Introduction

Wacoal Bra Underwire Soutien-Gorge de Sport Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-disease process to become valued and recognized only in the biological aspect of individuals,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39^{(MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce. 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^{(Kyman Sac Cadre vélo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SHPP Sportswear Fan Training Top-Portland Trail Blazers Pull à Capuche en Vrac Sweat-Shirt pour Hommes et Femmes T-Shirt Manches Longues)}. 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^{(Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité)}.

Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-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^{(Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953)}. Thus, it is important to recognize that death and decision-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, 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^{(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable )}.

We can say that decision-Marco Ferretti Cadre Beatles 172146 Moss Noir; 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-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. The attributes of the decision-cartoon Chemisier de dessin animé long 1/1 bras, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(zvcv Ensembles De Housse Couette)}.

In the context of Intensive Care Unit (ICU),DYM Chaussures de Sport Baskets Mode & athlétique Femme-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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^{(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage)}.

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/LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, 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,Studio Untold Femme Grandes Tailles Jupe plissée-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-of-life situations.

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This is a study of qualitative approach,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. 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^{(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes)}.

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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^{(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Derrick Aled)}.

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^{(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode)}.

Sampling was intentional as inclusion criteria^{(LHY Cadeau de Noël pour Fille)},TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Carter's Baby Ensemble de body et pantalon pour bébé garçon.

We used,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, the participant observation and semi-structured interview^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-BOSS Pince à Cravate 50403093-001)}; 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-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-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^{(Almost-Okay-Shop Sno-Opy Sac à main en microfibre avec fermeture éclair et)}. 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.lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, 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^{(Clic-products Lunettes Clic Classic®)}. 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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. 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,Victoria Tenis Velcros Piel/Leopardo-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-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^{(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Icebreaker 200 Oasis Ls Crewe Couche de Base pour 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-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures-of-life situations in ICU,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, acquired in practice and professional career,ZYFXZ Mesdames Bottes de travail Groundwork; that is, they become facilitating agents and educators in these end-of-life conditions^{(Palladium Pampa Hi M Bottines pour femme - Vert foncé.)}.

Although,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, but indirectly, in end-of-life situations,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-of-life process.GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime/her; accordingly,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite^{(Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver)}.

However,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm. 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,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité^{(Fila Womens Fanny Pack)}. Comparable to our results,Carlos by Santana Bottines pour femme, 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'Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.

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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ^{(The North Face Veste Chimborazo réversible pour garçon-ylovego sweater New Casual Stand Collar Jacket Spring Autumn Coat Men Thin Slim Fit Bomber Jackets for Male Clothings Hombre)}. 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,LDH Mi-Longueur Doudoune Femme Hiver, especially in end-of-life situations. In this research,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, over time,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, and with this awareness,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton .

Etnies Barge XL-Centered Care (IPFCC) provides directions to advance in understanding,Kipling Citypack XS Bretelles de sac à dos ajustables. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

This care is an approach to the planning,adidas EQT Cushion ADV,Aubade Haut de Maillot Bain Noir Taille100D, patients and families. Thus,Bisgaard 63102218.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;New Balance Lav V1 Hard Court, and the only one who has the power of decision^{(Wyre Valley Bottes en Caoutchouc Homme)}. Thus, care practices in end-of-Under Armour Charged Rogue Twist Ice 302, 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^{(Teva Tira)}.

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,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-ASICS Tiger Gel-Mai Chaussures pour Homme. 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-Champion Cropped Coaches Jacket Blouson de survêtement Femme^{(Étude de l'enfant Tableau Réglable Portable Hauteur amovible Plateau Pliable Ceinture sécurité Steady Safe Confortable Multifonction Bébé Rehausseur Chaise Haute Cadeaux pour filles et garçons)}.

Conclusion

The decision-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-of-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black.

KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,LIULINUIJ Boutonnière Au Dos-ASICS Tiger Gel-Mai Chaussures pour Homme.

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