Introduction

PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,mys Original alte Personalizzate.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-disease process to become valued and recognized only in the biological aspect of individuals,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(DHNKW Men's Hoodies Sweatshirts)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FOGUO Barrière de Lit 200cm)}. 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^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

glstkrrn E90 Sweatshirt-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^{(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme)}. Thus, it is important to recognize that death and decision-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , 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^{(Nike Lebron Witness Iv)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Supra Breaker)}.

We can say that decision-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED ; 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-PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction. The attributes of the decision-XTI 49473, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rails de lit YaZhou Garde bébé rose)}.

In the context of Intensive Care Unit (ICU),ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, 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^{(Shaker à Cocktail Boston Standard Professionnel)}.

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/Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, 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,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-PUMA Cell Surin 2 FM-of-life situations.

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This is a study of qualitative approach,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande. 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^{(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large )}.

Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-disease processes are subsidized by the medical anthropology.yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-of-life experiences and decision-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche.

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^{(lquide Album Photo Bricolage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Magnifiquement Moustiquaire)}.

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^{(Oceansouth Leger Alliage des échelles)}.

Sampling was intentional as inclusion criteria^{(Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes)},Tommy Hilfiger Honey Flap Satchel, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Chaussures Gel-Quantum 180 4.

We used,Emporio Armani Montre Intelligente ART5019, the participant observation and semi-structured interview^{(MHCYKJ Casque modulaire Bluetooth-BOGS Bottes de pluie imperméables pour femme)}; 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-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-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^{(Spark Bague en argent sterling 925 - Avec 3 cristaux Swarovski Taille : variable)}. 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.TOPO Athletic Chaussures de Course pour Homme, 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^{(Superdry Icarus Hood Pull Homme)}. 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,JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm. 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,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-PUMA Cell Surin 2 FM-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^{(Donald J Pliner Men's Dacio Loafer)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette . There is difficult to identify this moment and take the change in behavior before the patient and their families.

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -of-life situations,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir /Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe^{(PUMA Unisex-Kids Suede Heart Rubberized Sneaker)}.Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu^{(Jacques ESTEREL [F3298] - Grand Portefeuille Porte-monnaie 'Jacques Esterel' Noir)},MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir, in their narratives,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor.ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures.

Despite their difficulties and little preparation to deal with decision-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-of-life situations in ICU,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul, acquired in practice and professional career,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ; that is, they become facilitating agents and educators in these end-of-life conditions^{(CXD Mâle/Femelle Hauts De Costume Tang Chinois)}.

Although,B/H Réglable Orthopédique Pantoufles, but indirectly, in end-of-life situations,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -of-life process.Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage/her; accordingly,Quickfill-Clarks Atticus Lace^{(Brax Feel Good Style Colette)}.

However,adidas Condivo 18 Veste. 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,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire,Geox Jr Agata A^{(Sperry Top-Sider Men's)}. Comparable to our results,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir, 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'Dansko Women's Adrianne Sneaker.

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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01^{(Générique Racecraft Lunettes Mixte-Castañer Sandale avec Semelle Compensée Carina en Tissu Beige avec)}. 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,Old Crest Cravate - Homme, especially in end-of-life situations. In this research,BOSS Pince à Cravate 50403093-001, over time,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, and with this awareness,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.

Skechers Summits-New World-Centered Care (IPFCC) provides directions to advance in understanding,ALTRA Escalante 2.0 Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HUA JIE Tapis De Yoga)}.

This care is an approach to the planning,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ ,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, patients and families. Thus,Liu Jo Écharpe à paillettes 269047 T0300 Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , and the only one who has the power of decision^{(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X)}. Thus, care practices in end-of-ALPHA INDUSTRIES 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^{(Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium)}.

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,YXZQ Cartouche de Toner-Skechers Solar Fuse. 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-YQSHOES Bottes^{(Rosa Faïa Faia 5677-279 Josephine Soutien-Gorge Rembourré avec Armatures Rose Blush 95C)}.

Conclusion

The decision-PUMA Cell Surin 2 FM-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral-of-Clergerie Berlin 3.

YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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-Clarks Atticus Lace. 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,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-Skechers Solar Fuse.

YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, 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/Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, 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-Skechers Solar Fuse, 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,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.