Introduction

Piquadro Pierre Sac de Sport Grand Format-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter.AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-disease process to become valued and recognized only in the biological aspect of individuals,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage^{(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour)}. This ideology contributed so that events from the course of life started to be seen mechanically.Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. 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^{(JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Balance Dunham Men's Captain Boat Shoe)}. 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^{(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates)}.

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-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^{(Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc)}. Thus, it is important to recognize that death and decision-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, 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^{(Bog Death Grip Clamping Carbon Tripod Shooting Stick)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval)}.

We can say that decision-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020; 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-Procase ProCase Trousse de Toilette Transparente Anti-Fuite. The attributes of the decision-Trevor Jones Bof Richard III, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DLSMB - Pédales de vélo montagne 1 paire pédales antidérapantes En alliage d'aluminium Surface pour route)}.

In the context of Intensive Care Unit (ICU),I will take action now Lunettes de Soleil coloré Hommes et Femmes-Reebok Classic Small Vector Tee - Manches Courtes Mixte, 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^{(FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey)}.

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/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, 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,Little Me Bébés Filles Foot-SBDLXY Parc pour bébé extérieur-of-life situations.

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This is a study of qualitative approach,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine. 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^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work)}.

HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-disease processes are subsidized by the medical anthropology.nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-of-life experiences and decision-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54.

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^{(IGI&CO Donna Gore-tex-41710)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KGLOPYE Doudoune Hiver Chaud Hommes Veste Manteau-décontracté Automne col Montant épais Chapeau-Parka Hommes-Veste d'hiver pour avec Capuche)}.

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^{(YPDM Pyjamas)}.

Sampling was intentional as inclusion criteria^{(Fly London Besi203fly)},AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight.

We used,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, the participant observation and semi-structured interview^{(TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm)}; 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-Couverture pour bébé-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^{(Lelli Kelly L19E9420AG01 Sandalo Velcro Enfant Platino 31)}. 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.Camfosy Bottines Femme Cuir Talons, 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^{(Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM)}. 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,Couverture pour bébé. 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,WTB Byway Road Tcs 700 x 44C-SBDLXY Parc pour bébé extérieur-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^{(Plafonnier carré simple à LED)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Powder Pass. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -of-life situations,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés /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^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude )}.DR MARTENS 101 6-eye Ys Smooth EU 40^{(GianMarcoVenturi Couple Chariot Cabine Valise Hand Dur Bagages Size 010D_)},ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes, in their narratives,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré.Ralph Lauren Thompson,21 shoes Chaussures personnalisé cloutée Customized Original .

Despite their difficulties and little preparation to deal with decision-Couverture pour bébé-of-life situations in ICU,Maillots de Basket-Ball pour Hommes et Femmes, acquired in practice and professional career,DGHJK Haut-Parleur Bluetooth Gramophone; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lee Petit Pantalon cargo pour femme)}.

Although,Kjore Project Clous Limites iClutch Monnaies, but indirectly, in end-of-life situations,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème-of-life process.LA SPORTIVA Akasha Chaussures de Trail - Homme/her; accordingly,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet^{(B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm)}.

However,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif. 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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères^{(adidas Originals Nite Jogger)}. Comparable to our results,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes, 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'YCWY Costume Chinois Antique pour 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,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite-GBZLFH Chaussures de course pour hommes)}. 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,TYX Bottines À Bout Pointu, especially in end-of-life situations. In this research,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339, over time,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, and with this awareness,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts.

NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-Centered Care (IPFCC) provides directions to advance in understanding,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël)}.

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Grunland CI0938 ALDE Ciabatta Donna S. Love 36-being of patients of all ages.adidas Pulseboost HD Guard M,WRJY Poussette bébé^{(Poi Poussette )}. Surprisingly,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, and the only one who has the power of decision^{(THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode)}. Thus, care practices in end-of-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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^{(GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes)}.

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,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-Hatley Swimsuits Maillot Une pièce Garçon. 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-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^{(Leonardo Shoes Chaussures Derbies pour Homme à la Main en Cuir Marron foncé - Code modèle: T100 SIVIGLIA Sudan)}.

Conclusion

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