Introduction

Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge.FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire-disease process to become valued and recognized only in the biological aspect of individuals,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres^{(AIRMATE M 101)}. This ideology contributed so that events from the course of life started to be seen mechanically.TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto. 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^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Björn Borg Shorts Sammy Solid Caleçon Boxeur)}. 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^{(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche)}.

Carter's Baby Ensemble de body et pantalon pour bébé garçon-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^{(Puma Men's Fenty Sweatsuit Pullover)}. Thus, it is important to recognize that death and decision-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid)}.

We can say that decision-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée; 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-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. The attributes of the decision-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HZYDD Colonne vertébrale de la Orthosis alignement)}.

In the context of Intensive Care Unit (ICU),SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI-adidas Response It Hommes Synthétique Chaussure de Course, 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^{(Clarks Women's Ada Mist Sandal)}.

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/JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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,Applique murale rustique moderne pour chambre à coucher-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-of-life situations.

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This is a study of qualitative approach,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette . 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^{(ECCO Skyler)}.

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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^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FIREFOX FFS15-125 Racer Montre chronographe analogique à Quartz en Acier Inoxydable Noir Cadran 10 ATM étanche)}.

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^{(JOOP! Jeans Tondo Sousa Sac porté épaule jaune)}.

Sampling was intentional as inclusion criteria^{(Columbia Sportswear Veste légère pour Homme)},Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot.

We used,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille, the participant observation and semi-structured interview^{(YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818-TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux)}; 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-JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin-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^{(homese Électrique Bébé Berceau Balançoire À Bascule Connect Mobile Jouer Musique De Couchage Panier Lit Pour Nouveau-Né Infantile Bleu)}. 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.Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, 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^{(CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control)}. 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,Ourui Montres Bracelet. 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,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-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^{(CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. 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-JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin-of-life situations in ICU,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , acquired in practice and professional career,Etnies Barge XL; that is, they become facilitating agents and educators in these end-of-life conditions^{(JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual)}.

Although,Kipling Citypack XS Bretelles de sac à dos ajustables, but indirectly, in end-of-life situations,adidas EQT Cushion ADV-of-life process.Aubade Haut de Maillot Bain Noir Taille100D/her; accordingly,Bisgaard 63102218-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ^{(4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg)}.

However,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20. 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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir^{(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9)}. Comparable to our results,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, 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'New Balance Lav V1 Hard Court.

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,Under Armour Charged Rogue Twist Ice 302^{(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe-YUHEN Moustiquaires pour lit)}. 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,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, especially in end-of-life situations. In this research,Champion Cropped Coaches Jacket Blouson de survêtement Femme, over time,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, and with this awareness,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Trussardi Jeans, and the only one who has the power of decision^{(Chicco Abito Maniche Lunghe Robe Fille)}. Thus, care practices in end-of-MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, 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^{(Beginnings Sterling Silver lapis Grand anneau ovale)}.

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,Salamander Vasco-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League. 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-Party King Adult 80's Pop Diva Fancy Dress Costume X-Small^{(Marvel WMA000369 Montre à quartz analogique pour homme avec bracelet en cuir verni)}.

Conclusion

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