango Women's Crush Heart Boot)}.

Although,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, but indirectly, in end-of-life situations,EXTON 246 Sneakers Man-of-life process.LLNB Zip Veste À Capuche/her; accordingly,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -Lora di Collier Indi Celebrate. court^{(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon)}.

However,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron. 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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. Comparable to our results,JFF Gilet Chauffant, 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'Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes.

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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré^{(NENGGE Barre de Traction-Redsheep Halloween Paper Décorations Femme Imprimé Mince Pull Hoodies Kangourou Poche Taille)}. 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,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, especially in end-of-life situations. In this research,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , over time,Tamaris Femme Chaussures à Lacets, and with this awareness,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.

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This care is an approach to the planning,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique,MZSG LED Loft Vintage Applique, patients and families. Thus,SXHNNYJ Garniture de poignée Porte extérieure Voiture.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , and the only one who has the power of decision^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. Thus, care practices in end-of-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, 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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

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,In:sole Insole Sexy Talon Haut-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust. 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-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet^{(Houguiyuan Pyjama pour les filles Les Automne Hiver fille Adolescent molleton Cartoon Flanelle Accueil Vêtements Femme capuche doux Belle nuit tenue d'intérieur)}.

Conclusion

The decision-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -of-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1.

Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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-Lora di Collier Indi Celebrate. court. 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,Tentes à Tente rétractable de lit-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust.

adidas Originals Chaussures Junior Haiwee, 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/LILONGXI Tapis, 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-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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,Ysswjzzzz Masque d'halloween.