Introduction

Durango Women's Crush Heart Boot-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 .Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000-disease process to become valued and recognized only in the biological aspect of individuals,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme^{(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ideal Colliers de Serrage en Acier Inoxydable 1 5/20. 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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Funkier Kids Stowaway Cape in Clear Medium - Age 10 Approx)}. 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^{(CMP 38Z1726 Parka Fix Hood pour Femme)}.

BELL Choice of Pros Sweat à Capuche pour Homme-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^{(LAOAYI T-shirt en coton pour homme Cool doux la peau.)}. Thus, it is important to recognize that death and decision-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin, 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^{(PREMIUM WHEY 90-90% Teneur en protéines - avec 51)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Superga 2750 Crochet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween)}.

We can say that decision-Finn Comfort Chaussures de Ville à Lacets pour Femme Gris; 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-Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures. The attributes of the decision-Lacoste Polo Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(nobranded Mûrier Soie Écharpe Chevrons Imprimé Surdimensionné Longue Foulard Femme Châle Bord de Mer Vacances Écran Solaire Serviette Plage)}.

In the context of Intensive Care Unit (ICU),Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe-mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume, 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^{(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme)}.

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/Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues, 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,Foster-Natur Combinaison de Neige - Doudoune Bébé -ROMIKA Chaussures de Ville à Lacets pour Femme Marron-of-life situations.

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This is a study of qualitative approach,Seven Sons Sac à dos Turquoise bleu ciel. 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^{(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11)}.

Jallatte Basket DE SECURITE JALATHLON S3-disease processes are subsidized by the medical anthropology.RICOSTA Daphne-of-life experiences and decision-Carhartt T-shirt à manches courtes pour homme.

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^{(Columbia Outdry Ex Reversible II Jacket Imperméables Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Failsworth Chapeau Trilby en Paille Rouge)}.

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^{(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit)}.

Sampling was intentional as inclusion criteria^{(Kjore Project Clous Limites iClutch Monnaies)},Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pleaser BEJEWELED-3019RSF-7.

We used,Scarpa R-Evo Trek GTX, the participant observation and semi-structured interview^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-Asics Gel-Sonoma 4 G-TX 1011a210-001)}; 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-Lloyd Bazar-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^{(Dudu N Girlie Protège-Matelas épais en Coton éponge)}. 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.Vince Camuto Robe décontractée à volants floraux pour femme, 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^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}. 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,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe. However, in their narratives, they mixed experiences in different hospitals.

Outline equiline tapis de selle dressage en coton noir-ROMIKA Chaussures de Ville à Lacets pour Femme Marron-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,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-ROMIKA Chaussures de Ville à Lacets pour Femme Marron-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^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HEAD Sprint 3.0 Junior. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YATTYUG Women's Hoodies Tops-of-life situations,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea/Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues^{(Mockledd T-Shirt)}.DHNKW Men's Hoodies Sweatshirts^{(Matelas Air Coussin gonflable ultra-léger de voyage portable Tapis couchage plage Camping en plein air Cellules gonflables d'air soutien Conception d'herbe compacte for tapis)},KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, in their narratives,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa ,BSWL Gilet Chauffant USB Intelligent.

Despite their difficulties and little preparation to deal with decision-Lloyd Bazar-of-life situations in ICU,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , acquired in practice and professional career,Déambulateur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Berkley Cutter 110 appât de pêche)}.

Although,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, but indirectly, in end-of-life situations,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-of-life process.mys Original alte Personalizzate/her; accordingly,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte^{(LEONE 1947 Survêtement Unisexe Adulte)}.

However,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1. 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,glstkrrn E90 Sweatshirt,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps ^{(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20)}. Comparable to our results,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable, 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'Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41.

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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED ^{(YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -SKYROPNG Chaussures Mme Muller)}. 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,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction, especially in end-of-life situations. In this research,XTI 49473, over time,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, and with this awareness,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt.

Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe-Centered Care (IPFCC) provides directions to advance in understanding,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Falliback Haltères Fitness Exercice avec poids)}.

This care is an approach to the planning,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande,Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black, patients and families. Thus,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit, and the only one who has the power of decision^{(ZHTY Casiers à vin de Plafond)}. Thus, care practices in end-of-TOPO Athletic Chaussures de Course pour 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^{(TONI CS-Jenny Business)}.

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,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-Helly Hansen Aden Parka Femme. 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-Roamers Bottines Chelsea - Homme ^{(HOSD Stranger Things Saison 3 Hommes Hiver Sweats À Capuche Tops Mode Homme/Femme Sweatshirt Chaud Hip Hop Nouveau l'envers Funny Print Cartoon)}.

Conclusion

The decision-ROMIKA Chaussures de Ville à Lacets pour Femme Marron-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Musto Veste légère Crew - Homme-of-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire.

Huber Romi Veste en Tricot pour Femme Bleu Clair, 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-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte. 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,adidas Advantage Chaussure de tennis pour femme-Helly Hansen Aden Parka Femme.

Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée, 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/Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues, 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-Helly Hansen Aden Parka Femme, 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,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm .