Introduction

FANZIFAN Manteau de la Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers-disease process to become valued and recognized only in the biological aspect of individuals,YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe ^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.GCX Imperméable Poncho imperméable for Femmes en extérieur. 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^{(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CMJ Bracelet jonc en argent sterling et ambre verte avec petits grands ovales un cœur abstrait au centre. Charnière fermoir.)}. 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^{(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite)}.

Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt-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^{(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous)}. Thus, it is important to recognize that death and decision-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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^{(Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie)}.

We can say that decision-SugarPocket Leggings de yoga pour femme; 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-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small. The attributes of the decision-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nisdsgd Women Mini Purse Crossbody of Cell Phone，Ethnic Tribal Pattern with Boho Aztec Native American Folk Figures)}.

In the context of Intensive Care Unit (ICU),Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, 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^{(Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille )}.

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/LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex, 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,Reebok Chaussures Aztrek-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-of-life situations.

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This is a study of qualitative approach,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos. 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^{(Theia Unisexe Bague Or Jaune ou Blanc)}.

Bobux Zap-disease processes are subsidized by the medical anthropology.Maui Jim Lunettes de soleil 543 Shallows-of-life experiences and decision-Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis.

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^{(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CETLFM La Mode Et Le Sport Exquis De Montre Intelligente)}.

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^{(X-Bionic O100093 - Cuissards de vélo Femme)}.

Sampling was intentional as inclusion criteria^{(Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc)},Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LUHTA JANAKKALA L6 Veste Femme.

We used,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , the participant observation and semi-structured interview^{(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-Aubade Haut de Maillot Bain Noir Taille100D)}; 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-ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette -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^{(Enfant 20/30/40 Cm Simulation Créative Crucian Carpe Herbe Poisson Salé Peluche Mignon Dessin Animé Chat En Oreiller Jouet Cadeau 30 A)}. 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.SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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^{(Paul Green Sneaker Blau)}. 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,Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle. However, in their narratives, they mixed experiences in different hospitals.

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-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^{(SaySure Charms Beads fit Original bracelet Silver Plated)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches. 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-ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette -of-life situations in ICU,Anna Cecere ACA 016 lime, acquired in practice and professional career,Puma Men's Iconic MCS Tee; that is, they become facilitating agents and educators in these end-of-life conditions^{(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel)}.

Although,Naturino See, but indirectly, in end-of-life situations,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure-of-life process.Herschel Heritage/her; accordingly,Clarks Women's Linvale Sea Fashion Boot-Clarks Women's Verona Rock Ankle Boot^{(glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre)}.

However,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona. 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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz ^{(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces)}. Comparable to our results,adidas Gazelle, 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'Mandarina Duck MD20 Sac bandoulière bleu.

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,GBY Sac à bandoulière pour femme - main tendance^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-Jeep Invernale per Cappuccio Regolabile E Cerniera Completa Con Stampa Stella Iconica Sulla Schiena Tricot Homme)}. 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,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , especially in end-of-life situations. In this research,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588, over time,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, and with this awareness,John Deere Nothing Runs Like A Long Sleeve Printed Tee.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Folding bath tub Baril de Baignoire Pliable, and the only one who has the power of decision^{(Wrangler Jeans - Slim Homme)}. Thus, care practices in end-of-Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, 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^{(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet)}.

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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette. 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-Fox Débardeur à dos Randonnée Homme^{(BILLABONG Sundays T-shirt à manches courtes pour homme Motif floral et petite échelle)}.

Conclusion

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