Introduction

DZWYM Chaussure De Securité Homme Légères-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas JB A AAC Ft Pt Pantalon Fille.Hoonmis Robe de soirée Enfant-disease process to become valued and recognized only in the biological aspect of individuals,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport^{(YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire )}. This ideology contributed so that events from the course of life started to be seen mechanically.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat . 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^{(casco Reithelm VG1 Spirit - 3 Crystal)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Aubade Culotte)}. 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^{(HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur)}.

PUMA Style Rider Ride on-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^{(TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones)}. Thus, it is important to recognize that death and decision-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, 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^{(pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HART Polar Bear-V Gilet Taille XL)}.

We can say that decision-Moulinets de pêche; 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-Porte-Serviettes Chauffant Intelligent. The attributes of the decision-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Amody Bague Anneau Argent 925 Homme Fer À Cheval Zircon Cubique 20MM Rock Punk Taille 54-66.5)}.

In the context of Intensive Care Unit (ICU),GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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^{(JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806)}.

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/IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, 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,LGLE Pyjama en satin à manches longues pour homme-Lacoste Veste Homme-of-life situations.

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This is a study of qualitative approach,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit. 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^{(Kru Maillots de Basket-Ball pour Hommes et Femmes)}.

LILONGXI Tapis-disease processes are subsidized by the medical anthropology.SYue Miroir de Maquillage Mural-of-life experiences and decision-Pneus De Scooter Électrique.

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^{(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 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QINYUP Vélo Pliant Vitesse vélo)}.

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^{(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine)}.

Sampling was intentional as inclusion criteria^{(adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt )},Aden Anais Sac de Couchage Mousseline 100% Coton, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mandarina Duck Hera 3.0 Portafoglio.

We used,Vince Camuto Raner, the participant observation and semi-structured interview^{(Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains-Strellson Premium Express-w Blouson Homme)}; 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-Demonia GRIP-103 Blk Faux Leather UK 3 -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^{(BESTSOON Chemises Hommes Men Manches Courtes Taille Plus Shirt d'affaires d'été T-Shirt des Multicolor en Option Chemise à pour Les)}. 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.W&XY Escarpins d'hiver pour l'alpinisme , 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^{(Odlo Midlayer Full Zip Proita Femme)}. 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,Nike Quest 3. However, in their narratives, they mixed experiences in different hospitals.

ZOMAKE Sac à Dos Petit 25L-Lacoste Veste Homme-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,puseky Barboteuse - 0 à 24 mois Pour bébé -Lacoste Veste Homme-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^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DKNY Homme DMMDO4HT Manteaux en Laine-of-life situations,Fergalicious Jolene/IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes^{(HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures)}.Merrell Forestbound Waterproof^{(Sakura Color Gb4M1004P Stylo bille multifonction 4 1 Rouge métallisé)},Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, in their narratives,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon.AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads.

Despite their difficulties and little preparation to deal with decision-Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations in ICU,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, acquired in practice and professional career,überleben Coppa leggera in Legno Con moschettone Backpacking; that is, they become facilitating agents and educators in these end-of-life conditions^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}.

Although,Kipling 100 Pens Organiseur de Sac à Main, but indirectly, in end-of-life situations,Lacrosse Women's Aero Timber 10-of-life process.YQ QY Chaussons Description du produitpointureTableau des Tailles /her; accordingly,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-EXTON 246 Sneakers Man^{(Reebok Workout Plus)}.

However,LLNB Zip Veste À Capuche. 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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ,Lora di Collier Indi Celebrate. court^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode )}. Comparable to our results,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, 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'Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron.

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,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper^{(New Balance 420v1-BANZHI Gants de vélo VTT Road Racing Light Silicone Gel Pad Demi-doigt équitation anti-dérapant Gym Sports Hommes Femmes Printemps été)}. 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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , especially in end-of-life situations. In this research,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, over time,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, and with this awareness,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux.

HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -Centered Care (IPFCC) provides directions to advance in understanding,Tamaris Femme Chaussures à Lacets. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D)}.

This care is an approach to the planning,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, patients and families. Thus,Joules Golightly Imperméable Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PUMA Roma Anniversario, and the only one who has the power of decision^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}. Thus, care practices in end-of-Reqins ILAN Lycra - Training Lacet Noir, 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^{(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces)}.

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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-Reebok TS Layering Pant - Pantalon 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-HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ^{(MOSCHINO Abito Bambina Logo Bianco/Nero HAV07H LDB3984911 taglie da 4 a 8 Anni 5 A)}.

Conclusion

The decision-Lacoste Veste Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;In:sole Insole Sexy Talon Haut-of-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet.

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, 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-EXTON 246 Sneakers Man. 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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -Reebok TS Layering Pant - Pantalon Homme.

WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, 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/IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, 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 TS Layering Pant - Pantalon 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,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.