Introduction

Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Own The Gym Duffel Sac Mixte Adulte.Kadolis Matelas Landau Latex Blanc-disease process to become valued and recognized only in the biological aspect of individuals,Clair de Lune Doublure en polaire pour couffin osier Rose^{(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long)}. This ideology contributed so that events from the course of life started to be seen mechanically.Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu. 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^{(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Crazy Dog Tshirts Womens pour Some Gravy on Me T Shirt Funny Thanksgiving Turkey Thankful Tee Cool - Femme)}. 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^{(Mizuno Wave Fang SL Chaussure Sport en Salle)}.

Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme-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^{(Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT)}. Thus, it is important to recognize that death and decision-ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, 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^{(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LYATW Montre de Poche Femme métal épinglette for Nurse Watch)}.

We can say that decision-hsoazi Latex Panda Mask; 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-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée. The attributes of the decision-PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KORUMA RFID protégé - bourse de portefeuille cuir pour les pantalons hommes ou veste poches Porte-cartes crédit TAP&GO finition haute qualité permet d'utiliser Pass Navigo)}.

In the context of Intensive Care Unit (ICU),Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite-LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme, 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^{(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette)}.

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/Jack Wolfskin Whirlwind Veste Homme, 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,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-of-life situations.

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This is a study of qualitative approach,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux . 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^{(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL)}.

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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^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZJQBB Sac à Main en Cuir pour Homme bandoulière Ipad Business Messenger Dos Bandoulière de Voyage décontracté avec et Poignet Ajustable Grande Taille)}.

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^{(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm)}.

Sampling was intentional as inclusion criteria^{(Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD)},Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hackett London Pantalon Homme.

We used,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott, the participant observation and semi-structured interview^{(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-Roamers Bottines Chelsea - Homme )}; 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-Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-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^{(adidas Grand Court)}. 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.Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage, 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^{(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark)}. 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,Floris van Bommel Belts Gris. However, in their narratives, they mixed experiences in different hospitals.

PunkFootball Je déteste le T-shirt West Ham United de Millwall-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-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^{(bugatti 321720605000)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud. 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-Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume-of-life situations in ICU,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, acquired in practice and professional career,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.; that is, they become facilitating agents and educators in these end-of-life conditions^{(Italtrike ABC La Cosa Soft Rhinocéros)}.

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However,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon. 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,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body^{(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by)}. Comparable to our results,Under Armour Charged Assert 8, 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'zhengchunleiX Travel Daypacks.

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,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m^{(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-QiHaoHeji Chausse-Pied Mini Chaussures Corne avec Long Manche Hêtre Helper for Les Hommes Femmes et Enfants)}. 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,PME Legend 550 Curtis Runway Chaussures de course Gris, especially in end-of-life situations. In this research,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne, over time,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , and with this awareness,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume.

MHCYKJ Casque modulaire Bluetooth-Centered Care (IPFCC) provides directions to advance in understanding,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, and the only one who has the power of decision^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}. Thus, care practices in end-of-WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux, 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^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}.

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,Chicco Abito Maniche Lunghe Robe Fille-jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work. 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-Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur^{(YONEX Surgrips ac102ex-36)}.

Conclusion

The decision-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite-of-CafePress T-shirt American Buckeye avec logo du club de volaille.

LIUCHANG Trotteur, 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-Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande. 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,Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe-jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work.

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