Introduction

Little Me Bébés Filles Foot-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine.HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-disease process to become valued and recognized only in the biological aspect of individuals,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword^{(VIVIANE Boucle D'oreille Support De Rangement)}. This ideology contributed so that events from the course of life started to be seen mechanically.Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54. 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^{(Bearpaw Moc Ii)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(1 pièce Paracorde 550 de type III à 7 brins et d'une longueur 30 m.)}. 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^{(DZWYM Chaussure De Securité Homme Légères)}.

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We can say that decision-Couverture pour bébé; 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-Camfosy Bottines Femme Cuir Talons. The attributes of the decision-Couverture pour bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YBWEN Femmes Danse Vêtements Costume de du Ventre for Femme Tassel Soutien-Gorge et Ceinture Professionnelle Carnaval Jupe Sexy Dancewear)}.

In the context of Intensive Care Unit (ICU),weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet-Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc, 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^{(Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54)}.

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/XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm , 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,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-of-life situations.

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This is a study of qualitative approach,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG. 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^{(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette)}.

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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^{(Skechers Solar Fuse)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TruClothing.com Costume Homme 3 pièces Tweed Laine mélangée Carreaux Chevrons Marron Bleu Peaky Binders Gatsby Le Magnifique)}.

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^{(Invicta 4432348/D Doudoune Femmes)}.

Sampling was intentional as inclusion criteria^{(adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey)},Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XFQ Sandales pour Dames en Plein air.

We used,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, the participant observation and semi-structured interview^{(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme)}; 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-Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by-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^{(You & Me Magic Lait bouteilles de jus)}. 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.Brand88 Wolf Mask, 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^{(WZLJW Douche Piscine Plage Chaussures)}. 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,NEWTON Distance 9 Chaussure De Course à Pied - AW20. 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,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-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^{(Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif. 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-Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by-of-life situations in ICU,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, acquired in practice and professional career,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts; that is, they become facilitating agents and educators in these end-of-life conditions^{(SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil)}.

Although,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire, but indirectly, in end-of-life situations,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-of-life process.Topashe Femme Halloween Renaissance Medievale Costume/her; accordingly,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski^{(Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack)}.

However,Grunland CI0938 ALDE Ciabatta Donna S. Love 36. 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,adidas Pulseboost HD Guard M,WRJY Poussette bébé^{(Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures)}. Comparable to our results,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme, 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'HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux .

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,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche^{(Adorise Bikinis Halter Maillot de bain italien-Aubade Corbeille)}. 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,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, especially in end-of-life situations. In this research,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz, over time,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24, and with this awareness,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket.

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This care is an approach to the planning,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie,Clarks Linvale Emmy, patients and families. Thus,HHORD Panier De Bicyclette Rétro Tissé D'imitation.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, and the only one who has the power of decision^{(Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet)}. Thus, care practices in end-of-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, 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^{(Nike Benassi JDI)}.

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,Hicks & Brown Suffolk Fedora Vert olive -Piquadro Pierre Sac de Sport Grand Format. 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-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12^{(Trespass Cartwright Vestes Coupe-Pluie Homme)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Piquadro Pierre Sac de Sport Grand Format, 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,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme.