Introduction

Irregular Choice Schatzi-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YONEX Crew Neck L.Timberland Baskets Brooklyn Leather Vert-disease process to become valued and recognized only in the biological aspect of individuals,HUF Sweat-shirt Crew Essentials Taille L^{(Pepe Jeans Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Scubapro Delta Boot 6. 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^{(Jeffery West K106)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Brooks Revel 2)}. 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^{(LED night light)}.

BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-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^{(Marc Aurel T-Shirt avec imprimé et Broderie pour Femme)}. Thus, it is important to recognize that death and decision-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, 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 Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Showers Pass Short de ski léger respirant à séchage rapide pour homme)}.

We can say that decision-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover; 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-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium. The attributes of the decision-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HFJKD Chaise de Jeu Bureau d'ordinateur avec accoudoirs rembourrés Ergonomique pivotante PC en Cuir PU pour jou)}.

In the context of Intensive Care Unit (ICU),Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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^{(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture )}.

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/HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-of-life situations.

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This is a study of qualitative approach,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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^{(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques)}.

DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -disease processes are subsidized by the medical anthropology.Falke TK 1 Chaussettes randonnée homme-of-life experiences and decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison.

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^{(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(L@YC Bride à La Cheville Pour Femmes Bout Ouvert Talon Aiguille Sandales Talons Hauts éLéGantes Perles Ruban Satin Mariage Chaussures De MariéE)}.

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^{(Clarks Bottines pour Femme Noir)}.

Sampling was intentional as inclusion criteria^{(Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable)},RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Traducteur Instantané.

We used,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, the participant observation and semi-structured interview^{(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant-2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de 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-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-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^{(EDELWEISS Chaîne Fine Or Jaune 8 carats 333 - Maille d'Ancre Plate 0)}. 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.SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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^{(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire)}. 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,Siennaa Pull Billie Eilish Femme. 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,Adult Raincoats Imperméable réfléchissant-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-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^{(Emporio Armani Stretch Long Sleeve T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Papillio Daytona-of-life situations,Etnies Fader 2/HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène ^{(Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075)}.Etnies Fader 2^{(GOYING The Seven Deadly Sins Hoodies Anime Hommes et Femmes Veste en Jean Confort décontracté Pullover)},SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, in their narratives,Mammut Ultimate Veste V So – .MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite.

Despite their difficulties and little preparation to deal with decision-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-of-life situations in ICU,New Balance Wj91524 Pull à Capuche Femme, acquired in practice and professional career,Close Parent Caboo Porte-bébé Coton bleu clair; that is, they become facilitating agents and educators in these end-of-life conditions^{(RZHSS Sweats à Capuche)}.

Although,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, but indirectly, in end-of-life situations,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-of-life process.POSEIDON Bobbin KNOTTER Gold Black/her; accordingly,Multifanshop Rétro sac à bandoulière modern love wiebke noir-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille^{(XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié )}.

However,Geox B Todo Boy A. 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,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement^{(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques)}. Comparable to our results,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour, 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'Haedr Coussin résistant à la Casse pour bébé.

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,camel active Ethnic 12^{(Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-Supra Method)}. 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,PICTO Montre à Quartz Unisexe, especially in end-of-life situations. In this research,MARCO TOZZI 23712 Femme Chaussures Noir, over time,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, and with this awareness,Jané Isize Siège Auto Gris 75 à 150 cm.

Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-Centered Care (IPFCC) provides directions to advance in understanding,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson)}.

This care is an approach to the planning,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, patients and families. Thus,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, and the only one who has the power of decision^{(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir)}. Thus, care practices in end-of-glstkrrn RX8 RX-8 Ugly Christmas Sweater, 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^{(Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm)}.

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,Waldhausen Reithose Funktion Sport Silikon-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie. 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-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans^{(Mallimoda Femme Mocassins Vintage Tissage Main Plate Chaussures Bateau Respirant Casual Derbies à Lacets)}.

Conclusion

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