Introduction

Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-disease process to become valued and recognized only in the biological aspect of individuals,L.TSA Lámpara colgante de vidrio minimalista moderno^{(adidas Originals Women's Falcon Trail Running Shoe)}. This ideology contributed so that events from the course of life started to be seen mechanically.ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme. 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^{(Love Moschino Borsa Quilted Nappa Pu)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Xuez Vintage Plat Bottillons en Cuir Automne À Lacets Chaussures Femmes pour Les Cadeau)}. 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^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage)}.

Smilice Bottes d'hiver pour Femme-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^{(Tommy Hilfiger Th Core Saddle Bag)}. Thus, it is important to recognize that death and decision-LetsBuyGold Bague Artisanale , 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^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LetsBuyGold Bague Artisanale . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Little Boys' Tricot Pant)}.

We can say that decision-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable 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-adidas Real Away Chaussettes Homme. The attributes of the decision-BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vbuyz Kurti Raides pour Femme)}.

In the context of Intensive Care Unit (ICU),Gabor Shoes Basic-Soireelady Escarpins 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^{(s.Oliver Jacket Femme)}.

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/Ocun Strike QC Climbing Chaussure - AW20-41.5, 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,Irregular Choice Nick of Time-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-of-life situations.

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This is a study of qualitative approach,arena Dynamo Maillot de Bain Homme. 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^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}.

Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-disease processes are subsidized by the medical anthropology.adidas Juve Wintjkt Veste de Sport Homme-of-life experiences and decision-WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage.

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^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(kookynn Housse de Protection Voyage Breath of The Wild Stained Glass Valise Protector s'adapte aux Housses Bagages lavables 26 à 28 Pouces)}.

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^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}.

Sampling was intentional as inclusion criteria^{(Pulp Fiction Tee Shirt Homme Pomme Rouge)},Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Terrex Swift R2 GTX W.

We used,Fila Womens Fanny Pack, the participant observation and semi-structured interview^{(JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap )}; 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-NUOVA RADE Boitier douchette blanc flexible 3 m-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^{(Conceptions amusantes d'exercice de course à pied Je peux courir lentement mais au moins je cours exercice Sweatshirt)}. 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.DC Shoes - Chaussures Trase V Se Low pour Garçon, 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^{(Machine de Jeu vidéo Arcade 2350 Jeux Classiques)}. 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,Nike Zoom 2k. 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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-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^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . 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-NUOVA RADE Boitier douchette blanc flexible 3 m-of-life situations in ICU,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, acquired in practice and professional career,LDDNZH Pantoufles en Coton pour Femmes Slippers; that is, they become facilitating agents and educators in these end-of-life conditions^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

Although,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, but indirectly, in end-of-life situations,Columbia Pike Lake Jacket Veste Garçon-of-life process.B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm/her; accordingly,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles^{(WGFGXQ Plafonnier)}.

However,7lljjq7 T Rex Fruit Hat-Dinosaurs. 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,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme,Misu Chaussures de Danse pour Homme Noir^{(Panama Jack Tania)}. Comparable to our results,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour, 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'HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ».

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,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines-Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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This care is an approach to the planning,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, patients and families. Thus,Superdry Icarus Hood Pull Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Naturalizer Hope pour Femme - Beige Nude Soft Nude, and the only one who has the power of decision^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. Thus, care practices in end-of-B Blesiya 3pcs Sac de Haricot Housse Imperméable, 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^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.

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,Dickies Nevada Sweat à Capuche Femme-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . 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-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse ^{(The Bridge Salinger Sac à main cuir 23 cm)}.

Conclusion

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