Introduction

EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des .pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-disease process to become valued and recognized only in the biological aspect of individuals,steve madden Leona Black One Size^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. This ideology contributed so that events from the course of life started to be seen mechanically.Think! Kapsl_3-000045. 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^{(PICTO Montre à Quartz Unisexe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Columbia Ultimate Roc Flex Pant - Pantalon de randonnée 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^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag)}.

AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-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^{(Re-Ment Sanrio Hinamatsuri)}. Thus, it is important to recognize that death and decision-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, 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^{(Clarks Men's Weaver Moccasin)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Casio A158 Montre Bracelet en Acier Inoxydable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.

We can say that decision-Domopak Living Sac à Chaussures 12 Compartiments; 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-NYLY Sac à Dos Harry P. The attributes of the decision-N\P Sweat à capuche manches longues pour femme Automne et Hiver, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cheval à bascule en Bois Solide Chaise berçante Jouet bébé Cadeau Petit 77 * 39 55.5 cm Xuan - Worth Having)}.

In the context of Intensive Care Unit (ICU),QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, 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^{(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants)}.

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/AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, 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,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-Charmance Pull à Torsades - Femme-of-life situations.

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This is a study of qualitative approach,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . 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^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}.

CLII Automobile Instrument de Diagnostic pannes-disease processes are subsidized by the medical anthropology.GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -of-life experiences and decision-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print.

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^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Luckyprint Straight Outta Wasteland Slogan Trucker Cap)}.

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^{(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir)}.

Sampling was intentional as inclusion criteria^{(WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad)},YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

We used,Y-Volution Y-volution - draisienne yvelo air Bleu, the participant observation and semi-structured interview^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}; 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-Multiple colors New ballet LED table lamp 7 color touch 3d night light-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^{(Badgley Mischka Jewel Keshia III Sandales avec bride de cheville Doré métallisé)}. 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.N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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^{(Asics Chaussures Gel-Quantum 90 pour Femmes)}. 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. 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,FYWTFY Netred Casual Ladies Work Wear Belle Veste-Charmance Pull à Torsades - Femme-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^{(WOHAO Brossettes Masque Halloween Adulte Cosplay)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wangqiuying19 Cagoule multifonction 12 en 1. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tengyuntong NAasks Sweat-Shirt à Capuche-of-life situations,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes/AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme^{(AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling )}.KIUYMRV Sac de soirée pour Femme avec Strass et Doré^{(teespring T-Shirt - Homme)},Fly London Besi203fly, in their narratives,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode .PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.

Despite their difficulties and little preparation to deal with decision-Multiple colors New ballet LED table lamp 7 color touch 3d night light-of-life situations in ICU,Sam Edelman Yaro, acquired in practice and professional career,Antica Cuoieria Stringate Donna Pelle oro; that is, they become facilitating agents and educators in these end-of-life conditions^{(mantraroma Bague argent 925 sterling pierre de lune )}.

Although,Trespass Virtual Veste Femme, but indirectly, in end-of-life situations,Falliback Haltères Fitness Exercice avec poids-of-life process.PUMA Chaussures de Jeu Future Rider Neon pour Hommes/her; accordingly,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-WZR Femme's Synthétique Sandales Slipper Pantoufles^{(Tommy Hilfiger Sonnenbrille )}.

However,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design . 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,ZXL Lampe Lampe,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}. Comparable to our results,Fly London Besi203fly, 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'Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8.

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,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ^{(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops-Hope Bottes de Combat pour Hommes Militaires en Cuir Noir sécurité et Tactiques Forces spéciales randonnée Plein air Chaussures du désert)}. 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,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, especially in end-of-life situations. In this research,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, over time,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, and with this awareness,Horloge Murale silencieuse Moderne de Chat Dudu.

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This care is an approach to the planning,B/H réglables - Pantoufles,XSENSIBLE Wembley Dark Blue Metallic , patients and families. Thus,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.

Forrest Gump bubba gump schrimps hutkappe rouge-being of patients of all ages.DIY fun shop Sac à bandoulière,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique^{(Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011)}. Surprisingly,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, 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;Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, and the only one who has the power of decision^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule)}. Thus, care practices in end-of-WOHAO Brossettes Masque Halloween Adulte Cosplay, 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^{(MASCOT WORKWEAR Mascot Polo De Travail Crossover)}.

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,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-Filet de protection Sécurité Maille De for Enfants. 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-Sorel Youth Out N About Conquest^{(Berkley Scintillement Shad Pêche Appât)}.

Conclusion

The decision-Charmance Pull à Torsades - Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lloow Chaise de Douche-of-Tondeuse à cheveux.

BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , 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-WZR Femme's Synthétique Sandales Slipper Pantoufles. 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,AlokHnvj Banbag Simple De Canapé Paresseux-Filet de protection Sécurité Maille De for Enfants.

LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, 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/AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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