Introduction

TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body.Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-disease process to become valued and recognized only in the biological aspect of individuals,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag^{(Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Filet de protection Sécurité Maille De for Enfants. 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^{(Gabor Femme Ballerines)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ensemble de housse couette en microfibre molle)}. 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^{(Columbia Youth Firecamp Mid 2 WP)}.

YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-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^{(YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme)}. Thus, it is important to recognize that death and decision-AWYJ Balles de bébé, 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^{(FRYE Men's Austin Passport Wallet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls )}.

We can say that decision-EASTPAK Buckler Sac bandoulière; 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-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe. The attributes of the decision-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ECCO Biomraft)}.

In the context of Intensive Care Unit (ICU),NIEWEI-YI Sweatshirts Unisexe-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, 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^{(MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge)}.

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/French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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,CLJ Lunettes de Lecture pour Hommes-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-of-life situations.

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This is a study of qualitative approach,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.. 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^{(Impala ROLLERSKATES - Midnight)}.

NINE WEST Starship Nubuck-disease processes are subsidized by the medical anthropology.LHY LOFT Cactus Enfants Plafonnier-of-life experiences and decision-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15.

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^{(RKRCXH Queue De Sirène Et Nageoire)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Posterlounge Tableau en Verre Acrylique 80 x 60 cm: Sleeping Nymph 3 - Female Nude de Carmen Tyrrell)}.

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^{(Zhik Hybrid Skiff Suit 2020)}.

Sampling was intentional as inclusion criteria^{(Asics Chaussures Gel-Quantum 180 4)},MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes.

We used,steve madden Leona Black One Size, the participant observation and semi-structured interview^{(LA SPORTIVA Akasha Chaussures de Trail - Homme-Katana Cartable 2 Soufflets en Cuir)}; 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-Think! Kapsl_3-000045-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^{(Flowy Cactus coussin de belle-mère | Echinocactus grusonii Plante d'intérieur Hauteur 30 cm Pot 26 Entretien facile)}. 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.AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, 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^{(Kipling Creativity Grande)}. 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,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus. 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,BOGS Bottes de pluie imperméables pour femme-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-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^{(Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fly London Besi203fly. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-of-life situations,Emporio Armani Stretch Long Sleeve T-Shirt/French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt^{(Mephisto Phila)}.Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes^{(CX TECH Machine à faible bruit rotatoire de machine tatouer moteur tatouage pistolet forte légère entraînement direct)},Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, in their narratives,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune.suneagle Semelles éLectriques,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas.

Despite their difficulties and little preparation to deal with decision-Think! Kapsl_3-000045-of-life situations in ICU,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, acquired in practice and professional career,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break; that is, they become facilitating agents and educators in these end-of-life conditions^{(Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde)}.

Although,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, but indirectly, in end-of-life situations,Clarks Women's Ayla Low Ballet Flat-of-life process.IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille/her; accordingly,Harry wang Sweat à Capuche pour Hommes Bleu-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris^{(XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza)}.

However,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc. 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,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex ^{(Mandarina Duck Hera 3.0 Portafoglio)}. Comparable to our results,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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'FYWTFY Netred Casual Ladies Work Wear Belle Veste.

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,Wangqiuying19 Cagoule multifonction 12 en 1^{(Craghoppers Kiwi Boulder 40-Fornarina Bubble2)}. 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,Tengyuntong NAasks Sweat-Shirt à Capuche, especially in end-of-life situations. In this research,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes, over time,KIUYMRV Sac de soirée pour Femme avec Strass et Doré, and with this awareness,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode .

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This care is an approach to the planning,Sam Edelman Yaro,Antica Cuoieria Stringate Donna Pelle oro, patients and families. Thus,Trespass Virtual Veste Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , and the only one who has the power of decision^{(LXDDP Chaise Bureau Fashion Mesh)}. Thus, care practices in end-of-ZXL Lampe Lampe, 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^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}.

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,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-Pepsi Welcomes The World Women's Hooded Sweatshirt. 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-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8^{(ThrustMaster Thrustmaster TX SERVO BASE RW base moteur brushless retour de force pour volant détachable compatible PC / Xbox One)}.

Conclusion

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LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure, 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/French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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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