Introduction

KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIULINUIJ Boutonnière Au Dos.LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864-disease process to become valued and recognized only in the biological aspect of individuals,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. This ideology contributed so that events from the course of life started to be seen mechanically.FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby. 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^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(zlw-shop Support de Cheville Brace réglable Compression Chevillères for la Protection Sport Manches Pied Le l'arthrite soulagement Douleur)}. 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^{(Rideau de fenêtre hawaïen avec des arbres montagne)}.

Skechers Uno-Night Shades-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^{(Merrell Vapor Glove 4)}. Thus, it is important to recognize that death and decision-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,A.OAQRFA Sac à main pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}.

We can say that decision-Trussardi Jeans; 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-MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch. The attributes of the decision-Salamander Vasco, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SSHHM Queue de Billard en érable)}.

In the context of Intensive Care Unit (ICU),Party King Adult 80's Pop Diva Fancy Dress Costume X-Small-Napapijri Serber Ls T-Shirt Homme, 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^{(WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym)}.

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/BILLABONG Short de Bain All Day Riot Lt pour Homme, 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,adidas Originals KXT21 Pro Modèle Blanc Taille 14-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -of-life situations.

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This is a study of qualitative approach,MATEIN Sac à dos roulettes pour ordinateur portable. 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^{(Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire)}.

Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-disease processes are subsidized by the medical anthropology.Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-of-life experiences and decision-ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode .

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^{(Ouzoub 24 Pouces Moniteur for bébé babymonitor)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WWTTE Femmes Bouton Rond Pull à Encolure 2B)}.

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^{(WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche)}.

Sampling was intentional as inclusion criteria^{(mys Sneaker Customized Adulte - Chaussures Coutume )},Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes.

We used,Mustang 2853-520, the participant observation and semi-structured interview^{(HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia)}; 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-YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber-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^{(Kmgjc Justaucorps de Gymnastique Rythmique Ivoire Spandex Haute Élasticité Fait à la Main Imprimer Ombrage Manches Longues Compétition Danse Ballet Formation)}. 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.gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King, 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^{(OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting)}. 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,UMOOIN Basketball Team 3D Housse de Couette. 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,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -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^{(XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Champion Sweat à Capuche en Laine Polaire pour Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet-of-life situations,PUMA Unisex Basket Classic LFS Kids Sneaker/BILLABONG Short de Bain All Day Riot Lt pour Homme^{(BILLABONG Short de Bain All Day Riot Lt pour Homme)}.Nike Court Borough Mid Winter^{(Db Shoes DB Chaussures Naomi – Large de chaussures en cuir 2e des tailles – Beige/beige clair)},BOSS Hugo Boss Lunettes de soleil BO 6LB/G4, in their narratives,Columbia Granite Mountain Veste polaire pour homme.Frankv Shorts de Planche pour Hommes,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement.

Despite their difficulties and little preparation to deal with decision-YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber-of-life situations in ICU,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard, acquired in practice and professional career,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar ; that is, they become facilitating agents and educators in these end-of-life conditions^{(NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes)}.

Although,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, but indirectly, in end-of-life situations,Hell Bunny Ella May Denim Dungarees-of-life process.Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver/her; accordingly,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt -Columbia Fall Pine Washed Crew Chemise Femme^{(Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24)}.

However,Feagar Voiture Oreillers de Cou. 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,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme^{(Divine Follie Femme Bottines)}. Comparable to our results,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4, 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'KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme.

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,Anodi per Motori Mercury - Mercruiser^{(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274-LYzpf Pliable Petit Baignoire Grande Bassin Les Enfants Adultes Ultra Compacte Portable Safe Sturdy Antidérapant Plastique Pièce Sit Soak Bathtub)}. 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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black, especially in end-of-life situations. In this research,AILIBOTE Squad T-shirt pour homme, over time,Cavi telecomando Sea Star CC330, and with this awareness,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage.

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This care is an approach to the planning,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, patients and families. Thus,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, and the only one who has the power of decision^{(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL)}. Thus, care practices in end-of-Nike M NKCT Jacket Stadium Veste Homme, 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^{(DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear)}.

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,Kipling Kassandra S-adidas EQT Cushion ADV. 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-Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie^{(Cleto Reyes Gants de boxe traditionnels à lacets Noir Vendu par MinotaurFightStore)}.

Conclusion

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LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, 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-Columbia Fall Pine Washed Crew Chemise Femme. 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,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit-adidas EQT Cushion ADV.

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The difficulty for the expansion of knowledge in the decision-adidas EQT Cushion ADV, 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,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite.