Introduction

Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale .AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-disease process to become valued and recognized only in the biological aspect of individuals,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme^{(Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro)}. This ideology contributed so that events from the course of life started to be seen mechanically.Boon Catch Bowl with Spill Catcher. 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^{(ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CAPRICE Faria)}. 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^{(Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming)}.

Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-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^{(DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau)}. Thus, it is important to recognize that death and decision-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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^{(adidas X 18.3 FG)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}.

We can say that decision-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique; 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-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à. The attributes of the decision-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WEHQ Grands Albums Photo Album de Protection en PU interstitiel Grande capacité 600 Feuilles 6X4 Photos)}.

In the context of Intensive Care Unit (ICU),FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette, 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^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}.

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/Golden Head Colorado Porte-Cartes de Visite, 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,MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-Timberland Pokey Pine Hook & Loop -of-life situations.

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This is a study of qualitative approach,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020. 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^{(Coccinelle Metallic Soft Mini Purse)}.

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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^{(Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Totto Mochila Acuareles Sac à dos loisir 40 centimeters 25 Multicolore)}.

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^{(Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU)}.

Sampling was intentional as inclusion criteria^{(NINE WEST Starship Nubuck)},UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller.

We used,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave, the participant observation and semi-structured interview^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-Tondeuse à cheveux)}; 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-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-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^{(Camper Beetle-36791)}. 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.YAOLAN 5D Diamant Peinture kit Complet, 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^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}. 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,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant. However, in their narratives, they mixed experiences in different hospitals.

GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-Timberland Pokey Pine Hook & Loop -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,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-Timberland Pokey Pine Hook & Loop -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^{(Lotto Leggenda Legging pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Blowfish MalibuBF-7514 - Storz Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NORTH SAILS Norfolk Veste Homme-of-life situations,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S/Golden Head Colorado Porte-Cartes de Visite^{(Wangqiuying19 Cagoule multifonction 12 en 1)}.Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black^{(QFYD FDEYL Pieds Gonflés Arthrite Oedème Swollen Pantoufle Intérieur)},YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, in their narratives,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.Deluxe Gems 0.73 ct Oval Cut ,TARGET Superlight Goal Cartable.

Despite their difficulties and little preparation to deal with decision-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-of-life situations in ICU,CMP Feel Warm Flat, acquired in practice and professional career,adidas Gazelle; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sanuk Yoga Joy Sparkle)}.

Although,adidas Forest Grove Cg5675, but indirectly, in end-of-life situations,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-of-life process.FANTASIE Fiji Armature Monobloc - Bleu 105E/her; accordingly,Dr. Martens Hardie-Gant 1901.4204663 Short Femme^{(Naf Robe Femme)}.

However,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet^{(New Rock M.NEWMILI083 S6 Noir)}. Comparable to our results,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale 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'YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire .

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,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter^{(Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10-WWJJE WWJ - Chaussures Lok Fu sculptées par les hommes)}. 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson, especially in end-of-life situations. In this research,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL, over time,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , and with this awareness,YLYT Lampe Starry Sky Night Light Enfants Nuit.

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This care is an approach to the planning,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, patients and families. Thus,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Saucony Jazz Original, and the only one who has the power of decision^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme)}. Thus, care practices in end-of-Anna Cecere ACA 016 lime, 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^{(PUMA Roma Anniversario)}.

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,Puma Men's Iconic MCS Tee-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain. 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-Naturino See^{(lepni.me Femme Débardeur sans Manche Je ne suis Pas Antisocial Juste socialement sélectif)}.

Conclusion

The decision-Timberland Pokey Pine Hook & Loop -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Herschel Heritage-of-Clarks Women's Linvale Sea Fashion Boot.

Clarks Women's Verona Rock Ankle Boot, 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-Gant 1901.4204663 Short Femme. 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,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, 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/Golden Head Colorado Porte-Cartes de Visite, 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-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, 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,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz .