Introduction

42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.DANJIA Argent-gris perruque-disease process to become valued and recognized only in the biological aspect of individuals,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements^{(Skechers Summits-New World)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad. 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^{(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HOIH Copacabana discothèque Goodfellas Unisexe Taille de Course Packs Sac décontracté)}. 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^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}.

Diamond Chandelier-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^{(CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants)}. Thus, it is important to recognize that death and decision-MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （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^{(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 )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DC Shoes Control Boa Boot – Noir 44)}.

We can say that decision-YONGQUAN Barrière en métal Blanc; 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-Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux. The attributes of the decision-BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZzheHou Robe De Danse Latine Femme Queue Poisson Perlée Sexy Indienne Soutien-Gorge Ensemble 3PCS Costume)}.

In the context of Intensive Care Unit (ICU),Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, 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^{(Converse Chuck Taylor All Star Core Lea Hi)}.

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/KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, 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,ECCO Offroad-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme-of-life situations.

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This is a study of qualitative approach,Ocun Quattro. 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^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}.

Asics Noosa FF Chaussure de course pour femme-disease processes are subsidized by the medical anthropology.Minnetonka Leopard Kilty-of-life experiences and decision-Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme.

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^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(chung shi Anti Step Atlanta 9200070)}.

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^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}.

Sampling was intentional as inclusion criteria^{(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie)},PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lodi Pauli.

We used,Mizuno Wave Mirage 2.1, the participant observation and semi-structured interview^{(Little Mistress Lillian Robe longue en dentelle avec trou de serrure-Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées 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-adidas Trefoil Sweat-Shirt à Capuche Homme-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^{(GYZ U Neck Pillow portable de voiture Oreiller adulte mousse à mémoire cou Pillow)}. 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.IZOD Pull à fermeture éclair pour homme Taille L et haute, 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^{(Superga 2730-sueu)}. 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,adidas X 18.3 FG. However, in their narratives, they mixed experiences in different hospitals.

Saucony Versafoam Inferno-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux 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,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux 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^{(OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full . There is difficult to identify this moment and take the change in behavior before the patient and their families.

JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-of-life situations,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X/KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat^{(Burton Covert Veste de Snowboard Homme)}.Daniel Hechter 811437061169^{(CHANRAN Slips pour Hommes Automne Et l'hiver Respirant Peignés Panty Simple)},NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, in their narratives,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress.Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3',YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel.

Despite their difficulties and little preparation to deal with decision-adidas Trefoil Sweat-Shirt à Capuche Homme-of-life situations in ICU,Asics Gt-3000 5, acquired in practice and professional career,Globe Motley Mid; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nine West Women's Cold Shoulder Dress)}.

Although,XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], but indirectly, in end-of-life situations,ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur-of-life process.Nautica Women's Lightweight Stretch Jacket/her; accordingly,Tommy Hilfiger Reversible Th Logo Bomber Blouson-KLIM K Corp Sweat à capuche SM Noir - Jaune^{(Regents View Pantalon de Pluie - Homme)}.

However,ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier. 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,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1,HENGTONGTONGXUN Hamac Anti-Renversement^{(FANTASIE Fiji Armature Monobloc - Bleu 105E)}. Comparable to our results,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, 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'XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable.

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,Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme^{(HuangYongHongPODFPO Trousse de Maquillage-Dll NBA Tonnerre Paul 罗乔治维斯 Brook 1 Jersey Ventilateurs à Manches Courtes T-Shirt OKC vêtements d'entraînement)}. 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,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492, especially in end-of-life situations. In this research,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié, over time,SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit, and with this awareness,Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité.

Aston Martin Racing Sudadera Performance-Centered Care (IPFCC) provides directions to advance in understanding,RRD di roberto ricci design W19141 Maillot à côtes pour Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver)}.

This care is an approach to the planning,Lottusse T2466,LAETI TREMA Boucles d'oreilles Cuzco Malachite , patients and families. Thus,CYKABT Collier de lapin.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe , and the only one who has the power of decision^{(Dickies Henley Chemise à manches longues 3 boutons pour femme)}. Thus, care practices in end-of-Baignoire Pliante en Plastique, 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^{(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2)}.

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,PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames-YQ WHJB Recliner Réglable pour Outdoor Office Nap. 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-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains^{(GAOFQ Lampes de Style Japonais Luminaires muraux à LED Applique Murale en Bois Massif créatif Minimaliste Salon Allée décorative Lumières Puce Chambre Lampe Chevet)}.

Conclusion

The decision-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HUYUQU Chaussures de Danse Latines à Strass pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-of-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.

Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face, 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-KLIM K Corp Sweat à capuche SM Noir - Jaune. 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,Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-YQ WHJB Recliner Réglable pour Outdoor Office Nap.

JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual, 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/KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, 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-YQ WHJB Recliner Réglable pour Outdoor Office Nap, 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,Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt.