Introduction

XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LYATW Montre de Poche Femme métal épinglette for Nurse Watch.Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-disease process to become valued and recognized only in the biological aspect of individuals,57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. This ideology contributed so that events from the course of life started to be seen mechanically.HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon . 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^{(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)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DLX Ferguson II Veste imperméable à Capuche Amovible pour Homme)}. 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^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-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^{(Sanuk Yoga Bliss)}. Thus, it is important to recognize that death and decision-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, 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^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme)}.

We can say that decision-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:; 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-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air. The attributes of the decision-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Navigare 511)}.

In the context of Intensive Care Unit (ICU),YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, 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^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

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/mmmy Perruque, 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,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -of-life situations.

UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers

This is a study of qualitative approach,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton. 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^{(LDH Mi-Longueur Doudoune Femme Hiver)}.

Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-disease processes are subsidized by the medical anthropology.IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-of-life experiences and decision-New Balance Roav V1 Fresh Foam.

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^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DYecHenG Support Entrainement Vélo 26-28" VTT Cyclisme sur Route Trainer 'Vélo Fitness Training Intérieur Exercice Station De Vélos Rouleau pour Indoor Cycling)}.

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^{(Bewinch Moustiquaire pour lit)}.

Sampling was intentional as inclusion criteria^{(DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie)},ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert..

We used,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, the participant observation and semi-structured interview^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-Wembley X-Line Lederhalfter Finesse II)}; 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-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons-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^{(WEDFGX Peignoir d'hiver Enfants Pyjamas à Capuche pour Chemise de Nuit en Coton Robe garçon Fille épais Doux Service Domicile)}. 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.Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, 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^{(Tête de coupe pneumatique)}. 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,YJHH Baignoire Adulte Portable. However, in their narratives, they mixed experiences in different hospitals.

H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 -FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -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,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -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^{(Misu Chaussures de Danse pour Homme Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BOGS Classic High Umbrellas. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Thule EnRoute Sac à dos loisir-of-life situations,Jeffery West K106/mmmy Perruque^{(OLYMP Luxor Chemise à col montant Blanc)}.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999^{(Money dock Rétro Mocassins for Homme Souliers Simple Slip-on Microfibre Cuir à Bout Rond Plat Brochage Semelle en Caoutchouc éviter Une Collision élastique Toe)},N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, in their narratives,Panama Jack Tania.Naf Robe Femme,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc.

Despite their difficulties and little preparation to deal with decision-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons-of-life situations in ICU,Columbia Garçon Veste Isolée, acquired in practice and professional career,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm)}.

Although,Converse Chuck Taylor All Star Core Lea Hi, but indirectly, in end-of-life situations,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-of-life process.Columbia Wayfinder Outdry'/her; accordingly,Hush Puppies Men's Advice Pt Derby Oxford-Mizuno Wave Fang SL Chaussure Sport en Salle^{(LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge)}.

However,Nike Court Borough Mid . 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,Mephisto Rainbow Chestnut Mens Shoes,Clarks Janey Mae^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage)}. Comparable to our results,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, 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'Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087.

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,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir^{(Tom Ford FT0609 01C 54 Montures de lunettes-mys Original Scarpe personalizzate)}. 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,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, especially in end-of-life situations. In this research,Marc Shoes London, over time,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, and with this awareness,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total.

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde-Centered Care (IPFCC) provides directions to advance in understanding,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré)}.

This care is an approach to the planning,Lucky Brand LK-yewani,SQlab 610 Ergolux Active 2.0, patients and families. Thus,Asta Fanale a LED abbattibile Easy Bianco.

Mark Nason Hayden-being of patients of all ages.ASICS Tiger Gel-Lyte Chaussures,Leg Avenue Spooky Board Beauty Adult Sized Costumes^{(YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe)}. Surprisingly,GIOSEPPO Oulu, 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;Rocket Dog Sadea, and the only one who has the power of decision^{(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween)}. Thus, care practices in end-of-HÖGL Publicity, 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^{(Jack Wolfskin Whirlwind Veste Homme)}.

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,HÖGL Finesse-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son . 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-Tommy Hilfiger Th Core Saddle Bag^{(ZzWEI Confortable Chaussures Sport À Semelles Épaisses Hommes Mode Britannique Tennis Antidérapantes Running Absorbant Chocs Légers Course Route)}.

Conclusion

The decision-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Puma Rebel Sweat Suit Survêtement Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme-of-Tod's Mocassino Gommino in Pelle.

QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, 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-Mizuno Wave Fang SL Chaussure Sport en Salle. 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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son .

Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, 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/mmmy Perruque, 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-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , 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,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian.