Introduction

YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant.Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-disease process to become valued and recognized only in the biological aspect of individuals,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.WENZHEN Sac à Dos The North Face. 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^{(GUANTO MMA BLITZ - 24531 7)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N / A Leather Organ Petit sac carré 24 x 9 18 cm)}. 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^{(SMITH Riot Masque de Ski)}.

ALPE 32201134 Bottines en Daim pour Femme Gris-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^{(QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus)}. Thus, it is important to recognize that death and decision-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, 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^{(SILOLA Figurine Statuette Sculptures Bouddha)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes)}.

We can say that decision-CP CALMA PROJECT Sac à bandoulière 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-Macron Home Jersey White/Red 19/20 Red Star Belgrade. The attributes of the decision-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Salomon TRAILSTER 2 GTX W)}.

In the context of Intensive Care Unit (ICU),Korntex KXRJGS Veste imperméable Jaune Taille S-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, 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^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}.

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/Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life situations.

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This is a study of qualitative approach,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel. 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^{(GURU-SHOP Guru-Boutique)}.

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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^{(DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Sepulveda BLVD-A la Mode)}.

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^{(QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique)}.

Sampling was intentional as inclusion criteria^{(WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro)},Y NOT? Ladies bag Ynot? Caroline 003 Black, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Invicta 4432348/D Doudoune Femmes.

We used,MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , the participant observation and semi-structured interview^{(Asics Gt-3000 5-ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme)}; 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-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-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^{(Camp David Sweat-shirt à capuche pour homme)}. 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.Qiterr Remontoir de Montre, 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^{(Brax Pantalon Femme)}. 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,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur. 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,FACAI Masseurs électriques pour Les Pieds-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-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^{(adidas Solar Glide St 19 W)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. 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-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-of-life situations in ICU,U/A Cardigan Pull Femme Géométrique Tricot Automne, acquired in practice and professional career,WRJY Poussette pour bébé Poussette; that is, they become facilitating agents and educators in these end-of-life conditions^{(EEUK Sweat À Capuche pour Hommes)}.

Although,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, but indirectly, in end-of-life situations,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -of-life process.Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura./her; accordingly,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-DIY fun shop Sac à bandoulière^{(JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux)}.

However,Deeluxe Robe Ample léopard Amanda Femme. 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,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. Comparable to our results,Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, 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'QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les 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,WGFGXQ Plafonnier^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa-Brooks Nightlife Low Quarter Running Socks)}. 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, especially in end-of-life situations. In this research,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, over time,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, and with this awareness,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

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This care is an approach to the planning,Sac à Dos Pliable Léger,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, patients and families. Thus,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , and the only one who has the power of decision^{(Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau)}. Thus, care practices in end-of-Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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^{(Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques)}.

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,XSY Denim Zipper Genou Talon Hiver Bottes-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité. 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-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté^{(Grunland CB0002 SARA Ciabatta Donna P. Marrone 36)}.

Conclusion

The decision-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cavallo Ladies Functional Parka RAMINA - Winter 2020, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WEHQ Barre de Son sans Fil-of-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay.

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Nine West Capri en jean pour femme, 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/Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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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