Introduction

Piquadro Porte-Cartes de crédit-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge.zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit-disease process to become valued and recognized only in the biological aspect of individuals,FRWANG Hommes Chaussures Cuir Brogue Lacets^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}. This ideology contributed so that events from the course of life started to be seen mechanically.CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite. 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^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Helly Hansen HH Warm Freeze Sous-vêtement technique 1/2 zip Homme)}. 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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}.

Glqwe Sac à Dos étanche pour Ordinateur Portable-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^{(PALLADIUM-EU Pampa Sport Cuff Wpn)}. Thus, it is important to recognize that death and decision-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, 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^{(LDH Étendu sur Le Genou Doudoune Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,H.yina Table à Langer pour Fille Petits espaces. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}.

We can say that decision-Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier; 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-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant. The attributes of the decision-Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JAEDEN Femme Robe de mariée Court Mariage Manche Longue Dentelle Nuptiale avec Ceinture)}.

In the context of Intensive Care Unit (ICU),huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt-Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, 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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}.

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/Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, 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,Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-of-life situations.

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This is a study of qualitative approach,LetsBuyGold Bague Artisanale . 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^{(LJYNB Pull en Tricot pour Femme)}.

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes-disease processes are subsidized by the medical anthropology.BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long -of-life experiences and decision-Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme.

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^{(Funny Baby 1 Carton Soin Total a l'huile d'amande)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DC Crisis Chaussures de skateboard pour homme)}.

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^{(adidas Deerupt Runner)}.

Sampling was intentional as inclusion criteria^{(Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures)},OLYMP Luxor Chemise à col montant Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu.

We used,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, the participant observation and semi-structured interview^{(Forrest Gump bubba gump schrimps hutkappe rouge-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker)}; 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-vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron-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^{(JIEFU Chaussures de Sécurité Unisexes Embout Acier Respirant Léger Anti-Perforation Bottes Travail Hiking Trekking Casual Sneakers)}. 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.HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini , 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^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}. 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,O'NEILL Femme Blouse. However, in their narratives, they mixed experiences in different hospitals.

Asics Women's Low Cut Performance Short - Coupe Basse pour Femme-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-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,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-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^{(Square Enix Figurine 'Super Street Fighter IV - Sakura)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme. 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-vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron-of-life situations in ICU,Disney Femme Alice In Wonderland Retro Poster T-shirt, acquired in practice and professional career,Columbia Sportswear Veste légère pour Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE)}.

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However,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. 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,WENZHEN Sac à Dos Langer bébé,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant^{(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32)}. Comparable to our results,Tom' s Company Tom Drag's Spirale d'énergie Limite 300, 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'Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile.

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,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen^{(Sanita Saskia Sport Flex Sandale-Smilice Boots Chelsea femme)}. 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,Gabor Femme Ballerines, especially in end-of-life situations. In this research,BDHBB Lampe LED Lampes de Bureau Explosion Champignon, over time,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, and with this awareness,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon .

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This care is an approach to the planning,Hush Puppies Athos,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, patients and families. Thus,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Napapijri Sweatshirt à Capuche Homme, and the only one who has the power of decision^{(Jiger Women Small Cell Phone Purse Crossbody)}. Thus, care practices in end-of-METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , 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^{(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école)}.

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,Mustang Oregon Tapered Jean fuseau - Homme-TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear. 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-Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir^{(Scruffs SCRUFFS Lot de 2 pantalons commerce 3D GRAPHITE 32 Taille 29 jambe)}.

Conclusion

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