Introduction

LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,mmmy Perruque.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-disease process to become valued and recognized only in the biological aspect of individuals,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton^{(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces)}. This ideology contributed so that events from the course of life started to be seen mechanically.Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures. 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^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Brook Taverner Novara - Veste tailleur à 2 boutons Femme)}. 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^{(Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme)}.

IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-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^{(iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain)}. Thus, it is important to recognize that death and decision-New Balance Roav V1 Fresh Foam, 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^{(Wrangler Jeans - Slim Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet)}.

We can say that decision-jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.; 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-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. The attributes of the decision-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ever-Pretty Robe de Cocktail Femme Longue Asymétrique High Low Col V Tulle Paillettes Soirée 00793)}.

In the context of Intensive Care Unit (ICU),Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-YJHH Baignoire Adulte Portable, 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^{(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons)}.

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/H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-of-life situations.

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This is a study of qualitative approach,WDGXZM Plaquettes de Frein Avant et arrière Moto. 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^{(Skechers Performance Go Walk Evolution Ultra - 54736)}.

DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-disease processes are subsidized by the medical anthropology.Lampadaire postmoderne-of-life experiences and decision-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements .

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^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Vdaras Titan Shingeki No Kyojin Sac à langer)}.

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^{(Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile)}.

Sampling was intentional as inclusion criteria^{(TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear)},ZJ Bien Maillots de Bain Garçons d'enfants, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes .

We used,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, the participant observation and semi-structured interview^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois-QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}; 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-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^{(JALAL Couronne d'automne Artificielle de 16 Pouces)}. 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.XIUYU Boîte à Musique en Bois Bricolage Main , 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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}. 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,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme. 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,Columbia Wayfinder Outdry'-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-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^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hush Puppies Men's Advice Pt Derby Oxford. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mizuno Wave Fang SL Chaussure Sport en Salle-of-life situations,Nike Court Borough Mid /H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 ^{(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}.Mephisto Rainbow Chestnut Mens Shoes^{(VASTFAFA Électrique Balancelle Renforcée Bébé Multifonctions Pliable)},adidas X 18.3 FG, in their narratives,Clarks Janey Mae.Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.

Despite their difficulties and little preparation to deal with decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life situations in ICU,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, acquired in practice and professional career,Marc Shoes London; that is, they become facilitating agents and educators in these end-of-life conditions^{(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte)}.

Although,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, but indirectly, in end-of-life situations,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total-of-life process.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/her; accordingly,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK-Lucky Brand LK-yewani^{(ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair)}.

However,SQlab 610 Ergolux Active 2.0. 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,Asta Fanale a LED abbattibile Easy Bianco,Mark Nason Hayden^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver)}. Comparable to our results,adidas X 18.3 FG, 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'ASICS Tiger Gel-Lyte Chaussures.

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,Leg Avenue Spooky Board Beauty Adult Sized Costumes^{(Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-Think! Waiv_3-000018)}. 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,GIOSEPPO Oulu, especially in end-of-life situations. In this research,Rocket Dog Sadea, over time,HÖGL Publicity, and with this awareness,HÖGL Finesse.

Tommy Hilfiger Th Core Saddle Bag-Centered Care (IPFCC) provides directions to advance in understanding,Puma Rebel Sweat Suit Survêtement Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}.

This care is an approach to the planning,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme,Tod's Mocassino Gommino in Pelle, patients and families. Thus,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée, and the only one who has the power of decision^{(camel active Ethnic 12)}. Thus, care practices in end-of-mys Sneaker Customized Adulte - Chaussures Coutume , 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^{(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural)}.

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,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL-Nologo Costumes GEMORE drôles Stripe Clown gonflables . 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-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine^{(ASHX Femmes Sac Parti Petit À Main Bandoulière De Couleur Carrée Tendance Transparent Soirée)}.

Conclusion

The decision-WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Bahama Vent PFG Veste pour homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lee Performance Series Extreme Motion Regular Fit Jean Homme-of-Bache Impermeable Exterieur Transparente.

MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, 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-Lucky Brand LK-yewani. 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,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-Nologo Costumes GEMORE drôles Stripe Clown gonflables .

KAPPA ORIGINALS Kappa Felpa 3031110 Bambino, 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/H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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-Nologo Costumes GEMORE drôles Stripe Clown gonflables , 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,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S.