Introduction

UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller.Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-disease process to become valued and recognized only in the biological aspect of individuals,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures^{(Lacoste Polo Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.YAOLAN 5D Diamant Peinture kit Complet. 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^{(Clarks Sharon Dolly)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GABRIALLA 23-30 mmHg Lot de 2 collants maternité Noir Taille M H-340)}. 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-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^{(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)}. Thus, it is important to recognize that death and decision-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU, 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^{(Ducati Femmes Polo D-Attitude Gris - M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FANZIFAN Manteau de la Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.

We can say that decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; 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-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. The attributes of the decision-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cartoon Love Air Ballon Fashion Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nappy For Baby Girl Boy)}.

In the context of Intensive Care Unit (ICU),GCX Imperméable Poncho imperméable for Femmes en extérieur-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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^{(Gabor Casual)}.

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/Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-of-life situations.

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This is a study of qualitative approach,SugarPocket Leggings de yoga pour femme. 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^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}.

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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^{(QYYdress Robe de Mode V-Cou imprimée Motifs )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Reebok Iverson Legacy)}.

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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Loungefly X Disney Mini sac à dos Motif portrait)},GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex.

We used,Reebok Chaussures Aztrek, the participant observation and semi-structured interview^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-RefrigiWear Mead Jacket Veste de Sport Femme)}; 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-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-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^{(Fedso Montre à quartz classique en acier inoxydable avec plume de paon marron doré)}. 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.Bobux Zap, 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^{(FREDsBRUDER WXD Easy Peasy Caramel)}. 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,Maui Jim Lunettes de soleil 543 Shallows. 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,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-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-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^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson. 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-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-of-life situations in ICU,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, acquired in practice and professional career,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dynafit Speed Insulation W Hooded VST44/38)}.

Although,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , but indirectly, in end-of-life situations,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-of-life process.CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats/her; accordingly,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-Saucony Jazz Original^{(Benavente Chika10 Kurazo 12 Bottines en cuir)}.

However,Anna Cecere ACA 016 lime. 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,Puma Men's Iconic MCS Tee,Naturino See^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Comparable to our results,NORTH SAILS Norfolk Veste 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'NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure.

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,Herschel Heritage^{(YXZQ Lanterne Murale extérieure Traditionnelle-AJINS Jeu Parc bébé Grand avec des balles Clôture de pour Enfants 10 Panneaux Play Yard Household Toddler Ball Pool Kid's Toy Room)}. 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,Clarks Women's Linvale Sea Fashion Boot, especially in end-of-life situations. In this research,Clarks Women's Verona Rock Ankle Boot, over time,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, and with this awareness,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.

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This care is an approach to the planning,GBY Sac à bandoulière pour femme - main tendance,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , patients and families. Thus,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Breed Racer Chronograph Bracelet Watch w/Date, and the only one who has the power of decision^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. Thus, care practices in end-of-WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

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,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s. 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-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.^{(Six6 Bonnet en tricot d'hiver pour homme et femme)}.

Conclusion

The decision-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KAR 4-of-XHH Échelle de Plante Support à Fleurs en Fer forgé.

Folding bath tub Baril de Baignoire Pliable, 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-Saucony Jazz Original. 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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s.

Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, 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/Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s, 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,Fox Débardeur à dos Randonnée Homme.