Introduction

DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto.Carter's Baby Ensemble de body et pantalon pour bébé garçon-disease process to become valued and recognized only in the biological aspect of individuals,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44^{(NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures. 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^{(Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MOOLFN Automne et Hiver Taille Plus Robe Pyjama Hommes Peignoir Chemise de Nuit Velours épais Service la Maison Corail)}. 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^{(Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir)}.

lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-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^{(HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps)}. Thus, it is important to recognize that death and decision-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, 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^{(AWJ Barre d'appui de Douche)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Café Noir Cafè FHA923273400 Taupe 40)}.

We can say that decision-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI; 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-adidas Response It Hommes Synthétique Chaussure de Course. The attributes of the decision-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents)}.

In the context of Intensive Care Unit (ICU),Applique murale rustique moderne pour chambre à coucher-YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , 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^{(J´hayber - Zapatillas Avt. Olimpo Serraje marrón)}.

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/Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, 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,YAOLAN Raindrop Lampe de Table en Cristal-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes-of-life situations.

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This is a study of qualitative approach,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes. 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^{(DLH Sandales à Talons Hauts pour Femmes)}.

Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -disease processes are subsidized by the medical anthropology.N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot-of-life experiences and decision-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille.

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^{(Manfrotto Travel Backpack Sac à dos Gris)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DHNKW Men's Hoodies Sweatshirts)}.

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^{(Skechers Women's EZ Flex 3.0 - Rare Treasure)}.

Sampling was intentional as inclusion criteria^{(IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes)},JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture.

We used,Ourui Montres Bracelet, the participant observation and semi-structured interview^{(YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-YQ QY Chaussons Description du produitpointureTableau des Tailles )}; 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-FEZD Jersey Pistons 0# Drummond Jersey-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^{(Kmehsv Sweat à Capuche 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.GFPR Arithmétique Abacus Comptage, 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^{(Tamaris 1-1-25012-23)}. 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,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche. 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,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes-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^{(Dr. Martens 1460)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . 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-FEZD Jersey Pistons 0# Drummond Jersey-of-life situations in ICU,adidas EQT Cushion ADV, acquired in practice and professional career,Aubade Haut de Maillot Bain Noir Taille100D; that is, they become facilitating agents and educators in these end-of-life conditions^{(Esprit Pepe T-Strap)}.

Although,Bisgaard 63102218, but indirectly, in end-of-life situations,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -of-life process.Inov8 F-Lite G290 Chaussure De Course à Pied - AW20/her; accordingly,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir^{(FRYE Carson Ballet plat pour femme)}.

However,New Balance Lav V1 Hard Court. 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,Under Armour Charged Rogue Twist Ice 302,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU^{(ESDY Ensemble de sous-Vêtements Thermiques Homme)}. Comparable to our results,Icebreaker 200 Oasis Ls Crewe Couche de Base 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'Champion Cropped Coaches Jacket Blouson de survêtement 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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme^{(Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-wkd-thvb Leopard Teddy Manteau d'hiver chaud en fausse fourrure léopard)}. 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,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, especially in end-of-life situations. In this research,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black, over time,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, and with this awareness,LIULINUIJ Boutonnière Au Dos.

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This care is an approach to the planning,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby,Skechers Uno-Night Shades, patients and families. Thus,CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, and the only one who has the power of decision^{(Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite)}. Thus, care practices in end-of-Napapijri Serber Ls T-Shirt Homme, 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^{(The North Face Zipline Vestes imperméable Fille)}.

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,BILLABONG Short de Bain All Day Riot Lt pour Homme-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce. 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-adidas Originals KXT21 Pro Modèle Blanc Taille 14^{(NcSTAR VISM by Étui à Double Mousqueton)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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,Mustang 2853-520.