Introduction

Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57.KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison-disease process to become valued and recognized only in the biological aspect of individuals,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN^{(Qiterr Remontoir de Montre)}. This ideology contributed so that events from the course of life started to be seen mechanically.HONGYU Sac à Dos de randonnée. 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^{(Sperry Top-Sider Femmes Bottes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(O'NEILL Femme SP8404031 Blouse)}. 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^{(Npeiyi Seau pour urine féminine)}.

Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes-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^{(Geox D Nebula C)}. Thus, it is important to recognize that death and decision-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm, 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^{(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Camper Runner. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes)}.

We can say that decision-DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial; 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-Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir . The attributes of the decision-NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pleaser Poison-101)}.

In the context of Intensive Care Unit (ICU),WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG, 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^{(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777)}.

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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-of-life situations.

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This is a study of qualitative approach,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway. 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^{(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile)}.

COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-disease processes are subsidized by the medical anthropology.OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-of-life experiences and decision-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes.

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^{(Jubilee HP100MS Lot de 100 Colliers Serrage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JFfactory Classique Nouveaux Hommes Automatique Mécanique Saphir en Acier Inoxydable 1950 Gauche 3 Jours Acciaio 47mm Montre Cuir Marron)}.

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^{(elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage)}.

Sampling was intentional as inclusion criteria^{(AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44)},Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WRJY Poussette pour bébé.

We used,MARC JOSEPH NEW YORK Women's Driving Style Loafer, the participant observation and semi-structured interview^{(GFF Sasan Maiden Series Lady Parapluie Noir Colle-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant)}; 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-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-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^{(Jaminy Élégant Hommes Tuxedo Restaurant Négociation Meeting Suits Vestes Wedding La datation Custumes Manche Longue Pour Affaires)}. 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.Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, 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^{(DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre)}. 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,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement . 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,Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm-Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-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^{(adidas Originals Women's Falcon Trail Running Shoe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH. 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-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-of-life situations in ICU,1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié, acquired in practice and professional career,B/H Chaussons pour œdème des Pieds enflés; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage)}.

Although,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, but indirectly, in end-of-life situations,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-of-life process.WLL Sac de Tapis Yoga Portable avec 2 Poches/her; accordingly,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne -luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag ^{(Tommy Hilfiger Th Core Saddle Bag)}.

However,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme. 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,ADSE Ensemble de Douche Mural thermostatique à Usage Domestique,Magnifiquement Moustiquaire^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}. Comparable to our results,Nautica Montres Bracelet NAPFRB008, 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'Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman.

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,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ^{(adidas Little Boys' Tricot Pant-Melluso 03417X avec Talon 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,Boîte aux Lettres, especially in end-of-life situations. In this research,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3, over time,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles, and with this awareness,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver.

Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-Centered Care (IPFCC) provides directions to advance in understanding,Asics Gel-Kayano Trainer Evo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(s.Oliver Jacket Femme)}.

This care is an approach to the planning,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures,Trespass Clea, patients and families. Thus,Sotala Jupe - Portefeuille Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ELTEN , and the only one who has the power of decision^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}. Thus, care practices in end-of-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, 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^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}.

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,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le. 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-Yakuza Men Hoodie Tatuajes Satanicos^{(OYPY Nouveaux Enfants Chaussures de Danse Salon for Sport Moderne Latine Fille Enfant Souples Filles Salsa Tango)}.

Conclusion

The decision-Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-Wand Massager Baguette Masseur Sans Fil.

S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, 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-luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag . 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,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, 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/Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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-WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, 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,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.