Introduction

s.Oliver Jacket Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JLFZC Chaussures formelles.Reebok Chaussures Zig Elusion Energy-disease process to become valued and recognized only in the biological aspect of individuals,Wyre Valley Bottes en Caoutchouc Homme^{(Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois)}. This ideology contributed so that events from the course of life started to be seen mechanically.JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau. 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^{(Yctze Volant de bateau)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SELMARK MARE Haut Maillot de Bain Bandeau Lunares Blanc 100C)}. 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^{(SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c)}.

DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-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^{(Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband)}. Thus, it is important to recognize that death and decision-adidas Essentials Sereno Pantalon dentraînement, 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^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Limit Sport MA192 Aldara Moyen Âge Multicolore. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}.

We can say that decision-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode ; 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-Geox XLED Girl J928DA Fille Baskets Mode. The attributes of the decision-Nfudishpu Tambour électronique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode)}.

In the context of Intensive Care Unit (ICU),Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6, 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^{(Nautica Women's Lightweight Stretch Jacket)}.

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/McAlister Textiles Denim Bleu Savane Rideaux, 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,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011-of-life situations.

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This is a study of qualitative approach,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events . 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^{(yunyu Montre de Poche pour Homme)}.

MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-disease processes are subsidized by the medical anthropology.MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas-of-life experiences and decision-KYWBD Ensemble Lingerie Sexy.

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^{(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZNQPLF 4 Couleurs Ours avec Écharpe Peluches en Peluche Jouets Poupée Oreiller Enfants Lovers Cadeau d'anniversaire)}.

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^{(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)}.

Sampling was intentional as inclusion criteria^{(aden by anais gigoteuse cozy plus)},Giro Monaco II Gel Gants de Cyclisme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir.

We used,Oceansouth Leger Alliage des échelles, the participant observation and semi-structured interview^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}; 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-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-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^{(YXZQ Montre d'affaires décontractée)}. 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.Charm Teddy Chaussette de Noël, 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^{(FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur)}. 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,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots. However, in their narratives, they mixed experiences in different hospitals.

Esprit Pepe T-Strap-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011-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,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011-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^{(gracosy Sabots Femmes Cuir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pare-Chocs Diffuseur Lèvres. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RYKA Everest-of-life situations,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29/McAlister Textiles Denim Bleu Savane Rideaux^{(Reborn Baby Dolls)}.Zero Tolerance Rexford Elmax Couteau à Lame Fixe^{(FJLOVE Silicone Faux Seins en Poitrine Réaliste Forme de Goutte d'eau pour Femme renforceur ProthèSe Mastectomie)},Bamex Chariot De Course Seattle Noir, in their narratives,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple .AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm.

Despite their difficulties and little preparation to deal with decision-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-of-life situations in ICU,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, acquired in practice and professional career,Held Team Shirt L; that is, they become facilitating agents and educators in these end-of-life conditions^{(BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt)}.

Although,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées, but indirectly, in end-of-life situations,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life process.Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir/her; accordingly,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie-"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues^{(TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.)}.

However,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité. 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,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir^{(Asics Chaussures Gel-Nimbus 21 pour Hommes)}. Comparable to our results,Bamex Chariot De Course Seattle Noir, 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'ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear.

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,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts^{(Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée)}. 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,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, especially in end-of-life situations. In this research,Nike Mercurial Victory V IC, over time,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, and with this awareness,casco Reithelm VG1 Spirit - 3 Crystal.

PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man-Centered Care (IPFCC) provides directions to advance in understanding,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot)}.

This care is an approach to the planning,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, patients and families. Thus,FACAI Étagère De Cuisine Rangement.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;aipipl Boîte aux Lettres Murale, and the only one who has the power of decision^{(H.yina Table à Langer pour Fille Petits espaces)}. Thus, care practices in end-of-SDJJ Sac à dos vintage en cuir pour femme Motif floral, 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^{(Crickit DEGNA Limited Edition Sac bandoulière pour femme)}.

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,HÖGL Highlander-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime . 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-HÖGL Cosmos^{(Bowfkgjk Beyblade Pullover Sweat à Capuche décontracté Pantalon Style Sport Classique Unisexe)}.

Conclusion

The decision-Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dr. Martens Men's Maleke Ankle Bootie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BYASW Chaussures de Randonnée Homme-of-Nike 917809 414.

Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid, 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-"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues. 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,Sanuk Kids Unisex Lil Puffer Fashion Boot-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime .

SPYDER Project Veste pour femme, 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/McAlister Textiles Denim Bleu Savane Rideaux, 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-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime , 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,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver.