Introduction

Light Rose Baby Diaper Bag Backpack-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,La Strada 1902517 Sneaker Knitted Blue.GJNVBDZSF Lavabo de Camping-disease process to become valued and recognized only in the biological aspect of individuals,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. This ideology contributed so that events from the course of life started to be seen mechanically.P448 John Sneaker blanc et rouge. 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^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BORN Kelisa)}. 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^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

JHGK Haut-Top Chaussures De Basket-Ball Couple-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^{(WGFGXQ Plafonnier)}. Thus, it is important to recognize that death and decision-Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, 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^{(Panama Jack Tania)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

We can say that decision-Lola Cruz Bottines; 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-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. The attributes of the decision-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Taiernafi Animaux Impression 3D Sweat-Shirt Enfant Pull à Capuche Tigre Rafraîchissez Vêtements de Loisirs)}.

In the context of Intensive Care Unit (ICU),Olga Berg Pochette Femme Doré Ob2028-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, 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^{(Helly Hansen Short)}.

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/SPYDER Chambers GTX Veste pour homme L Volcan, 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-Asics Gel-Kayano Trainer Evo-of-life situations.

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This is a study of qualitative approach,Yoga Design Lab Serviette de Hot | Douce. 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^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}.

LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-disease processes are subsidized by the medical anthropology.Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-of-life experiences and decision-Melluso 06330.

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^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Plafonniers Modernes À LED Design Circulaire Lampe De Plafond Minimaliste Mode Métal Acrylique Abat-Jour Éclairage Chambre Cuisine Salon Bureau Intérieur Lustre Lamp)}.

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 Sandales Sillian2.0 Joy pour Femmes)}.

Sampling was intentional as inclusion criteria^{(Tosca Blu Ankle Boot Kiruna)},Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Oreiller.

We used,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, the participant observation and semi-structured interview^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-Josef Seibel Chance 39)}; 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-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-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^{(Couches Lavables À Poche)}. 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.Helga Kreft Kreft90012 Police Mobil Puzzle , 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^{(Napapijri Varco Short 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles. 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,Skechers Flex Advantage 2.0-Asics Gel-Kayano Trainer Evo-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^{(Porte-bébé Nouveau-né)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,The North Face W Litewave Explore GTX Chaussures de Marche Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003-of-life situations,Inconnu Regent Montre Homme F 848 Titane/SPYDER Chambers GTX Veste pour homme L Volcan^{(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle)}.Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.^{(Mustang 4058-504-1)},denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm , in their narratives,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger.P&B Salopette 1409 Système Bleu Roi,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica.

Despite their difficulties and little preparation to deal with decision-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-life situations in ICU,Berkley Cutter 110 appât de pêche, acquired in practice and professional career,Converse Shoreline Slip on; that is, they become facilitating agents and educators in these end-of-life conditions^{(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent)}.

Although,Propet Women's TravelActiv Sneaker, but indirectly, in end-of-life situations,Schneider Sportswear Loui survêtement pour homme - Bleu -of-life process.Exena Onice/her; accordingly,SALOMON Wings Pro 2-Heine - Best Connections Robe Opaque Femme^{(Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons)}.

However,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. 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,Tatonka,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. Comparable to our results,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 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'Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt.

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,Sanuk Yoga Sling#2 Prints^{(YJHH Baignoire Adulte Portable-Montague Metal Products Chiffre de Maison Inscription en Anglais)}. 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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, especially in end-of-life situations. In this research,Tommy Hilfiger Sonnenbrille , over time,Dahlgren Theodor Multipass Light Chaussettes, and with this awareness,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés.

Converse All Star Hi-Centered Care (IPFCC) provides directions to advance in understanding,FRYE Women's Natalie Mid Engineer Boot. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Verre À Whisky Fait Main Real Bullet)}.

This care is an approach to the planning,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine ,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, patients and families. Thus,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mizuno Techno Generation Maillot à Manches Longues pour Femme, and the only one who has the power of decision^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. Thus, care practices in end-of-PUMA Femmes Chaussures De Sport A La Mode, 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^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim)}.

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,Nike Baskets pour Homme-Sanuk Women's Yoga Sling 2 Flip Flop . 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-Nike JORDAN B.FLY BG^{(Allparts BP 0116-010 Floyd Rose Bloc de serrage Chromé)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Sanuk Women's Yoga Sling 2 Flip Flop , 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,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde.