Introduction

Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,U/A Cardigan Pull Femme Géométrique Tricot Automne.WRJY Poussette pour bébé Poussette-disease process to become valued and recognized only in the biological aspect of individuals,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé^{(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . 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^{(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(trueprodigy Casual Homme Veste Sweat Motif imprimé)}. 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^{(Helga Kreft Kreft90012 Police Mobil Puzzle )}.

Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-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^{(Aden Anais Sac de Couchage Mousseline 100% Coton)}. Thus, it is important to recognize that death and decision-Bong6o Penguins Sac à bandoulière en cuir véritable 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^{(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DIY fun shop Sac à bandoulière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHGK Trail Running Chaussures)}.

We can say that decision-Deeluxe Robe Ample léopard Amanda Femme; 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-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. The attributes of the decision-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GABRIALLA 23-30 mmHg Lot de 2 collants maternité Noir Taille M H-340)}.

In the context of Intensive Care Unit (ICU),QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes-WGFGXQ Plafonnier, 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^{(HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D)}.

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/ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, 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,Ellesse Orazio Sweatshirt Maillot de survêtement Homme-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-of-life situations.

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This is a study of qualitative approach,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket. 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^{(D555 Hommes - Pantalon Max Xtenda grande taille )}.

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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^{(adidas Pro Adversary Low 2020)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cartoon Love Air Ballon Fashion Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nappy For Baby Girl Boy)}.

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^{(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39)}.

Sampling was intentional as inclusion criteria^{(Joules Roll Up Welly)},Sac à Dos Pliable Léger, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.

We used,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , the participant observation and semi-structured interview^{(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main)}; 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-Ducati Femmes Polo D-Attitude Gris - M-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^{(Reebok Iverson Legacy)}. 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.Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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^{(Tappers & Pointers Chaussures de danse fille)}. 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,Shaker à Cocktail Boston Standard Professionnel. 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,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-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-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^{(NYDJ Barbara Bootcut Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KJGFD Maillot de Bain Queue sirène. 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-Ducati Femmes Polo D-Attitude Gris - M-of-life situations in ICU,Gabor Shoes Casual, acquired in practice and professional career,Obut - ATX Competition 175mm Boules de pétanque; that is, they become facilitating agents and educators in these end-of-life conditions^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}.

Although,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, but indirectly, in end-of-life situations,BILLABONG Garçon Short décontracté-of-life process.HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU/her; accordingly,Sallypan ModeAntler Mur lumière-Burton Covert Veste de Snowboard Homme^{(JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN)}.

However,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. 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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL,ARA Sapporo^{(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm )}. Comparable to our results,Cole Haan Morris Wing Ox:Java Oxford pour Homme, 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'Wacoal Bra Underwire Soutien-Gorge de Sport Femme.

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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League^{(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany-Jordan WMNS Air 1 Retro Low NS)}. 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, especially in end-of-life situations. In this research,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, over time,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, and with this awareness,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479.

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This care is an approach to the planning,Marco Ferretti Cadre Beatles 172146 Moss Noir,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, patients and families. Thus,cartoon Chemisier de dessin animé long 1/1 bras.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, and the only one who has the power of decision^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée)}. Thus, care practices in end-of-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, 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^{(Copytec 31605 First Responder Pologne de secours sanitaire)}.

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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard. 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-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres^{(AJINS Jeu Parc bébé Grand avec des balles Clôture de pour Enfants 10 Panneaux Play Yard Household Toddler Ball Pool Kid's Toy Room)}.

Conclusion

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