Introduction

EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures.EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-disease process to become valued and recognized only in the biological aspect of individuals,Dare 2b Femmes acquérir II T-Shirt^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cherry Blossom Couverture légère et confortable pour le salon. 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^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DJJCN Automne Hommes Chandails Cardigans Tricotés pour Solides)}. 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^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-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^{(adidas Originals Ozweego)}. Thus, it is important to recognize that death and decision-Regatta Pack It Jkt Iii Veste imperméable Homme, 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^{(Aircast® PodaLib® Attelle releveur de pied )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}.

We can say that decision-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm; 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-MILASIA Parachutiste US Vintage Industries. The attributes of the decision-Anastasia Beverly Hills - Veste Courte rembourrée pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FRYE Mellissa Button Back Zip)}.

In the context of Intensive Care Unit (ICU),Peak Mountain Doudoune Femme ARES-Marine-XL-teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, 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^{(Betts Buddy Cast Net)}.

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/Filet de Camouflage De for La Chasse Tournage Pêche , 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,NO LOGO X-Baofu-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -of-life situations.

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This is a study of qualitative approach,Smartwool PhD Lumière extérieure Micro. 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^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1)}.

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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^{(TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RUIXFTA Portable Paddle Table Tennis Balles Raquette De Ping Pong Et Une Housse Transport pour Balles)}.

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^{(ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35)}.

Sampling was intentional as inclusion criteria^{(MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille)},Think! Comoda_3-000089, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B.

We used,One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , the participant observation and semi-structured interview^{(CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star)}; 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-Jouailla Bracelet PERLAS LATINAS perles de verre rouge-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^{(EVR Pingpong Ball Appareil D'entraînement de avec Bande élastique Souple pour Jouer e n Intérieur ou Extérieur 105cm Printemps Adultes et Enfants)}. 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.One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose , 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^{(Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et)}. 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,Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié . 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -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^{(ARA Rom)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WWTTE Sequin V-Cou Robe Banquet annuel de soirée. 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-Jouailla Bracelet PERLAS LATINAS perles de verre rouge-of-life situations in ICU,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, acquired in practice and professional career,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6; that is, they become facilitating agents and educators in these end-of-life conditions^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

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However,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues. 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,Générique Racecraft Lunettes Mixte,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. Comparable to our results,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, 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'WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser.

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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ^{(Surplus Royal Traveler Pantalon-FEE-ZC Gift Festival Boîtes de Rangement en Bois à Double Remontoir Automatique pour 6 Montres - remontoirs automatiques Luxury Custom)}. 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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, especially in end-of-life situations. In this research,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture, over time,Pepsi Welcomes The World Women's Hooded Sweatshirt, and with this awareness,Jost Bergen X-Change .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Charmance Pull à Torsades - Femme, and the only one who has the power of decision^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}. Thus, care practices in end-of-XiuLi Pantalon Thermo Chaud pour Femmes, 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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}.

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,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. 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-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal^{(Coosun Basket-Ball emblème PU Porte-Monnaie Sac à bandoulière en Cuir et Sacs Main fourre-Tout pour Les Femmes Moyen muticolour)}.

Conclusion

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