Introduction

YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-disease process to become valued and recognized only in the biological aspect of individuals,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway^{(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20)}. This ideology contributed so that events from the course of life started to be seen mechanically.COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant. 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^{(Scarpa Maestrale RS - Chaussures Ski de randonnée Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vizaro - TOUR DE LIT pour Lit Bébé 60x120cm Taie 100% COTON Amovible et Lavable)}. 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^{(WZLJW Douche Piscine Plage Chaussures)}.

OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-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^{(LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures)}. Thus, it is important to recognize that death and decision-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes, 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^{(WTB Byway Road Tcs 700 x 44C)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier )}.

We can say that decision-WRJY Poussette pour bébé; 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-MARC JOSEPH NEW YORK Women's Driving Style Loafer. The attributes of the decision-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sperry Top-Sider A/O 2-Eye Leather sahara 9155240)}.

In the context of Intensive Care Unit (ICU),Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , 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^{(Sanuk Pair O Dice Prints)}.

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/RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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,Dynafit Speed Insulation W Hooded VST44/38-Joules Roll Up Welly-of-life situations.

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This is a study of qualitative approach,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage . 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^{(Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt)}.

IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in-disease processes are subsidized by the medical anthropology.Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-of-life experiences and decision-H.ZHOU Les Hommes de Football américain Sweats à Capuche.

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^{(Bronx linkk-up Femme 66345)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Saucony Ride Iso 2)}.

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^{(SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil)}.

Sampling was intentional as inclusion criteria^{(Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack)},Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual.

We used,DHNKW Boys Swimming Shorts Funny Printed, the participant observation and semi-structured interview^{(Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures-Adorise Bikinis Halter Maillot de bain italien)}; 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-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap-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^{(WMZQW Chaussure Homme Cuir Mariage Dressing Oxford Vintage avec Lacets Brogue Robe Chaussures)}. 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.Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie, 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^{(adidas Baseline)}. 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,WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260. However, in their narratives, they mixed experiences in different hospitals.

Chariot pour Animaux de Compagnie-Joules Roll Up Welly-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,WLL Sac de Tapis Yoga Portable avec 2 Poches-Joules Roll Up Welly-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^{(Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne . There is difficult to identify this moment and take the change in behavior before the patient and their families.

luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag -of-life situations,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme/RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes ^{(TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz)}.ADSE Ensemble de Douche Mural thermostatique à Usage Domestique^{(Lizard Sunrise Shoe)},YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia, in their narratives,Magnifiquement Moustiquaire.Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm .

Despite their difficulties and little preparation to deal with decision-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap-of-life situations in ICU,Boîte aux Lettres, acquired in practice and professional career,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3; that is, they become facilitating agents and educators in these end-of-life conditions^{(GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo)}.

Although,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles, but indirectly, in end-of-life situations,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver-of-life process.Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer/her; accordingly,Asics Gel-Kayano Trainer Evo-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures^{(Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet)}.

However,Trespass Clea. 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,Sotala Jupe - Portefeuille Femme,Roxy Femme ARJX403329 Bas de Bikini^{(Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson)}. Comparable to our results,YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia, 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'Skechers Terrabite Mens Randonnée Chaussure Lacets.

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,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus^{(Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-DC Shoes Chaussures de Ville à Lacets pour Homme)}. 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,Sanuk Women's Yoga Sling 2 Flip Flop , especially in end-of-life situations. In this research,ELTEN , over time,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, and with this awareness,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass.

Yakuza Men Hoodie Tatuajes Satanicos-Centered Care (IPFCC) provides directions to advance in understanding,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout)}.

This care is an approach to the planning,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size,Wand Massager Baguette Masseur Sans Fil, patients and families. Thus,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JJ Cole Couvre-sangles Matelassé occultant, and the only one who has the power of decision^{(ARMADA Baxter Insulated Snow Jacket)}. Thus, care practices in end-of-Light Rose Baby Diaper Bag Backpack, 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^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc)}.

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,La Strada 1902517 Sneaker Knitted Blue-Reebok Softshell Active Jacket Vareuse Homme. 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-GJNVBDZSF Lavabo de Camping^{(XIUYU Car Central Accoudoirs Box Centre Console Noir Boîte de Rangement Cendrier for Suzuki Ignis 2020-2020 Voiture Rest)}.

Conclusion

The decision-Joules Roll Up Welly-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;P448 John Sneaker blanc et rouge-of-JHGK Haut-Top Chaussures De Basket-Ball Couple.

Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, 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-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures. 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,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-Reebok Softshell Active Jacket Vareuse Homme.

Lola Cruz Bottines, 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/RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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-Reebok Softshell Active Jacket Vareuse Homme, 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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.