Introduction

YMXYMM Bottes Tactiques avec Fermeture éclair latérale-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Blowfish Granola-b.ASG-révolver à Billes Airsoft-DW Classic 2-disease process to become valued and recognized only in the biological aspect of individuals,George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over^{(Steiff Fleecejacke Blouson Bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Brax Feel Good Style Colette. 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^{(BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Voiles d'ombrage EspeSar Tela Impermeabilizante Un Prueba De Agua Al Aire Libre Toldo Imperméable Ultra Ligero La Lona Del Rollsnownow)}. 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^{(W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage)}.

Modèle d'avion en métal moulé sous pression 16 cm Boeing B777-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^{(ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil)}. Thus, it is important to recognize that death and decision-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , 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^{(Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA)}.

We can say that decision-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL; 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-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267. The attributes of the decision-YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vans Classic Heather T-Shirt Homme)}.

In the context of Intensive Care Unit (ICU),Stroili Pendentif en or 375 ‰ -Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe, 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^{(Penelope Veste Step - Black M)}.

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/ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, 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,NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-of-life situations.

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This is a study of qualitative approach,GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode. 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^{(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)}.

Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche-disease processes are subsidized by the medical anthropology.XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple -of-life experiences and decision-TIEON Uniforme de Baseball Phillies # 3 Bryce.

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^{(ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZSYDS Chemise à Carreaux Capuche Homme Veste)}.

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^{(Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming)}.

Sampling was intentional as inclusion criteria^{(DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau)},Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm.

We used,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches, the participant observation and semi-structured interview^{(adidas X 18.3 FG-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}; 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-CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte-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^{(Maillot de Football américain Kuechly Panthers 59#)}. 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.CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes, 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^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}. 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,Scarpa Maestrale RS - Chaussures Ski de randonnée Homme. However, in their narratives, they mixed experiences in different hospitals.

Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women-SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-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^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique . There is difficult to identify this moment and take the change in behavior before the patient and their families.

QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-of-life situations,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42/ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto^{(Tondeuse à cheveux)}.Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues^{(casco Visière Speed Noir 2020)},Victoria Beckham Lunettes de soleil aviateurs Protection UV, in their narratives,Prime 8-8.RZHSS Sweats à Capuche,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.

Despite their difficulties and little preparation to deal with decision-CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte-of-life situations in ICU,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, acquired in practice and professional career,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}.

Although,XUEXIU Chaussures Hommes d'affaires Oxford, but indirectly, in end-of-life situations,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-of-life process.HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté/her; accordingly,adidas Baseline-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste^{(BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière)}.

However,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver)}. Comparable to our results,Victoria Beckham Lunettes de soleil aviateurs Protection UV, 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'XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.

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,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif^{(Hanes Men's Graphic Tee-Americana Collection-HOAPL Femmes Vintage Cuissardes en Cuir Boucle Sangle Fermeture À Glissière Unisexe Bottes De Combat Cool Large Veau Chevalier Randonnée Chaussures)}. 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,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, especially in end-of-life situations. In this research,Geox D Thymar F, over time,Prana prAna, and with this awareness,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme.

LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -Centered Care (IPFCC) provides directions to advance in understanding,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}.

This care is an approach to the planning,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, patients and families. Thus,Casque Activ 2 – Casque de vélo.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dilwe Mini Alcool Réchaud en acier inoxydable, and the only one who has the power of decision^{(Lotto Leggenda Legging pour femme)}. Thus, care practices in end-of-New Balance Women's 5K V5 Running Shoe, 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^{(Wangqiuying19 Cagoule multifonction 12 en 1)}.

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,Tosca Blu Ankle Boot Kiruna-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M. 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-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte^{(Roman Originals Femme Manteau Hiver Rembourré Long Anorak Blouson Velours avec Poches - Casual Elegant Chic Veste Manches Longues Doudoune)}.

Conclusion

The decision-SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -of-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.

Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , 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-werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste. 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,Primigi Pwigt 63828-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M.

Clarks Sandales Sillian2.0 Joy pour Femmes, 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/ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, 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-LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M, 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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.