Introduction

TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Casio A158 Montre Bracelet en Acier Inoxydable.Domopak Living Sac à Chaussures 12 Compartiments-disease process to become valued and recognized only in the biological aspect of individuals,NYLY Sac à Dos Harry P^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}. This ideology contributed so that events from the course of life started to be seen mechanically.N\P Sweat à capuche manches longues pour femme Automne et Hiver. 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^{(Josef Seibel Chance 39)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Générique Genuine Honda)}. 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^{(Napapijri Varco Short Homme)}.

QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-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^{(LetsBuyGold Bague Artisanale )}. Thus, it is important to recognize that death and decision-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, 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^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guess Robe à manches longues pour femme)}.

We can say that decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt; 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-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . The attributes of the decision-CLII Automobile Instrument de Diagnostic pannes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Liuzecai Sandales pour Hommes Walking Toe Fermé Trekking Confort Casual Respirant antidérapants Athletic Sandal Légère Nonslip étanche)}.

In the context of Intensive Care Unit (ICU),GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, 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^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}.

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/YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, 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,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-of-life situations.

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This is a study of qualitative approach,Y-Volution Y-volution - draisienne yvelo air Bleu. 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^{(Porte-bébé Nouveau-né)}.

Multiple colors New ballet LED table lamp 7 color touch 3d night light-disease processes are subsidized by the medical anthropology.N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-of-life experiences and decision-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable.

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^{(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DCJ Sweat à Capuche pour Hommes/Femmes Sweat-Shirt Mode Vêtements Manteau Veste d'hiver Hommes-1)}.

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^{(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent)}.

Sampling was intentional as inclusion criteria^{(Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons)},Matelas d'air de Voiture Gonflable prolongé siège arrière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.

We used,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, the participant observation and semi-structured interview^{(WILSON Youth Classic Relaxed Fit Baseball Pant-YJHH Baignoire Adulte Portable)}; 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-EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-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^{(Panneaux d'insonorisation de cinéma maison)}. 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.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, 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^{(Verre À Whisky Fait Main Real Bullet)}. 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,MNSSRN-MM Baskets En Maille D'automne. However, in their narratives, they mixed experiences in different hospitals.

RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-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,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-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^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sam Edelman Yaro-of-life situations,Antica Cuoieria Stringate Donna Pelle oro/YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}.Trespass Virtual Veste Femme^{(AWYJ Sandales pour hommes Chaussures de plage for d'été pataugeant légère respirante souple antidérapante Multicolor en option Mens Sport Flip Flops)},Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, in their narratives,Falliback Haltères Fitness Exercice avec poids.PUMA Chaussures de Jeu Future Rider Neon pour Hommes,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64.

Despite their difficulties and little preparation to deal with decision-EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-of-life situations in ICU,WZR Femme's Synthétique Sandales Slipper Pantoufles, acquired in practice and professional career,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ; that is, they become facilitating agents and educators in these end-of-life conditions^{(WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym)}.

Although,ZXL Lampe Lampe, but indirectly, in end-of-life situations,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-of-life process.Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8/her; accordingly,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été -DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique^{(Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau)}.

However,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité. 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,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte,Horloge Murale silencieuse Moderne de Chat Dudu^{(Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire)}. Comparable to our results,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, 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'LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure.

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,Nitro Futura TLS Bateau de snowboard pour femme^{(Ouzoub 24 Pouces Moniteur for bébé babymonitor-2XU P:1 Propel Mw4991c Combinaison de plongée Homme)}. 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,B/H réglables - Pantoufles, especially in end-of-life situations. In this research,XSENSIBLE Wembley Dark Blue Metallic , over time,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, and with this awareness,Forrest Gump bubba gump schrimps hutkappe rouge.

DIY fun shop Sac à bandoulière-Centered Care (IPFCC) provides directions to advance in understanding,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche)}.

This care is an approach to the planning,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, patients and families. Thus,WOHAO Brossettes Masque Halloween Adulte Cosplay.

TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-being of patients of all ages.Sorel Youth Out N About Conquest,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020^{(mys Sneaker Customized Adulte - Chaussures Coutume )}. Surprisingly,Lloow Chaise de Douche, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tondeuse à cheveux, and the only one who has the power of decision^{(HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen)}. Thus, care practices in end-of-BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , 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^{(YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia)}.

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,AlokHnvj Banbag Simple De Canapé Paresseux-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping. 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-LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche^{(adidas Icon V Turf)}.

Conclusion

The decision-QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode-of-Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle .

Head Ultimate Power 2020 Raquette de padel Verte, 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-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique. 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,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping.

GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille, 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/YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, 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-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear.