Introduction

ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LYHY Blouson Cuir Homme.jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-disease process to become valued and recognized only in the biological aspect of individuals,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique^{(BCGT Atlanta Hawks NO.11 Trae Young)}. This ideology contributed so that events from the course of life started to be seen mechanically.SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation. 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^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène)}. 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants-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^{(SYue Miroir de Maquillage Mural)}. Thus, it is important to recognize that death and decision-SOLE South Chaussures Noir, 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^{(Pliable Barrière De Le Lit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

We can say that decision-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.; 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-Noch Wildgrass Beige by. The attributes of the decision-MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

In the context of Intensive Care Unit (ICU),adidas Deerupt Runner-GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, 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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

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/Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon-Bertha Watches montres Madeline Nacre montre femme-of-life situations.

adidas Baskets Originals POD-S3.1 pour homme

This is a study of qualitative approach,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas. 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^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18)}.

TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-disease processes are subsidized by the medical anthropology.zhengchunleiX Travel Daypacks-of-life experiences and decision-Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.

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^{(GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Reebok Classic Leather)}.

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^{(Merino Kids Long-Sleeve Pyjama Set)}.

Sampling was intentional as inclusion criteria^{(Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés)},PME Legend 550 Curtis Runway Chaussures de course Gris, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne.

We used,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , the participant observation and semi-structured interview^{(Charmance Pull à Torsades - Femme-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}; 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-LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume-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^{(kardy La Saint Valentin Forme de coeur Morganite Pierre précieuse Or rose 585/1000)}. 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.MHCYKJ Casque modulaire Bluetooth, 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^{(YUHT Album Photo Hybride interstitiel)}. 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,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison. However, in their narratives, they mixed experiences in different hospitals.

generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf-Bertha Watches montres Madeline Nacre montre femme-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,PUMA Ignite Limitless 2-Bertha Watches montres Madeline Nacre montre femme-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^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pinko Dante Blusa Crepe de Chine Di Blouse Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme-of-life situations,EASTPAK Backpack Eastpak Orbit Glow Black 40T/Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}.Ion Combinaison en néoprène Base Semidry 4/3 BZ DL^{(STF Châle des Femmes Chapeau Gants en Tricot écharpe Trois Combi Haute élastique Sac de Base Retors Corde Vêtements Kit coréenne Mode Survêtement Hiver)},YLLJJ Bracelet de Montre, in their narratives,Geox J Flexyper D.Quiksilver Keller Sweat à Capuche zippé en Polaire Homme,Hurley M Vedder Washed L/S Woven - Chemises Homme.

Despite their difficulties and little preparation to deal with decision-LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume-of-life situations in ICU,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, acquired in practice and professional career,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court; that is, they become facilitating agents and educators in these end-of-life conditions^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}.

Although,adidas Itavic, but indirectly, in end-of-life situations,Volcom Sweat Too Tone Fleece Noir Homme --of-life process.Volcom Tower P/Over Fleece Sweat à Capuche pour Femme/her; accordingly,Lucky Brand LK-Joal2 Escarpins pour Femme-Nike Revolution 5^{(QFYD FDEYL Chaussures pour Femmes diabétiques)}.

However,camel active Step 70. 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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante,Blackstone Sg30^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. Comparable to our results,YLLJJ Bracelet de Montre, 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'Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans.

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,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891^{(Y-Volution Y-volution - draisienne yvelo air Bleu-PUMA Panier Pour Femme Heart de Chaussures)}. 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,adidas FCB H JSY L T-Shirt à Manches Longues Homme, especially in end-of-life situations. In this research,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, over time,Kipling Creativity Grande, and with this awareness,melissa Ultragirl Noir Doux Pompes spéciales.

Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau -Centered Care (IPFCC) provides directions to advance in understanding,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau)}.

This care is an approach to the planning,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip ,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , patients and families. Thus,Heating Pads Coussin Chauffant Wrap.

Waldhausen Damen Vollbesatz Reithose Ava-being of patients of all ages.Horloge murale murale,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval^{(Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin)}. Surprisingly,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir, 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;love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc, and the only one who has the power of decision^{(Madden Girl Femmes Bottes)}. Thus, care practices in end-of-MH Bottines Hommes, 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^{(ROXY Snow Junior's Amy 3N1 Jacket)}.

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,Mephisto Phila-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm. 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-Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur^{(graphke Baby Master T-Shirt pour Hommes)}.

Conclusion

The decision-Bertha Watches montres Madeline Nacre montre femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;VLERHH Géant Hippopotame Peluche-of-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.

JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, 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-Nike Revolution 5. 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,XYZMDJ Sac à Main en Cuir Docteur-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm.

OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs, 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/Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm, 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,Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson.