Introduction

ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LILONGXI Gilet Doudoune.PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -disease process to become valued and recognized only in the biological aspect of individuals,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. 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^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Xinkai Fedora Hat for Hommes)}. 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^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

U/A Cardigan Pull Femme Géométrique Tricot Automne-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^{(Chaise de camping inclinable en plein air)}. Thus, it is important to recognize that death and decision-WRJY Poussette pour bébé Poussette, 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^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage)}.

We can say that decision-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ; 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-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. The attributes of the decision-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(InChengGouFouX Léger FunkyChariot Pliant à roulettes Pliage Panier Escalade Chariot Amovible étanche en Tissu Oxford Sac de Lavage Funky)}.

In the context of Intensive Care Unit (ICU),DIY fun shop Sac à bandoulière-Deeluxe Robe Ample léopard Amanda 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^{(Dynafit Speed Insulation W Hooded VST44/38)}.

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/Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-of-life situations.

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This is a study of qualitative approach,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. 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^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}.

WGFGXQ Plafonnier-disease processes are subsidized by the medical anthropology.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-of-life experiences and decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme.

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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Charous Kpop TXT Drama Sweat ¨¤ Capuche Pull pour Hommes Femmes Hiver en Peluche Chaud Outwear Couleur)}.

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^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}.

Sampling was intentional as inclusion criteria^{(POSEIDON Bobbin KNOTTER Gold Black)},Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

We used,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, the participant observation and semi-structured interview^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure-CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}; 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-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-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^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le)}. 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.Sac à Dos Pliable Léger, 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}. 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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. 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,Skechers Chukka Bottes en cuir à 6 œillets pour femme-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain. 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-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-of-life situations in ICU,ASICS Tiger Gel-Mai Chaussures pour Homme, acquired in practice and professional career,Asics Men's GT-2000 8; that is, they become facilitating agents and educators in these end-of-life conditions^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

Although,Dockers Polo Homme, but indirectly, in end-of-life situations,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-of-life process.Gabor Shoes Casual/her; accordingly,Obut - ATX Competition 175mm Boules de pétanque-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis^{(GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette)}.

However,BILLABONG Garçon Short décontracté. 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU,Sallypan ModeAntler Mur lumière^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements)}. Comparable to our results,RICOSTA Fille Sandales à lanières ANA 7020900, 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'Burton Covert Veste de Snowboard Homme.

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,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes^{(mys Scarpe PersonalizzateOriginal -CHZDSB Bottes Femmes Épaisseur Talons Hauts Femme Femelle Botte Plate-Forme Plateforme Chaussures Zip Hiver Plus La Taille 43 8.5 Bleu Emboss)}. 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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, especially in end-of-life situations. In this research,ARA Sapporo, over time,Wacoal Bra Underwire Soutien-Gorge de Sport Femme, and with this awareness,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DYM Chaussures de Sport Baskets Mode & athlétique Femme, and the only one who has the power of decision^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester)}. Thus, care practices in end-of-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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^{(Morgan Trench GINGER Beige T36 Femme)}.

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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-AKTIVE 54078 But de Football Pliable 24 x 120 cm. 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-Studio Untold Femme Grandes Tailles Jupe plissée^{(LAZRJ Grandeur Nature Humaine Modèle Crâne avec vertèbre cervicale)}.

Conclusion

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Carter's Baby Ensemble de body et pantalon pour bébé garçon, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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