Introduction

teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.Mephisto Mocassins pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes^{(XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fossil Portefeuille à Trois Volets Jesse Cognac. 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^{(Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nanjingjin Garçon & Fille Outwear à capuche avec poche Kausal 100% polyester école automne)}. 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^{(Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33)}.

Saucony Shadow Original-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^{(LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable)}. Thus, it is important to recognize that death and decision-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, 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^{(Sac de Couchage en Duvet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème )}.

We can say that decision-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant; 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-Dare 2b pour femme PREMISS Veste imperméable isolée. The attributes of the decision-Piquadro Pierre Sac de Sport Grand Format, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YGWE Bottes d'hiver pour Hommes Hiver épaissie Neige d'homme Chaud randonnée résistant à l'usure antidérapants Chaussures Casual Confortable)}.

In the context of Intensive Care Unit (ICU),Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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^{(Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron)}.

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/OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, 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,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres-Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-of-life situations.

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This is a study of qualitative approach,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. 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^{(WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D)}.

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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^{(BGBG T-Shirt pour Femmes Quotidien - Color Block Purple)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(mys Scarpe Sneaker Original personalizzate)}.

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^{(U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm)}.

Sampling was intentional as inclusion criteria^{(LiliMill 5579)},Procase ProCase Trousse de Toilette Transparente Anti-Fuite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Trevor Jones Bof Richard III.

We used,I will take action now Lunettes de Soleil coloré Hommes et Femmes, the participant observation and semi-structured interview^{(Clarks Janey Mae-BOSS Cocola Blouse 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-Reebok Classic Small Vector Tee - Manches Courtes Mixte-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^{(BlingelingShirts Élégant t-shirt de Noël pour femme avec inscription en allemand "Dear Santa is Too Late to be Good Strass")}. 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.GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, 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^{(Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau 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,Little Me Bébés Filles Foot. 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,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm-Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-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^{(KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt. 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-Reebok Classic Small Vector Tee - Manches Courtes Mixte-of-life situations in ICU,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant, acquired in practice and professional career,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor; that is, they become facilitating agents and educators in these end-of-life conditions^{(JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures)}.

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However,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré. 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,Ralph Lauren Thompson,21 shoes Chaussures personnalisé cloutée Customized Original ^{(Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc)}. Comparable to our results,FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles, 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'Maillots de Basket-Ball pour Hommes et Femmes.

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,DGHJK Haut-Parleur Bluetooth Gramophone^{(Haggar Cool 18 Pro Stretch Madras Short pour Homme-Aeronautica Militare Polo - Manches courtes Homme 90412 Camouflage Verde)}. 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,Kjore Project Clous Limites iClutch Monnaies, especially in end-of-life situations. In this research,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème, over time,LA SPORTIVA Akasha Chaussures de Trail - Homme, and with this awareness,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts, and the only one who has the power of decision^{(YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals)}. Thus, care practices in end-of-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire, 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^{(Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme)}.

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,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite. 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-Topashe Femme Halloween Renaissance Medievale Costume^{(Converse All Star Hi Seasonal)}.

Conclusion

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