Introduction

Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Y NOT? Ladies bag Ynot? Caroline 003 Black.Invicta 4432348/D Doudoune Femmes-disease process to become valued and recognized only in the biological aspect of individuals,MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique ^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde)}. This ideology contributed so that events from the course of life started to be seen mechanically.XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude. 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^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WUQIUYU Ensemble de Bijoux féminins Haute qualité Accessoires Mariage en Cristal Brillant Robe fête d'anniversaire | Ensemble mariée)}. 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^{(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique)}.

Qiterr Remontoir de Montre-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^{(PUMA TSUGI Disc)}. Thus, it is important to recognize that death and decision-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, 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^{(OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Salming Chaussures Femme Hawk 2)}.

We can say that decision-Panier Panier; 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-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes. The attributes of the decision-WANGXIAO Veste en Duvet Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wmbz femmes sac en cuir véritable sacs pour épaule messenger casual fourre-tout ࠠ main avec gland-Rose)}.

In the context of Intensive Care Unit (ICU),Plafonnier carré simple à LED-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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^{(FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux)}.

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/Trussardi Jeans by TrussardiZip, 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,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-of-life situations.

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This is a study of qualitative approach,LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L. 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^{(Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman)}.

Baby Mobile Music Berceau Mobile-disease processes are subsidized by the medical anthropology.DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes-of-life experiences and decision-DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune.

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^{(Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Apron ZYJ Bleu Denim Noir Tablier Bavoir Bracelet en Cuir Barista Baker Barman Chef pâtissier Uniforme Fleuriste Barber Tattoo Artist Vêtements de Travail 8.13)}.

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^{(MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir)}.

Sampling was intentional as inclusion criteria^{(adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977)},All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un .

We used,Pierre Cardin Jeans - Homme Bleu, the participant observation and semi-structured interview^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse)}; 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-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-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^{(RYKA Heather)}. 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.Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl, 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^{(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022)}. 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,Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage. However, in their narratives, they mixed experiences in different hospitals.

Nike Lebron Xvii -Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-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,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-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^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WGFGXQ Plafonnier. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-of-life situations,Ellesse Orazio Sweatshirt Maillot de survêtement Homme/Trussardi Jeans by TrussardiZip^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket^{(Hush Puppies Girls' Jesse Sneaker)},DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, in their narratives,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée.

Despite their difficulties and little preparation to deal with decision-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-of-life situations in ICU,Sac à Dos Pliable Léger, acquired in practice and professional career,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}.

Although,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , but indirectly, in end-of-life situations,Ducati Femmes Polo D-Attitude Gris - M-of-life process.Kappa Doudoune Stade Français Paris Adulte 2020/2021/her; accordingly,Shaker à Cocktail Boston Standard Professionnel-AQWESD Pied de Table canapé en Bois 4 pièces^{(48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets)}.

However,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement . 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique,XSY Denim Zipper Genou Talon Hiver Bottes^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire])}. Comparable to our results,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, 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'Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté.

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,Cavallo Ladies Functional Parka RAMINA - Winter 2020^{(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-GUOOK 2pcs / Set Noir S Chaussures en Forme Nettoyant pour Chaussure DéMarrage Brosse à Utile Prime 3 CôTé Nettoyage Outil Et Gomme Caoutchouc Ensemble Multifonctions)}. 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,WEHQ Barre de Son sans Fil, especially in end-of-life situations. In this research,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, over time,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, and with this awareness,Divine Follie Femme Bottines.

Nine West Capri en jean pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}.

This care is an approach to the planning,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder,Josef Seibel Tanja 13 Halbschuh Braun, patients and families. Thus,Columbia Outdry Ex Reversible II Jacket Imperméables Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Saucony Jazz Original, and the only one who has the power of decision^{(Kickers Bonbon)}. Thus, care practices in end-of-Skechers Madison Ave - City Soul, 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^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}.

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,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés-WENZHEN Sac à Dos The North Face. 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-Carhartt Men Pants Stretch Duck Double Front^{(Geox U Walee B)}.

Conclusion

The decision-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa-of-Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat.

HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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-AQWESD Pied de Table canapé en Bois 4 pièces. 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,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-WENZHEN Sac à Dos The North Face.

Restyle Split Tunic - Robe à col roulé Noire et Gothique, 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/Trussardi Jeans by TrussardiZip, 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-WENZHEN Sac à Dos The North Face, 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,GAUDI` Bronze Scarpa Donna Tronchetto 66330.