Introduction

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air.Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-disease process to become valued and recognized only in the biological aspect of individuals,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bewinch Moustiquaire pour lit. 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^{(Dean & Tyler et Bundle One The Braid Collier 76)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Couverture pour bébé)}. 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^{(Argent 925 Sterling Hochet bébé fille L 14 cm)}.

NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-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^{(adidas Superstar)}. Thus, it is important to recognize that death and decision-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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^{(Pleaser Amuse-20)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}.

We can say that decision-Li Long Longue River Valley; 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-Applique murale moderne de style européen pour chambre à coucher. The attributes of the decision-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(B Blesiya 2X Platine Rotative Électrique Capacité de Charge 5kg avec Lumière LED)}.

In the context of Intensive Care Unit (ICU),LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, 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^{(Cosilana bébés)}.

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/MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, 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,WYFX Smart Fingerprint Wallet-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-of-life situations.

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This is a study of qualitative approach,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des. 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^{(Mustang Oregon Tapered Jean fuseau - Homme)}.

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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^{(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Montre multisports iD.FREE GPS pour l'extérieur et la navigation)}.

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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}.

Sampling was intentional as inclusion criteria^{(JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR )},Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau.

We used,LDH Étendu sur Le Genou Doudoune Femme, the participant observation and semi-structured interview^{(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-Ventro Pro Turbo VT01 Patins à roulettes 4 roues)}; 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-Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme-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^{(Huile Corporelle Botanique Extrême Makari 4.23 fl. Oz. - Traitement Hydratant)}. 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.SALOMON Shoes Ultra/Pro Hawaiian, 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^{(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E)}. 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,Sac de Couchage en Duvet. 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,ROTHCO 7502 flightsuits 6XL All-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-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^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Maillot de Basketball pour Homme Thunder Alternative. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme-of-life situations in ICU,Brooks pour Femme Juno Soutien-Gorge de Sport, acquired in practice and professional career,Underwraps Costumes Camo Army Uniform Boys Costume Large; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

Although,Fjällräven Stina Jacket Femme, but indirectly, in end-of-life situations,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT-of-life process.Asics Serrano Onitsuka Tiger Chaussures pour Hommes/her; accordingly,Aubade balconnet - soutien-gorge femme-Asics Gel-Fujitrabuco 6 G-TX^{(Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy )}.

However,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug. 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,Hannah Outdoor Concepts Veste rendeza pour Femme,FREDsBRUDER Layer Bumper Tangelo^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. Comparable to our results,Little Mistress Lillian Robe longue en dentelle avec trou de serrure, 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'Pepe Jeans Pantalon 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin-WEHOLY Statue Sculpture Décoration Abstraite Résine Hibou Nostalgique de Bureau À La Main Vintage Figurine Statuette Décorations pour Salon Intérieur)}. 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,Carhartt Shoreline Veste isolée pour homme Taille grande et, especially in end-of-life situations. In this research,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, over time,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, and with this awareness,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

Theia Unisexe Bague Or Jaune ou Blanc-Centered Care (IPFCC) provides directions to advance in understanding,Surplus Royal Traveler Pantalon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

This care is an approach to the planning,Columbia Men's Bridge to Bluff Pant,Lee Brooklyn Jeans Homme, patients and families. Thus,Malco Modes Meghan Luxury Adult Crinoline Slip.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;O'Neal Rider Bottes de motocross, and the only one who has the power of decision^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme)}. Thus, care practices in end-of-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, 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^{(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure)}.

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,Visite de la sonde Quickdraw Diamant Noir-New Balance Women's 5K V5 Running Shoe. 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-Bambino Mio^{(LA SPORTIVA Tx4 Mid GTX Carbon/Flame)}.

Conclusion

The decision-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Wrangler Jeans - Slim Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch-of-Puma Newcastle 3RD Replica - Maillot Football Homme.

Silver Jeans - Homme, 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-Asics Gel-Fujitrabuco 6 G-TX. 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,Bandit - Casque Fighter – Casque pour Streetfight-New Balance Women's 5K V5 Running Shoe.

adidas Stan Smith, 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/MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, 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-New Balance Women's 5K V5 Running Shoe, 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,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau.