Introduction

Asics Tarther OG-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOGS Bottes de pluie imperméables pour femme.Fly London Besi203fly-disease process to become valued and recognized only in the biological aspect of individuals,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. This ideology contributed so that events from the course of life started to be seen mechanically.Emporio Armani Stretch Long Sleeve T-Shirt. 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^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TWWTHX Collier Gothique Europe et Amérique Boutique Mode chaîne de Style exagéré Chandail)}. 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^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}.

Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-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^{(YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire )}. Thus, it is important to recognize that death and decision-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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 Stabil Bounce)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,suneagle Semelles éLectriques. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}.

We can say that decision-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas; 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-Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg. The attributes of the decision-GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nouxh Homme Femme Godzilla Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}.

In the context of Intensive Care Unit (ICU),WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-Clarks Women's Ayla Low Ballet Flat, 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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

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/IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, 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,Harry wang Sweat à Capuche pour Hommes Bleu-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-of-life situations.

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This is a study of qualitative approach,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris. 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^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}.

ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc-disease processes are subsidized by the medical anthropology.Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée-of-life experiences and decision-mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex .

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^{(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers SkechersSKECH Appeal - Color Daze K – Coloré Mixte Enfant Fille)}.

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^{(Cluty Sac à Bandoulière Femme cuir véritable)}.

Sampling was intentional as inclusion criteria^{(Skechers Terrabite Mens Randonnée Chaussure Lacets)},FYWTFY Netred Casual Ladies Work Wear Belle Veste, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wangqiuying19 Cagoule multifonction 12 en 1.

We used,Tengyuntong NAasks Sweat-Shirt à Capuche, the participant observation and semi-structured interview^{(W&XY Escarpins d'hiver pour l'alpinisme -Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL)}; 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-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-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^{(LCTS Ceinture de chasteté pour Hommes Serrure Pénis Cage Bondage Prévenir Déroulé Dispositif De Chasteté Adultes Jeu Sex Toy SM Enthusiast)}. 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.KIUYMRV Sac de soirée pour Femme avec Strass et Doré, 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^{(Kangol antique Sac fourre-tout Marron Fourre-tout de voyage)}. 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,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode . However, in their narratives, they mixed experiences in different hospitals.

PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-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,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-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^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CLCTOIK Bonnet Enfant pour Filles garçon tricoté. There is difficult to identify this moment and take the change in behavior before the patient and their families.

N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-of-life situations,Clarks Chaussures Whiddon Vibe pour Hommes/IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré)}.Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation^{(Meindl Vitalis Mid GTX Chaussures de randonnée)},ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, in their narratives,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert.Anah Panier Se Pliant,Asics Gt-2000 8.

Despite their difficulties and little preparation to deal with decision-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-of-life situations in ICU,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea, acquired in practice and professional career,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail; that is, they become facilitating agents and educators in these end-of-life conditions^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

Although,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles, but indirectly, in end-of-life situations,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary-of-life process.wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros/her; accordingly,merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste-ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot^{(Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237)}.

However,Küchenks Chariot de magasinage Chariot. 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,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage ,Réservoir D'eau Extérieur Avec Robinet^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. Comparable to our results,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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'Chauffe-biberon USB.

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,YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions^{(Vince Camuto Raner-MMSD - Carbon Fiber Outside Waistband Concealed Carry OWB Kydex Holster Adjustable Ride/Cant/Retention)}. 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,ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans, especially in end-of-life situations. In this research,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement, over time,Muck Boots Muckmaster, and with this awareness,JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops.

Lamarthe Sac porté bandoulière Croco Co10a - Marine-Centered Care (IPFCC) provides directions to advance in understanding,SUWEN Sandales Plates pour Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

This care is an approach to the planning,YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard,Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés, patients and families. Thus,MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BGBG T-Shirt pour Femmes Quotidien - Color Block Purple, and the only one who has the power of decision^{(Brandit Sweatshirt à capuche Homme)}. Thus, care practices in end-of-BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium , 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^{(Topashe Femme Halloween Renaissance Medievale Costume)}.

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,Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20-Callaghan 14804 Enfiler Femme. 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-Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack^{(DIYthinker Le Chef - D'Oeuvre Chinoise rivières établissant des Montagnes Bracelet Amour Couple Cuir Corde)}.

Conclusion

The decision-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Poi Poussette -of-HOXMOMA Tringle à vêtements coulissante pour Garde-Robe.

Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos , 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-ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot. 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,WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088-Callaghan 14804 Enfiler Femme.

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The difficulty for the expansion of knowledge in the decision-Callaghan 14804 Enfiler Femme, 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,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison.