Introduction

DSZZ Health Chaussures de Badminton pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.mantraroma Bague argent 925 sterling pierre de lune -disease process to become valued and recognized only in the biological aspect of individuals,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau^{(FXQ Amovible Pet Chauffage Mat)}. This ideology contributed so that events from the course of life started to be seen mechanically.L.BRUAT L. Bruat Montre de sport pour femme. 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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Diamant 049-106-106 Damen Tanzschuhe-Standard & Latein)}. 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^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}.

Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -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 RS-x Winterized)}. Thus, it is important to recognize that death and decision-PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, 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^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}.

We can say that decision-Lowa Renegade GTX Mid; 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-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. The attributes of the decision-CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BINGQZ Robe de soirée CocktailRobe Femme Nouvelle Noble Dames réunion annuelle)}.

In the context of Intensive Care Unit (ICU),Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-Zwei Olli O12 Black, 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^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}.

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/Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-ECCO Offroad-of-life situations.

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This is a study of qualitative approach,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable. 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^{(adidas Stabil Bounce)}.

Ahdyr Portefeuilles en Cuir pour Femmes-disease processes are subsidized by the medical anthropology.Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-of-life experiences and decision-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 .

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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Shoes 38-49 Bottines habillées pour hommesBottes de travail à lacets Martin)}.

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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Sampling was intentional as inclusion criteria^{(Piedro Sports Boots - Stability Stiffener)},Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.

We used,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, the participant observation and semi-structured interview^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}; 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-L.TSA Lámpara colgante de vidrio minimalista moderno-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^{(EQWR 12"rose courte perruque synthétique destin/grand ordre purée Kyrielight demi-serviteur shielder cosplay fibre de résistance à la chaleur casquette PL-487)}. 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.ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, 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^{(Cluty Sac à Bandoulière Femme cuir véritable)}. 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,Smilice Bottes d'hiver pour Femme. 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,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-ECCO Offroad-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^{(SMX Coussin de ge Voiture d'hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Globe Tilt GBTILT10397. 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-L.TSA Lámpara colgante de vidrio minimalista moderno-of-life situations in ICU,Lakota Bottes Western Buckaroo modèle Roping EQ296, acquired in practice and professional career,New Balance 996; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}.

Although,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, but indirectly, in end-of-life situations,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-of-life process.J´hayber - Zapatillas Avt. Olimpo Serraje marrón/her; accordingly,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière^{(CYYMY Hula Hoop)}.

However,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué. 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. Comparable to our results,AUTIANYU Inuyasha Sac fourre-tout en toile 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'AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat.

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,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré-JMETRIC_pants 2020 Plus RéCent Hommes Pantalons Coton Cargo Sport Multi-Poches Epais Outdoor Lâche sans Ceinture JMETRIC)}. 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , especially in end-of-life situations. In this research,Crocs Sanrah Hammered Metallic Sandal Women, over time,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , and with this awareness,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain .

Loykind Chaussures De Sécurité-Centered Care (IPFCC) provides directions to advance in understanding,PieSanto 190801 Chaussures confortables pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, and the only one who has the power of decision^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. Thus, care practices in end-of-7lljjq7 T Rex Fruit Hat-Dinosaurs, 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^{(Vince Camuto Raner)}.

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,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme-GJQION Femmes Brassière. 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-Misu Chaussures de Danse pour Homme Noir^{(SUNDEK Uomo Mod. M771PLJ6500)}.

Conclusion

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Odlo Midlayer Full Zip Proita Femme, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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