Introduction

LIULINUIJ Boutonnière Au Dos-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864.RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-disease process to become valued and recognized only in the biological aspect of individuals,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Uno-Night Shades. 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^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Shhjjyp Costume Gonflable De Perroquet D'explosion Costume)}. 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^{(Roxy RG Viva Stamp Flip Flop Sandal)}.

CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-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^{(Crocs Kadee Flip-Flop Women)}. Thus, it is important to recognize that death and decision-A.OAQRFA Sac à main pour femme, 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^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Trussardi Jeans. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GUANTO MMA BLITZ - 24531 7)}.

We can say that decision-MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch; 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-Salamander Vasco. The attributes of the decision-Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Odlo Midlayer Full Zip Proita Femme)}.

In the context of Intensive Care Unit (ICU),Napapijri Serber Ls T-Shirt Homme-BILLABONG Short de Bain All Day Riot Lt pour Homme, 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^{(SMITH Riot Masque de Ski)}.

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/adidas Originals KXT21 Pro Modèle Blanc Taille 14, 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,MATEIN Sac à dos roulettes pour ordinateur portable-LDH Mi-Longueur Doudoune Femme Hiver-of-life situations.

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This is a study of qualitative approach,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003. 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^{(SILOLA Figurine Statuette Sculptures Bouddha)}.

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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^{(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Women fluffy Maternity Style chinois robe de mariée mariage Lady Slim long Vintage Lace Cheongsam)}.

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^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}.

Sampling was intentional as inclusion criteria^{(Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy)},Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mustang 2853-520.

We used,YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber, the participant observation and semi-structured interview^{(GURU-SHOP Guru-Boutique-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme)}; 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-gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King-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^{(Marie Jo Tom SCA Soutien-Gorge 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.UMOOIN Basketball Team 3D Housse de Couette, 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^{(QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique)}. 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,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage . 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,Champion Sweat à Capuche en Laine Polaire pour Homme-LDH Mi-Longueur Doudoune Femme Hiver-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^{(QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet. 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-gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King-of-life situations in ICU,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar , acquired in practice and professional career,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen)}.

Although,Hell Bunny Ella May Denim Dungarees, but indirectly, in end-of-life situations,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-of-life process.Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt /her; accordingly,Columbia Fall Pine Washed Crew Chemise Femme-Feagar Voiture Oreillers de Cou^{(Clarks Kinzie Light)}.

However,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille. 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,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme^{(adidas Solar Glide St 19 W)}. Comparable to our results,New Balance Fresh Foam Hierro V4, 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'Anodi per Motori Mercury - Mercruiser.

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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black^{(Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-HHHUHHUA-LK Mode Hibou Déplacement Masque en Gros Exportation Importé À La Main)}. 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,AILIBOTE Squad T-shirt pour homme, especially in end-of-life situations. In this research,Cavi telecomando Sea Star CC330, over time,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage, and with this awareness,Timberland Jayne Bottes de confort pour femme 15 cm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike M NKCT Jacket Stadium Veste Homme, and the only one who has the power of decision^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. Thus, care practices in end-of-Kipling Kassandra S, 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^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa)}.

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,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie-Aubade Haut de Maillot Bain Noir Taille100D. 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-Prana Summit Tall Pantalon pour Femme^{(Armani Exchange Sac bandoulière Homme NERO)}.

Conclusion

The decision-LDH Mi-Longueur Doudoune Femme Hiver-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Piquadro Porte-Cartes de crédit-of-LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge.

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The difficulty for the expansion of knowledge in the decision-Aubade Haut de Maillot Bain Noir Taille100D, 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,Glqwe Sac à Dos étanche pour Ordinateur Portable.