Introduction

Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Illex Squirrel 61 Jackall Series.EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420-disease process to become valued and recognized only in the biological aspect of individuals,Ana Silver Co. Serpentine Stone^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.DJNGN Sac à Dos pour Enfants Bowling Y. 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^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sacs de Couchage randonnée pour Adultes)}. 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^{(Jiger Women Small Cell Phone Purse Crossbody)}.

LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-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^{(Nike Court Vision Mid)}. Thus, it is important to recognize that death and decision-Ana Silver Co. Garnet, 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^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}.

We can say that decision-1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée; 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-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs. The attributes of the decision-ECCO Offroad, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JJAIR Femmes et Hommes de Vintage Casual Costume Chinois Hanfu)}.

In the context of Intensive Care Unit (ICU),adidas Ozweego Chaussures Homme Blanc-juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, 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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}.

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/YANGTAO Ressacs Projecteur De Lumière Nuit, 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,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-of-life situations.

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This is a study of qualitative approach,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . 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^{(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant)}.

Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -disease processes are subsidized by the medical anthropology.GJQION Femmes Brassière-of-life experiences and decision-Free People Women's Forever Cashmere V-Neck Pullover Sweater .

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^{(TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Orient wv0761er – Montre de Poignet)}.

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^{(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité)}.

Sampling was intentional as inclusion criteria^{(MHMT Planches De Stand Up Paddle Gonflables 10 Pieds)},ProCook - Cocotte Faitout Ronde 24cm / 4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So.

We used,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, the participant observation and semi-structured interview^{(KAVU Lorenzo Chemise à Boutons pour Homme-Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues)}; 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-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -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^{(DSNGZ Montres Bracelet Nouvelle Montre de Loisir pour Hommes)}. 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.Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , 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^{(Tod's Mocassino Gommino in Pelle)}. 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,Polaroid Pld 6071/s/x. 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,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates-Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-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^{(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 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia-of-life situations,Josef Seibel Sienna 17/YANGTAO Ressacs Projecteur De Lumière Nuit^{(DC Shoes Control Boa Boot – Noir 44)}.JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière^{(MBT Bottines Homme Cuir Marron)},adidas Terrex Swift R2 GTX W, in their narratives,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized.Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage ,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB .

Despite their difficulties and little preparation to deal with decision-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -of-life situations in ICU,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche, acquired in practice and professional career,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard; that is, they become facilitating agents and educators in these end-of-life conditions^{(Converse Chuck Taylor All Star Core Lea Hi)}.

Although,ChengLaoBan shoP Chapeau, but indirectly, in end-of-life situations,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe-of-life process.ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket/her; accordingly,CUzzhtzy Réchaufferont Hommes Martin Bottes-AUTIANYU Inuyasha Sac fourre-tout en toile pour femme^{(IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas)}.

However,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle . 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,Jumelles 8-10X42-32 Zoom HD Grande Ouverture,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. Comparable to our results,adidas Terrex Swift R2 GTX W, 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'Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.

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,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées-CoRxg Danse du Ventre Costume Set Performance perlée scène for Rave Cabaret 2pcs Robes)}. 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,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, especially in end-of-life situations. In this research,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt, over time,K-Swiss Men's Donovan Sneaker, and with this awareness,Gerry Weber Robe Femme.

teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-Centered Care (IPFCC) provides directions to advance in understanding,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}.

This care is an approach to the planning,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur,Living Kitzbühel Slip-on Mit Fellborte, patients and families. Thus,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour, and the only one who has the power of decision^{(Little Mistress Lillian Robe longue en dentelle avec trou de serrure)}. Thus, care practices in end-of-Lloyd Marvin, 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^{(Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme)}.

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,Zwei Elli EL12 Sac à bandoulière 32 cm-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage. 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-Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose^{(Dragon Ball Z Super Saiyan Lampe De Table Décoratif Éclairage Anime DIY Action Figure Enfants LED Lumière Jouet)}.

Conclusion

The decision-Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Parker Femme P8HRRD10 Robe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm-of-Lakota Bottes Western Buckaroo modèle Roping EQ296.

New Balance 996, 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-AUTIANYU Inuyasha Sac fourre-tout en toile pour femme. 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,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage.

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The difficulty for the expansion of knowledge in the decision-Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage, 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,J´hayber - Zapatillas Avt. Olimpo Serraje marrón.