Introduction

mantraroma Bague argent 925 sterling pierre de lune -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.L.BRUAT L. Bruat Montre de sport pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. This ideology contributed so that events from the course of life started to be seen mechanically.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur. 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^{(Box J-Boîte de Montre Coffret en Bois)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lfny-bag Lfny-bagSac Femme Sac Casual Messenger à Main bandoulière)}. 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag-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^{(Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga)}. Thus, it is important to recognize that death and decision-Lowa Renegade GTX Mid, 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike M NKCT Jacket Stadium Veste Homme)}.

We can say that decision-CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ; 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-Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues. The attributes of the decision-Zwei Olli O12 Black, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hommes Sweat à Capuche Jersey Lakers Fans Classique Col Rond Sweat-shirt Automne Et Hiver Manches Longues Pull de Formation Shir)}.

In the context of Intensive Care Unit (ICU),Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

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/LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, 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,Ahdyr Portefeuilles en Cuir pour Femmes-juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-of-life situations.

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This is a study of qualitative approach,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. 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^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}.

Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -disease processes are subsidized by the medical anthropology.Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit-of-life experiences and decision-Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.

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^{(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ferroluce Retrò Suspension Decò Pi C2502 1 lumière finition vert bouteille)}.

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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

Sampling was intentional as inclusion criteria^{(LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903)},Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.L.TSA Lámpara colgante de vidrio minimalista moderno.

We used,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, the participant observation and semi-structured interview^{(Huber Romi Veste en Tricot pour Femme Bleu Clair-Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7)}; 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-Smilice Bottes d'hiver pour Femme-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^{(Tablier Aussi Bien ne peut Nadine aspect. Noir)}. 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.LetsBuyGold Bague Artisanale , 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^{(Suitline Valise Plus Grande Bagages Rigide)}. 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,LetsBuyGold Bague Artisanale . 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,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-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^{(Tommy Hilfiger Leon 21)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lloyd Marvin. 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-Smilice Bottes d'hiver pour Femme-of-life situations in ICU,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, acquired in practice and professional career,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

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However,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. 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,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. Comparable to our results,Jumelles 8-10X42-32 Zoom HD Grande Ouverture, 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'Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .

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,Crocs Sanrah Hammered Metallic Sandal Women^{(TAZAN Mocassins De Conduite pour Hommes Plat-DaTun648 Animal de Compagnie épaule Sac Pet Espace Chat en bandoulière Respirant Chien Voyage Portable pour Sortir)}. 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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , especially in end-of-life situations. In this research,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , over time,Loykind Chaussures De Sécurité, and with this awareness,PieSanto 190801 Chaussures confortables pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, and the only one who has the power of decision^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. Thus, care practices in end-of-Misu Chaussures de Danse pour Homme Noir, 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^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}.

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,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-ProCook - Cocotte Faitout Ronde 24cm / 4. 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-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié^{(Vine Gigoteuse Bébé Hiver Sac de Couchage en Coton Enfant Turbulette pour Sièges Auto Landaus Poussettes Enveloppement Emmailloter 57 * 86cm)}.

Conclusion

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Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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/LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, 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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