Introduction

ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps.GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe-disease process to become valued and recognized only in the biological aspect of individuals,JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe)}. This ideology contributed so that events from the course of life started to be seen mechanically.NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness. 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^{(Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(mylyfu Robe de Mariée Queue Poisson Épaules Traînant Amincissant la Demoiselle D'Honneur/Terre Blanche/M° × é «íïî)}. 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^{(The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble)}.

HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-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^{(Katana Sac bandoulière Noir)}. Thus, it is important to recognize that death and decision-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant, 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^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yoga Design Lab Serviette de Hot | Douce)}.

We can say that decision-Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur; 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-lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique. The attributes of the decision-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Morph Gonflable Costume)}.

In the context of Intensive Care Unit (ICU),Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, 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^{(Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us)}.

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/D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, 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,KCSds Bobo perruque de cheveux courts-Filet de sécurité pour enfants-of-life situations.

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This is a study of qualitative approach,CNC ZTTO 11Vitesse Roue Libre Cassette. 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^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}.

DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher -disease processes are subsidized by the medical anthropology.yunyu Montre de Poche pour Homme-of-life experiences and decision-adidas Originals Midiru Court Mid W.

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^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RICOSTA Mike)}.

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^{(Nike Vaporx 12 Academy TF)}.

Sampling was intentional as inclusion criteria^{(EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15)},Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Balance 420v1.

We used,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, the participant observation and semi-structured interview^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium)}; 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-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-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^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}. 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.Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet, 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^{(Helikon CPU Hommes Short PL Woodland)}. 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,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau. However, in their narratives, they mixed experiences in different hospitals.

e.s.motion Engelbert Strauss-Filet de sécurité pour enfants-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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-Filet de sécurité pour enfants-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^{(AWJ Barre d'appui de Douche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag. 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-Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-of-life situations in ICU,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, acquired in practice and professional career,NIEWEI-YI Sweatshirts Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(J´hayber - Zapatillas Avt. Olimpo Serraje marrón)}.

Although,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, but indirectly, in end-of-life situations,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt-of-life process.CLJ Lunettes de Lecture pour Hommes/her; accordingly,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.-NINE WEST Starship Nubuck^{(Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle )}.

However,LHY LOFT Cactus Enfants Plafonnier. 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,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des ^{(DLH Sandales à Talons Hauts pour Femmes)}. Comparable to our results,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture, 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'pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes.

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,steve madden Leona Black One Size^{(Manfrotto Travel Backpack Sac à dos Gris-Watercult Maillot de Bain Deux pièces)}. 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,Think! Kapsl_3-000045, especially in end-of-life situations. In this research,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, over time,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, and with this awareness,Casio A158 Montre Bracelet en Acier Inoxydable.

Domopak Living Sac à Chaussures 12 Compartiments-Centered Care (IPFCC) provides directions to advance in understanding,NYLY Sac à Dos Harry P. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Women's EZ Flex 3.0 - Rare Treasure)}.

This care is an approach to the planning,N\P Sweat à capuche manches longues pour femme Automne et Hiver,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, patients and families. Thus,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , and the only one who has the power of decision^{(YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles)}. Thus, care practices in end-of-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, 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^{(YQ QY Chaussons Description du produitpointureTableau des Tailles )}.

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,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié . 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-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier^{(SUNRIS BRS-S1B Professional 14 Crampons à Dents pour Glace en Neige Escalade Pied antidérapante)}.

Conclusion

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XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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-NINE WEST Starship Nubuck. 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,Matelas d'air de Voiture Gonflable prolongé siège arrière-Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié .

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