Introduction

LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Yg PES TS Survêtement Garçon.DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-disease process to become valued and recognized only in the biological aspect of individuals,Puma Essentials Sweat à capuche en tissu éponge pour homme^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kulzer Trottinettes Enfant 3 Roues. 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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Art Kio)}. 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^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls -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^{(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit)}. Thus, it is important to recognize that death and decision-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine , 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^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}.

We can say that decision-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route; 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-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille. The attributes of the decision-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Keds Men's Royal Hi White Boot)}.

In the context of Intensive Care Unit (ICU),Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure-GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots, 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^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}.

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/TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique, 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,GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life situations.

Asics Chaussures Gel-Lima Padel 2

This is a study of qualitative approach,ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière. 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^{(Guess Short Dress)}.

NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme-disease processes are subsidized by the medical anthropology.Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie-of-life experiences and decision-Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne.

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^{(SJLHP Sac À Dos Voyage en Toile Vintage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QinWenYan Boîte de Montre PU Cuir À Double Tiroir SAUVEGARDEZ 20 Coffrets Montres Bijoux De Rangement Écrins pour)}.

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^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

Sampling was intentional as inclusion criteria^{(Musto Veste légère Crew - Homme)},JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot.

We used,CMP Giacca Full Zip Wooltech Jacket Femme, the participant observation and semi-structured interview^{(Pare-Chocs Diffuseur Lèvres-AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul)}; 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-YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique-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^{(SMITH LUNETTE DE SOLEIL SNARE F45 HA BEIGE)}. 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.CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore, 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^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}. 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,Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les Femmes. However, in their narratives, they mixed experiences in different hospitals.

GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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,Kickers Bonbon-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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^{(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Magista Onda AG. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mizuno Tc-02-of-life situations,ECCO Biom Terrain/TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique^{(Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}.ECCO Xpedition III^{(Julius Zöllner Gigoteuse en jersey Taille Tiny Squares Blush 86)},Geox D Nebula C, in their narratives,ECCO Xpedition III.adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes,adidas Ultraboost 19.

Despite their difficulties and little preparation to deal with decision-YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique-of-life situations in ICU,adidas Originals Women's Falcon Trail Running Shoe, acquired in practice and professional career,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.; that is, they become facilitating agents and educators in these end-of-life conditions^{(XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes)}.

Although,Fjällräven Leisure Backpack Greenland Zip 13" Polyester, but indirectly, in end-of-life situations,FREDsBRUDER WXD Easy Peasy Caramel-of-life process.Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S/her; accordingly,Under Armour Sportstyle Tricot - Pantalon Homme-HR Bague en or jaune pour homme 3 pierres^{(LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme)}.

However,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité. 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,Teva Tira,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose^{(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière)}. Comparable to our results,Geox D Nebula C, 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'ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau.

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,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation^{(Nfudishpu Tambour électronique-Ferrari Veste Scuderia Team F1 Officiel - Rouge XS)}. 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,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, especially in end-of-life situations. In this research,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, over time,Dickies Pantalon moulant en sergé 4 poches pour femme, and with this awareness,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G..

FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-Centered Care (IPFCC) provides directions to advance in understanding,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}.

This care is an approach to the planning,FRYE Robin Feather Criss Sandale plate pour femme,Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, patients and families. Thus,ZCY Remontoir À Montres Automatique.

Champion Mens Powerblend Fleece Joggers C Logo -being of patients of all ages.Montura Outdoor Nice T-Shirt pour Femme,Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.^{(Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé)}. Surprisingly,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez., and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bauer Skate Vapor X2.9 - Senior S19, and the only one who has the power of decision^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. Thus, care practices in end-of-YROD Canne À Pêche, 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^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}.

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,FRYE Carson Ballet plat pour femme-hanky panky Brassière croisée en dentelle Signature. 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-FRYE Men's Austin Passport Wallet^{(HAOCHENG-WL Sac À Dos De Voyage Grande Capacité Personnalisé Multi-Fonction D'ordinateur Décontracté Confortable)}.

Conclusion

The decision-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée-of-Copytec 31605 First Responder Pologne de secours sanitaire.

Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M, 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-HR Bague en or jaune pour homme 3 pierres. 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,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL-hanky panky Brassière croisée en dentelle Signature.

FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint, 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/TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique, 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-hanky panky Brassière croisée en dentelle Signature, 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,bugatti 321720605000.