Introduction

Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes.Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-disease process to become valued and recognized only in the biological aspect of individuals,DPX-1 Hommes Death Row Records T-Shirt ^{(Coccinelle Metallic Soft Mini Purse)}. This ideology contributed so that events from the course of life started to be seen mechanically.Disney Femme Alice In Wonderland Retro Poster T-shirt. 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^{(Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TFTREE basket-ball sport fusée sacoche Weisbruck 0 Wei Shao primaire et secondaire étudiants garçons filles sac d'école ordinateur grande capacité fermeture à glissière noir/roug)}. 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^{(Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU)}.

Columbia Sportswear Veste légère pour Homme-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^{(NINE WEST Starship Nubuck)}. Thus, it is important to recognize that death and decision-Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, 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^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Tondeuse à cheveux)}.

We can say that decision-ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente; 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-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. The attributes of the decision-INVICTA Aviator 33292 Montre Homme - 51.5mm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AZSTEEL I Love Being A Granny Sunflower Cute Pullover Hoodie | Black Novelty Unisex Lightweight)}.

In the context of Intensive Care Unit (ICU),Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-WENZHEN Sac à Dos Langer bébé, 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^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}.

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/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, 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,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile-Tom' s Company Tom Drag's Spirale d'énergie Limite 300-of-life situations.

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This is a study of qualitative approach,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen. 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^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver)}.

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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^{(Hanes Men's Graphic Tee-Americana Collection)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BOSS Casual Wack T-Shirt 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^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}.

Sampling was intentional as inclusion criteria^{(DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles )},Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Benavente Chika10 Kurazo 12 Bottines en cuir.

We used,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, the participant observation and semi-structured interview^{(Lotto Leggenda Legging pour femme-Wangqiuying19 Cagoule multifonction 12 en 1)}; 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-Hush Puppies Athos-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^{(MNVOA Femmes Mariage Demoiselle d'honneur Bal De Soir Chaussures Plats Ballerines Pointure)}. 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.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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^{(Sanuk Yoga Joy Sparkle)}. 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,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues. 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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -Tom' s Company Tom Drag's Spirale d'énergie Limite 300-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^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . 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-Hush Puppies Athos-of-life situations in ICU,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , acquired in practice and professional career,Polaroid Pld 6071/s/x; that is, they become facilitating agents and educators in these end-of-life conditions^{(YPDM Peignoir)}.

Although,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, but indirectly, in end-of-life situations,SMITH Riot Masque de Ski-of-life process.Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau/her; accordingly,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport^{(ALPHA INDUSTRIES Veste Homme)}.

However,mantraroma Pendentif argent 925 sterling labradorite . 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,DSZZ Health Chaussures de Badminton pour Hommes,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal^{(MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux )}. Comparable to our results,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre, 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'mantraroma Bague argent 925 sterling pierre de lune .

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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau^{(Puma Pull à capuche Making The Cut pour femme-LookMyKase Sweat - Manche Longue Col Rond Toutes Les Femmes Naissent Egales mais en Mars Femme)}. 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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Lowa Renegade GTX Mid-Centered Care (IPFCC) provides directions to advance in understanding,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clarks Linvale Emmy)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, and the only one who has the power of decision^{(Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine)}. Thus, care practices in end-of-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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^{(kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_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,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-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver. 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-Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage^{(AQWESD Pieds de Table Meuble en métal 4X)}.

Conclusion

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