Introduction

Clarks Women's Ada Mist Sandal-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Women's Ada Mist Sandal.Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-disease process to become valued and recognized only in the biological aspect of individuals,Walking Cradles Étui pour femme - Beige taupe^{(Minnetonka Leopard Kilty)}. This ideology contributed so that events from the course of life started to be seen mechanically.Aqua Marina sac marin - Imperméable à l'eau. 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^{(Pot pour Enfants Toilettes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Thomas Sabo Femme argent fin Sans objet Porte-clés)}. 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^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}.

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We can say that decision-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm; 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-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité. The attributes of the decision-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(lepni.me Femme Débardeur sans Manche Evolution du Motocross équipement de Moto Tout-Terrain Vêtements Course)}.

In the context of Intensive Care Unit (ICU),Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan-AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, 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^{(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune)}.

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/westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, 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,CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-of-life situations.

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This is a study of qualitative approach,Onistuka Tiger Mexico 66. 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^{(glstkrrn E90 Sweatshirt)}.

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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^{(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gianni Kavanagh Black Valid Nation Polo T-Shirt 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^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud )}.

Sampling was intentional as inclusion criteria^{(IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage)},SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GUANTO MMA BLITZ - 24531 7.

We used,Sperry Top-Sider Women's Seaport Boat Shoe, the participant observation and semi-structured interview^{(CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-Rossignol Pantalon de Ski Homme)}; 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-Kappa Britannia Authentic Veste Homme-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^{(WEIYI BO Mens Cotton T-Shirts Mr.Deer Graphics Summer Short Sleeve Tops Tees)}. 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.FACAI Corset, 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^{(In:sole Insole Sexy Talon Haut)}. 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,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme. 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,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage -Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-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^{(GaoYunQin Parc Bébé pour Bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ALPHA INDUSTRIES 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-Kappa Britannia Authentic Veste Homme-of-life situations in ICU,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, acquired in practice and professional career,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes; that is, they become facilitating agents and educators in these end-of-life conditions^{(DYM Chaussures de Sport Baskets Mode & athlétique Femme)}.

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However,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal. 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,Poussette Légère,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux^{(LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme)}. Comparable to our results,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, 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'Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.

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,SILOLA Figurine Statuette Sculptures Bouddha^{(Ralph Lauren Pull - Homme-Noeud chinois Bon chanceux grande capacité Sacs à langer Sac dos momie Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins de bébé Voyage Daily Women)}. 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,Figurine Statuette Sculptures Bouddha, especially in end-of-life situations. In this research,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts, over time,LWQ Accueil Utilisez Électriques Ciseaux, and with this awareness,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres .

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This care is an approach to the planning,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806, patients and families. Thus,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire.

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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,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport-Tommy Hilfiger Honey Flap Satchel. 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-WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe^{(N\A Kawaii Dressing Lapin Poupées en Peluche Lapins Doux Animaux Jouet Grand Lièvre Apaiser Jouets pour Filles Enfants Cadeau 60cm 29)}.

Conclusion

The decision-Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Burton AK Gore CYCLIC Hose 2021 Forest Night, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Jourdan Bracelet Homme Nuku Bois-of-FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.

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XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, 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/westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, 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-Tommy Hilfiger Honey Flap Satchel, 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,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces .