Introduction

Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire .Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-disease process to become valued and recognized only in the biological aspect of individuals,Asics Chaussures Gel-Lima Padel 2^{(Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez)}. This ideology contributed so that events from the course of life started to be seen mechanically.BTYKJ Sandales compensées en Daim à Boucles 42 Noir. 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^{(Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tent SISI Shop Nouveau Style Pop Up ultralarge 4~5 Personne entièrement Automatique Vitesse Ouverte avec moustiquaire extérieure Camping de Plage Sun Shelter 8.6)}. 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^{(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or)}.

Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-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^{(Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420)}. Thus, it is important to recognize that death and decision-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , 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^{(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques)}.

We can say that decision-Lloyd 547932 Bottines Femme 28-357-00 ; 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-hanky panky Brassière croisée en dentelle Signature. The attributes of the decision-El Ganso Blazer Acolchada Nylon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Burton Stamped Mountain T-Shirt pour Homme avec Logo Montagne)}.

In the context of Intensive Care Unit (ICU),WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-CMP, 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^{(QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short)}.

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/Cole Haan HaanAir Bandon MOC - Ballerines Air Femme, 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,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations.

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This is a study of qualitative approach,Sécurité Adulte Casque De Velo. 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^{(FXQ Amovible Pet Chauffage Mat)}.

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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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Replay Dominiqli Bootcut Jeans Femme)}.

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^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}.

Sampling was intentional as inclusion criteria^{(PUMA RS-x Winterized)},MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ONeal Oneal Pin It Shorts de vélo Gris 38.

We used,Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , the participant observation and semi-structured interview^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}; 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-Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -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^{(Jhonangel Short de Plage en Polyester pour Hommes Rainbow Flag LGBT à séchage Rapide)}. 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.LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, 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^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}. 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,adidas Yg PES TS Survêtement Garçon. 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,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-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^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4. 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-Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -of-life situations in ICU,Dachstein Ramsau 2.0 Gore-TEX Chaussure, acquired in practice and professional career,New Balance Fresh Foam Zante Pursuit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cluty Sac à Bandoulière Femme cuir véritable)}.

Although,Columbia WAYFINDER FLIP Sandales de sport pour homme, but indirectly, in end-of-life situations,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-of-life process.nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques/her; accordingly,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers^{(Skechers Terrabite Mens Randonnée Chaussure Lacets)}.

However,Under Armour Polo rehaussé pour homme. 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,Kamik Raindrops,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250^{(W&XY Escarpins d'hiver pour l'alpinisme )}. Comparable to our results,Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay, 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'TEN POINTS Carina.

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,DC Shoes Heathrow^{(Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL-Child Walker Multi-Fonction Anti-Renversement 6-12 Mois Bébé Peut s'asseoir Homme et Femme Universel FANJIANI)}. 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, especially in end-of-life situations. In this research,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, over time,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, and with this awareness,Kickers Bonbon.

Nike Magista Onda AG-Centered Care (IPFCC) provides directions to advance in understanding,Mizuno Tc-02. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kangol antique Sac fourre-tout Marron Fourre-tout de voyage)}.

This care is an approach to the planning,ECCO Biom Terrain,ECCO Xpedition III, patients and families. Thus,ECCO Xpedition III.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Fjällräven Leisure Backpack Greenland Zip 13" Polyester, and the only one who has the power of decision^{(SMX Coussin de ge Voiture d'hiver)}. Thus, care practices in end-of-FREDsBRUDER WXD Easy Peasy Caramel, 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^{(Kickers Orin Twin Toe Lo)}.

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,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau. 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-Under Armour Sportstyle Tricot - Pantalon Homme^{(Funkita Lovebird Maillot de Bain pour Femme résistant au Chlore et à séchage Rapide)}.

Conclusion

The decision-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HR Bague en or jaune pour homme 3 pierres, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-of-Teva Tira.

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