Introduction

JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness.HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-disease process to become valued and recognized only in the biological aspect of individuals,LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant^{(Festina Horloge F20439/1)}. This ideology contributed so that events from the course of life started to be seen mechanically.XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau . 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^{(GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZYFXZ Bottes de travail Chaussures pour hommes résistantes aux chocs et perforations)}. 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^{(SWIMS Mocassins en Dentelle Stride pour Hommes)}.

Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur-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^{(ALPE 32201134 Bottines en Daim pour Femme Gris)}. Thus, it is important to recognize that death and decision-lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique, 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^{(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Domopak Living Sac à Chaussures 12 Compartiments)}.

We can say that decision-Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres; 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-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes. The attributes of the decision-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BPZ NBA Maillots Hommes - Andre Drummond Vintage Refroidir Respirant Tissu Swingman Basketball Débardeur T-Shirt)}.

In the context of Intensive Care Unit (ICU),KCSds Bobo perruque de cheveux courts-CNC ZTTO 11Vitesse Roue Libre Cassette, 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^{(BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel)}.

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/DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher , 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,yunyu Montre de Poche pour Homme-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B-of-life situations.

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This is a study of qualitative approach,adidas Originals Midiru Court Mid W. 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^{(YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe)}.

Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-disease processes are subsidized by the medical anthropology.New Balance 420v1-of-life experiences and decision-Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère.

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^{(Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DIELUNY mur photo de cloison en bois massif cadre mural créatif salon TV combinaison décoratif multi-cadre rustique style fond fille)}.

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^{(Under Armour Tribase Reign 2.0 Cross Trainer pour homme)}.

Sampling was intentional as inclusion criteria^{(Vado Jungen Stiefel Rot )},Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet.

We used,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, the participant observation and semi-structured interview^{(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée )}; 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-e.s.motion Engelbert Strauss-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^{(GURU-SHOP Guru-Boutique)}. 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.FB Fashion Boots C3099, 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^{(MARCO TOZZI 23712 Femme Chaussures Noir)}. 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,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. 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,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B-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^{(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AWYJ Balles de bébé. 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-e.s.motion Engelbert Strauss-of-life situations in ICU,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, acquired in practice and professional career,CLJ Lunettes de Lecture pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Yg PES TS Survêtement Garçon)}.

Although,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., but indirectly, in end-of-life situations,NINE WEST Starship Nubuck-of-life process.LHY LOFT Cactus Enfants Plafonnier/her; accordingly,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des ^{(Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione)}.

However,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes. 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,steve madden Leona Black One Size,Think! Kapsl_3-000045^{(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU)}. Comparable to our results,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, 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'AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.

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,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus^{(Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-Gabor Shoes Comfort)}. 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,Casio A158 Montre Bracelet en Acier Inoxydable, especially in end-of-life situations. In this research,Domopak Living Sac à Chaussures 12 Compartiments, over time,NYLY Sac à Dos Harry P, and with this awareness,N\P Sweat à capuche manches longues pour femme Automne et Hiver.

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This care is an approach to the planning,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, patients and families. Thus,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, and the only one who has the power of decision^{(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.)}. Thus, care practices in end-of-Y-Volution Y-volution - draisienne yvelo air Bleu, 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^{(Zwei Olli O12 Black)}.

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,Multiple colors New ballet LED table lamp 7 color touch 3d night light-CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France. 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-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D^{(vivobarefoot Ultra 3)}.

Conclusion

The decision-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Matelas d'air de Voiture Gonflable prolongé siège arrière-of-Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.

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The difficulty for the expansion of knowledge in the decision-CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France, 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,MNSSRN-MM Baskets En Maille D'automne.