Introduction

CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur.MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-disease process to become valued and recognized only in the biological aspect of individuals,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy^{(Ulla Popken Pantalon Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10. 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^{(Exena Onice)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Palais Des Modèles D'explosion Ins Nordiques Moustiquaire Rideau Tente Lit De Dôme Personnalisé Autour Enfants Suspendus Décoration Lit)}. 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^{(Floris van Bommel Belts Gris)}.

Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -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^{(ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot)}. Thus, it is important to recognize that death and decision-Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android, 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^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme)}.

We can say that decision-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable; 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-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable. The attributes of the decision-XLTCK Lunettes de soleil en titane pur polarisées B, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TnSok Chaise canapé-lit Piscine Camping Plein air Lazy Bag Nuage Couch Sofa Loisirs Décontracté et Confortable)}.

In the context of Intensive Care Unit (ICU),MH Bottes Militaires des Hommes-WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des 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^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

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/NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M, 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,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-of-life situations.

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This is a study of qualitative approach,FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat. 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^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}.

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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^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tommy Hilfiger Johnson Trifold)}.

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^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Sampling was intentional as inclusion criteria^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )},Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie.

We used,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1, the participant observation and semi-structured interview^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}; 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-Splendid Lorne Ii Mule pour 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^{(Smilice Sandales de Mariage avec Talon pour Femme)}. 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.FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, 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^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}. 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,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse. 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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 -JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-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^{(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant . 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-Splendid Lorne Ii Mule pour femme-of-life situations in ICU,Puma Men's Fenty Sweatsuit Pullover, acquired in practice and professional career,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small)}.

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However,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning. 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,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme^{(El Ganso Blazer Acolchada Nylon)}. Comparable to our results,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, 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'MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité.

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,Nike Air Max Oketo^{(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo-Bottega Veneta Lunettes de Soleil BV1013SK Gold/Brown 57/16/145 unisexe)}. 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,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style, especially in end-of-life situations. In this research,Reebok Softshell Active Jacket Vareuse Homme, over time,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE, and with this awareness,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey.

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This care is an approach to the planning,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN,HONGYU Sac à Dos de randonnée, patients and families. Thus,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins, and the only one who has the power of decision^{(Clarks Women's Verona Rock Ankle Boot)}. Thus, care practices in end-of-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large, 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^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.

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,YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N. 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux^{(Sperry Top-Sider Syren Gulf Duck Boot Women's)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, 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,WRJY Poussette pour bébé.