Introduction

Lloow Chaise de Douche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tondeuse à cheveux.BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -disease process to become valued and recognized only in the biological aspect of individuals,AlokHnvj Banbag Simple De Canapé Paresseux^{(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche. 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^{(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(G.I. Joe Officiellement sous Licence Go Commando Epic Sweat À Capuche)}. 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^{(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode)}.

Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher-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^{(LHY Cadeau de Noël pour Fille)}. Thus, it is important to recognize that death and decision-JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, 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^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BOSS Pince à Cravate 50403093-001)}.

We can say that decision-Head Ultimate Power 2020 Raquette de padel Verte; 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-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école. The attributes of the decision-GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Youth Soccer Tiro 15 Veste de Sport)}.

In the context of Intensive Care Unit (ICU),Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear-Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga, 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^{(Clic-products Lunettes Clic Classic®)}.

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/ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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,Columbia Homme - Manches Courtes T-Shirt athlétique-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-of-life situations.

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This is a study of qualitative approach,FEUER1 Sweat-shirt à capuche Bleu marine. 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^{(Sanuk Women's Yoga Sling 2 Flip Flop )}.

Reebok 2020 NHL Draft Flex Fit Hat pour homme -disease processes are subsidized by the medical anthropology.Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant-of-life experiences and decision-MotoGP Apparel Veste Polo Contrast Yoke.

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^{(Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HFWJHH Pyjamas for Hommes)}.

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^{(LXZSP Horloge Murale de nichoir)}.

Sampling was intentional as inclusion criteria^{(adidas Terrex Free Hiker Parley)},Brax Pantalon Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.UGHUIHG Queen B Collage Beyonce.

We used,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet, the participant observation and semi-structured interview^{(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm)}; 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-Kickers Orin Twin Toe Lo-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^{(Skechers Mocassins plats pour femme)}. 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.YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, 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^{(Palladium Pampa Hi M Bottines pour femme - Vert foncé.)}. 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,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine. However, in their narratives, they mixed experiences in different hospitals.

Inglesina ag87l0grr – chaises de Promenade-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-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,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-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^{(Wyre Valley Bottes en Caoutchouc Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18. 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-Kickers Orin Twin Toe Lo-of-life situations in ICU,Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture, acquired in practice and professional career,xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sotala Jupe - Portefeuille Femme)}.

Although,Berkemann Soft-Toeffler, but indirectly, in end-of-life situations,Nike Vapor 12 Pro TF-of-life process.Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau/her; accordingly,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles-JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams^{(Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S)}.

However,Nike WMNS Run Swift. 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,Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal,Lacoste Polo Femme^{(Trespass Virtual Veste Femme)}. Comparable to our results,Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos , 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'Merrell Femmes Chaussures De Sport A La Mode.

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,WONDER WOMAN DC Comics Maillots Une pièce Fille^{(Vince Camuto Femmes Sandales À Talon-Neerupam Collection 3.7 carat Forme ovale 12.5mm x 9mm 6mm Opale de feu éthiopienne naturelle Pierres précieuses en vrac pour la fabrication bijoux | Taille bague Gemstone Gemme astrologique)}. 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,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt, especially in end-of-life situations. In this research,CafePress BRIGHTGREYSAATOMY PJ pour femme, over time,HÖGL Studio 80, and with this awareness,Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge.

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This care is an approach to the planning,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes,Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ, patients and families. Thus,ZHANGYY Ceinture de Correction Jambe réglable.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls, and the only one who has the power of decision^{(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier)}. Thus, care practices in end-of-LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE, 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^{(SageBrown Small Zip Around Accordion Coin Purse)}.

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,mys Sneaker Customized Adulte - Chaussures Coutume -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. 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-Yhjkvl Hommes Gym Legging Fitness^{(Volcom Freakin Snow)}.

Conclusion

The decision-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-of-Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie.

Cxjff Pliant PedaI Tricycle, 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-JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams. 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,DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-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.

Baignoire Pliante pour bébé, 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/ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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-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, 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,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long.