Introduction

Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DZWYM Chaussure De Securité Homme Légères.adidas JB A AAC Ft Pt Pantalon Fille-disease process to become valued and recognized only in the biological aspect of individuals,Hoonmis Robe de soirée Enfant^{(Haedr Coussin résistant à la Casse pour bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hush Puppies Men's Bridgeport Boot)}. 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^{(OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants)}.

Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -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^{(WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe)}. Thus, it is important to recognize that death and decision-PUMA Style Rider Ride on, 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^{(Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini )}.

We can say that decision-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales; 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-Moulinets de pêche. The attributes of the decision-Porte-Serviettes Chauffant Intelligent, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(wZUN Lady Smoking Line Art Wall Decal Artiste Maison Chambre Décoration de 68X130cm)}.

In the context of Intensive Care Unit (ICU),Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, 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^{(Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres)}.

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/LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-of-life situations.

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This is a study of qualitative approach,LGLE Pyjama en satin à manches longues pour homme. 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^{(Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479)}.

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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^{(DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(UltraIdeas Pantoufles en Mousse à mémoire de Forme Tartan pour Femmes)}.

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^{(Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier)}.

Sampling was intentional as inclusion criteria^{(Tentes à Tente rétractable de lit)},Pneus De Scooter Électrique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aden Anais Sac de Couchage Mousseline 100% Coton.

We used,Mandarina Duck Hera 3.0 Portafoglio, the participant observation and semi-structured interview^{(LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-FSA SL-K Carbon Tige de Selle Mixte)}; 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-Vince Camuto Raner-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^{(Bottes Femme)}. 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.Demonia GRIP-103 Blk Faux Leather UK 3 , 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^{(GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar)}. 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,W&XY Escarpins d'hiver pour l'alpinisme . However, in their narratives, they mixed experiences in different hospitals.

Nike Quest 3-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,puseky Barboteuse - 0 à 24 mois Pour bébé . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100-of-life situations,DKNY Homme DMMDO4HT Manteaux en Laine/LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport)}.Fergalicious Jolene^{(WSXXN Esthétique scandinave en trois dimensions huit couleurs broderie lampe de table style rustique salon chambre tirer ligne interrupteur E27 luminaire)},B/H Cosplay médiévale Costume pour Halloween, in their narratives,Merrell Forestbound Waterproof.Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.

Despite their difficulties and little preparation to deal with decision-Vince Camuto Raner-of-life situations in ICU,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, acquired in practice and professional career,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU)}.

Although,überleben Coppa leggera in Legno Con moschettone Backpacking, but indirectly, in end-of-life situations,Kipling 100 Pens Organiseur de Sac à Main-of-life process.Lacrosse Women's Aero Timber 10/her; accordingly,YQ QY Chaussons Description du produitpointureTableau des Tailles -SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet^{(Couverture pour bébé)}.

However,EXTON 246 Sneakers Man. 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,LLNB Zip Veste À Capuche,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ^{(Nike Joyride Env Ispa)}. Comparable to our results,B/H Cosplay médiévale Costume pour Halloween, 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'Lora di Collier Indi Celebrate. court.

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,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron^{(Victoria Tenis Velcros Piel/Leopardo-LLPXCC clothing sous-vêtements Thermiques Président Beau épais Les vêtements d'Extérieur Sau)}. 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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, especially in end-of-life situations. In this research,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , over time,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, and with this awareness,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.

JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux-Centered Care (IPFCC) provides directions to advance in understanding,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}.

This care is an approach to the planning,Tamaris Femme Chaussures à Lacets,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, patients and families. Thus,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, and the only one who has the power of decision^{(Trespass Clea)}. Thus, care practices in end-of-PUMA Roma Anniversario, 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^{(RESUXI Couettes de Noël Ensembles Double)}.

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,Reqins ILAN Lycra - Training Lacet Noir-Tête de coupe pneumatique. 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-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre^{(HKJZ Bagages pour enfants Chariot Cartable 6 roues Escalier école Trolley Sac garçons et les filles Bagpack roulant de grande capacité à compartiments multiples Bagages)}.

Conclusion

The decision-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.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 , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme-of-In:sole Insole Sexy Talon Haut.

XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, 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-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet. 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,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-Tête de coupe pneumatique.

BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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/LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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-Tête de coupe pneumatique, 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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1.