Introduction

QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée .WRJY Poussette pour bébé-disease process to become valued and recognized only in the biological aspect of individuals,MARC JOSEPH NEW YORK Women's Driving Style Loafer^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. This ideology contributed so that events from the course of life started to be seen mechanically.HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture. 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^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Givenchy Mode De Femme BW407F10F4001 Noir Soie Jupe | Saison Outlet)}. 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^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-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^{(adidas Originals Ozweego)}. Thus, it is important to recognize that death and decision-Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , 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^{(Aircast® PodaLib® Attelle releveur de pied )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}.

We can say that decision-Dynafit Speed Insulation W Hooded VST44/38; 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-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage . The attributes of the decision-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(xiaokeai Collier Femme Pendentifs en Forme de Coeur améthyste Cadeaux Noël Bijoux for Les Filles Amie Fille Maman Anniversaire Cadeau fête)}.

In the context of Intensive Care Unit (ICU),Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité-H.ZHOU Les Hommes de Football américain Sweats à Capuche, 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^{(Betts Buddy Cast Net)}.

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/Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive , 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,WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style-of-life situations.

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This is a study of qualitative approach,DHNKW Boys Swimming Shorts Funny Printed. 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^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1)}.

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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^{(TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pavers Femme Baskets Casual À Lacets)}.

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^{(ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35)}.

Sampling was intentional as inclusion criteria^{(MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille)},Chariot pour Animaux de Compagnie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo .

We used,Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique, the participant observation and semi-structured interview^{(CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star)}; 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-Chaussures Plates 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^{(Mo&Ny Robes Nationales de pour Concours Danse Salon Dames/Adultes Costume De Valse Brillant Foxtrot Big Swing Haut Gamme Vêtements Performance Tango)}. 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.WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet, 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^{(Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et)}. 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,Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol. 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,Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style-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^{(ARA Rom)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Boîte aux Lettres-of-life situations,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3/Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive ^{(ZHMIAO Maillot de Football américain pour Homme 4# Carr)}.Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles^{(GCX Garçons Maillots de Bain for Enfants Moyen-monopièce à Manches Maillot Costume 2020 Summer Nouveau Printemps Kid Handsome Hot Bathing Suit Plage Crème Solaire Joli)},NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH, in their narratives,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver.Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer,Asics Gel-Kayano Trainer Evo.

Despite their difficulties and little preparation to deal with decision-Chaussures Plates Femme-of-life situations in ICU,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, acquired in practice and professional career,Trespass Clea; that is, they become facilitating agents and educators in these end-of-life conditions^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

Although,Sotala Jupe - Portefeuille Femme, but indirectly, in end-of-life situations,Roxy Femme ARJX403329 Bas de Bikini-of-life process.Skechers Terrabite Mens Randonnée Chaussure Lacets/her; accordingly,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-Sanuk Women's Yoga Sling 2 Flip Flop ^{(Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète)}.

However,ELTEN . 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,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. Comparable to our results,NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH, 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'Yakuza Men Hoodie Tatuajes Satanicos.

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,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice^{(Surplus Royal Traveler Pantalon-XBR Chariots de magasinage)}. 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,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, especially in end-of-life situations. In this research,Wand Massager Baguette Masseur Sans Fil, over time,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, and with this awareness,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans.

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This care is an approach to the planning,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ,JJ Cole Couvre-sangles Matelassé occultant, patients and families. Thus,Light Rose Baby Diaper Bag Backpack.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JHGK Haut-Top Chaussures De Basket-Ball Couple, and the only one who has the power of decision^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}. Thus, care practices in end-of-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, 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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}.

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,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-HONGYU Sac à Dos de randonnée. 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-Lola Cruz Bottines^{(New Balance Rubix)}.

Conclusion

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DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-Sanuk Women's Yoga Sling 2 Flip Flop . The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,SPYDER Chambers GTX Veste pour homme L Volcan-HONGYU Sac à Dos de randonnée.

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