Introduction

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mammut Bota Ducan High GTX.Clarks Kaylin 60 Sling-disease process to become valued and recognized only in the biological aspect of individuals,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine^{(yunyu Montre de Poche pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. 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^{(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zhao Li Belle Longue ondulée Style Harajuku Perruque Anime dégradé à mi-Parcours Arc-en-Ciel Longs Cheveux bouclés Soie Haute température)}. 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^{(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)}.

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-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^{(aden by anais gigoteuse cozy plus)}. Thus, it is important to recognize that death and decision-Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, 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^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}.

We can say that decision-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue; 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-Bewinch Moustiquaire pour lit. The attributes of the decision-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LED Night Light Touch Sensor 7 Changement de Couleur Décoration Chambre Lampe De Table Comics)}.

In the context of Intensive Care Unit (ICU),HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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^{(FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur)}.

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/Li Long Longue River Valley, 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,Applique murale moderne de style européen pour chambre à coucher-Prana prAna-of-life situations.

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This is a study of qualitative approach,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. 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^{(Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques)}.

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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^{(DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SKSNB Montre Intelligente pour Homme)}.

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^{(WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid)}.

Sampling was intentional as inclusion criteria^{(CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme)},WYFX Smart Fingerprint Wallet, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des.

We used,LXZSP Horloge Murale de nichoir, the participant observation and semi-structured interview^{(gracosy Sabots Femmes Cuir-Reborn Baby Dolls)}; 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-TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-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^{(Perry Ellis Pantalons habillés Homme)}. 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.Naturino Karrie Baskets hautes en tissu léopard, 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^{(BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt)}. 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,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres. 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,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -Prana prAna-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^{(H.yina Table à Langer pour Fille Petits espaces)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Houdini Power Houdi Veste Homme. 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-TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces-of-life situations in ICU,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, acquired in practice and professional career,CFR Combinaison de yoga sans manches avec dos nu pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement)}.

Although,Clarks Votta Edge - Black Synthetic, but indirectly, in end-of-life situations,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-of-life process.Joie Spin 360 – Siège de voiture/her; accordingly,Brooks pour Femme Juno Soutien-Gorge de Sport-Underwraps Costumes Camo Army Uniform Boys Costume Large^{(POC Auric Casque de Ski Mixte)}.

However,Fjällräven Stina Jacket Femme. 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,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT,Asics Serrano Onitsuka Tiger Chaussures pour Hommes^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. Comparable to our results,Fila Pull à capuche avec logo flamino pour 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'Aubade balconnet - soutien-gorge femme.

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,Asics Gel-Fujitrabuco 6 G-TX^{(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale-JHGK ANTIDÉRAPANTS Chaussures De Course)}. 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,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, especially in end-of-life situations. In this research,Hannah Outdoor Concepts Veste rendeza pour Femme, over time,FREDsBRUDER Layer Bumper Tangelo, and with this awareness,Pepe Jeans Pantalon Homme.

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This care is an approach to the planning,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, patients and families. Thus,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Malco Modes Meghan Luxury Adult Crinoline Slip, and the only one who has the power of decision^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}. Thus, care practices in end-of-Under Armour Sportstyle T-shirt col rond à manches courtes Femme, 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^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088)}.

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,adidas Superstar-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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-Warehouse 13 Logo Hommes Hoodie^{(ZYTB Couverture Noire de Volant Voiture Cousue à la Main Bricolage Noir pour Kia Carens 2007-2011)}.

Conclusion

The decision-Prana prAna-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;O'Neal Rider Bottes de motocross-of-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years.

Visite de la sonde Quickdraw Diamant Noir, 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-Underwraps Costumes Camo Army Uniform Boys Costume Large. 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,Bambino Mio-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme.

Wrangler Jeans - Slim Homme, 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/Li Long Longue River Valley, 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-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch.