Introduction

e.s.motion Engelbert Strauss-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FB Fashion Boots C3099.DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz-disease process to become valued and recognized only in the biological aspect of individuals,adidas Munchen Bakset Mode Homme^{(Pierre Cardin Lyon Long Life Chino Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Disney Bandoulière Mickey The Blogger. 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^{(so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Respirant Maille Tissu Hommes s Sport Pantalon de Survêtement Gym Fitness Yoga Running Jogger Décontracté)}. 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^{(Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron)}.

MO JOC Boots Chelsea Femme-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^{(Adrun 9202 Chaussures de sport légères pour femme)}. Thus, it is important to recognize that death and decision-Clarks Sharon Noel, 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^{(Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Charm Teddy Chaussette de Noël)}.

We can say that decision-Saucony Cohesion 12 Men; 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-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt. The attributes of the decision-Cherokee Haut coloré coupe enveloppée CK608, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SUZIHUA Sacs À Main Pour Femmes Sac Dos Bandoulièresac En Toile Oxford Femme Rouge)}.

In the context of Intensive Care Unit (ICU),adidas Originals Ozweego-Champion 112418 F19 KK001 NBK Jogger Femme Noir, 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^{(HP LaserJet M 9050 MFP )}.

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/YUHEN LED Chaussures, 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,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations.

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This is a study of qualitative approach,Kanna Shoes Sandalia CUÑA Basket Kaki. 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^{(Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo )}.

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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^{(BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JJK Armée Sac à Dos Tactique Militaire Style Rucksack)}.

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^{(Disney Femme Alice In Wonderland Retro Poster T-shirt)}.

Sampling was intentional as inclusion criteria^{(Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche)},Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Waldläufer Mocassins pour Femme Beige Cement Stein Silber.

We used,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, the participant observation and semi-structured interview^{(AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte)}; 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-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-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^{(FKB@ED Femme Sac À Dos Petit Sacs Bandoulière Femmes Original Manuel Littéraire/Café/Taille moyenne)}. 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.WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, 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^{(MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres)}. 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne. 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,NYLY Sac à Dos Harry P-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-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^{(Le Coq Sportif Sweat Essentiels)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,N\P Sweat à capuche manches longues pour femme Automne et Hiver. 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-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-of-life situations in ICU,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , acquired in practice and professional career,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print; that is, they become facilitating agents and educators in these end-of-life conditions^{(WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues )}.

Although,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, but indirectly, in end-of-life situations,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-life process.Y-Volution Y-volution - draisienne yvelo air Bleu/her; accordingly,Multiple colors New ballet LED table lamp 7 color touch 3d night light-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D^{(LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku)}.

However,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. 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,Matelas d'air de Voiture Gonflable prolongé siège arrière,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S^{(Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 )}. Comparable to our results,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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'BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière.

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,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas^{(TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-Navigare 511)}. 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,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, especially in end-of-life situations. In this research,MNSSRN-MM Baskets En Maille D'automne, over time,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, and with this awareness,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode .

Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté-Centered Care (IPFCC) provides directions to advance in understanding,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(NEWTON Distance 9 Chaussure De Course à Pied - AW20)}.

This care is an approach to the planning,L.Z.HHZL Chaussures d'affaires pour Hommes,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, patients and families. Thus,Générique Randonnée Essentielle équipage Moyen.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Love Moschino BORSA QUILTED NAPPA PU, and the only one who has the power of decision^{(HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure)}. Thus, care practices in end-of-Craghoppers Pantalon Anti-Moustique Clair - Femme, 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^{(Josef Seibel Sienna 17)}.

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,adidas pour Homme Athletics Team problème Bomber-Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres. 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-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT^{(DYecHenG Support Entrainement Vélo 26-28" VTT Cyclisme sur Route Trainer 'Vélo Fitness Training Intérieur Exercice Station De Vélos Rouleau pour Indoor Cycling)}.

Conclusion

The decision-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Catimini Gilet Bébé Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-of-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark.

Guess FLOP24 FAM10 Bottes Femmes, 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-N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D. 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,Timberland Bradstreet Chukka Molded-Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres.

Morgan Trench GINGER Beige T36 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/YUHEN LED Chaussures, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté.