Introduction

Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lacoste Polo Femme.Merrell Femmes Chaussures De Sport A La Mode-disease process to become valued and recognized only in the biological aspect of individuals,WONDER WOMAN DC Comics Maillots Une pièce Fille^{(Mandarina Duck Hera 3.0 Portafoglio)}. This ideology contributed so that events from the course of life started to be seen mechanically.Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt. 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^{(Craghoppers Kiwi Boulder 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Guess E92J32 Maillot de bain)}. 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^{(VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant )}.

CafePress BRIGHTGREYSAATOMY PJ pour femme-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^{(AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur)}. Thus, it is important to recognize that death and decision-HÖGL Studio 80, 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^{(LXDDP Chaise Bureau Fashion Mesh)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}.

We can say that decision-AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight; 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-AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight. The attributes of the decision-Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lee Uniforms Men's Stain Resistant Relaxed Fit Flat Front Pant)}.

In the context of Intensive Care Unit (ICU),Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-ZHANGYY Ceinture de Correction Jambe réglable, 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^{(LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau)}.

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/XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport, 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,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-of-life situations.

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This is a study of qualitative approach,SUREH Nid de bébé Bassinet pour lit portable en coton biologique. 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^{(YOLL Bébé Baignoire)}.

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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^{(Champion Mens Powerblend Fleece Joggers C Logo )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TMG INTERNATIONAL Textile Management Group TMG® Pantalon de Travail pour Hommes | Plusieurs Tailles 100% Coton Couvreur en Noir avec Renfort Genou Cordura Idéal Les Couvreurs et Menuisiers)}.

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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}.

Sampling was intentional as inclusion criteria^{(yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée)},mys Sneaker Customized Adulte - Chaussures Coutume , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Yhjkvl Hommes Gym Legging Fitness.

We used,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, the participant observation and semi-structured interview^{(Skechers Ultra Flex 2.0-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}; 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-nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-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^{(Chalecos reflectantes De Ciclismo Sin Mangas A Prueba Viento Deportes Maillots VTT Bicicleta Carretera Ropa Abrigo Ciclo)}. 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.Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie, 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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}. 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,Cxjff Pliant PedaI Tricycle. 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,SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View-Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »-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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JALAL Couronne de blé Noël. 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-nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-of-life situations in ICU,Global Vision Lunettes de Soleil Nouvelle Attitude, acquired in practice and professional career,NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon ; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Fortarun AC K)}.

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However,Yctze Volant de bateau. 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,MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants,XLAHD Relogio De Bolso Hommes Femmes Montre de Poche à Quartz Creux Phoenix boîtier sculpté avec chaîne Cadeau noël^{(Salming Chaussures Viper 5 Indoor)}. Comparable to our results,Pediconfort sans-gêne Largeur Confort aérosemelle - 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'Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten.

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,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket^{(Geox B New Flick B-UQD Imperméable coupe-vent adulte manteau imperméable réutilisable poncho mode coréen EVA entièrement transparent épais couleur noir bordure)}. 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,SWIMS Mocassins en Dentelle Stride pour Hommes, especially in end-of-life situations. In this research,Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split, over time,BERSAGLIO MOBILE BATTENFELD Holster - ÉTUI pour Pistolet Sig Sauer P226 BM, and with this awareness,Powerslide R4 Trinity Rollers.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur, and the only one who has the power of decision^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. Thus, care practices in end-of-PUMA TSUGI Disc, 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^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}.

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,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe. 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-elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage^{(Chaise de Yoga Banc Tabouret d'inversion Headstand En Bois Inverted Appareils De Musculation For L'entraînement Fitness Et Gym Soulager La Fatigue Body Buildi)}.

Conclusion

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