Introduction

Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass.SugarPocket Leggings de yoga pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}. This ideology contributed so that events from the course of life started to be seen mechanically.XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille . 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^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Panama Jack Piola Mid Calf Boots pour femme - Marron marron)}. 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^{(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau)}.

Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -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^{(One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir )}. Thus, it is important to recognize that death and decision-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, 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^{(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux)}.

We can say that decision-Reebok Chaussures Aztrek; 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-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos. The attributes of the decision-Bobux Zap, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Stgfstydt Womens Hooded Fleece-Lined Fall-Winter Thicken Solid Color Outerwear Trench Coat Jacket)}.

In the context of Intensive Care Unit (ICU),Maui Jim Lunettes de soleil 543 Shallows-Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis, 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^{(Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples)}.

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/Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, 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,LUHTA JANAKKALA L6 Veste Femme-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-of-life situations.

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This is a study of qualitative approach,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet . 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^{(Roxy Snow Junior's Surface Zip Through Top)}.

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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^{(Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gabor Shoes Comfort Sport)}.

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^{(Circus By Sam Edelman Goodwin Bottes de Combat pour Femme)}.

Sampling was intentional as inclusion criteria^{(Firefox - Skywalker FFS220-101 Homme Argent)},TOOSD Pantalon De Jogging pour Jambe Conique Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro.

We used,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , the participant observation and semi-structured interview^{(Bache Impermeable Exterieur Transparente-Hatley Swimsuits Maillot Une pièce Garçon)}; 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-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-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^{(Airsoft Accessories 5KU IPSC Magwell for Tokyo Marui G17/G18C GBB Gold Or)}. 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.Roxy Life is Sweeter - Short pour Femme, 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^{(WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité)}. 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,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir. 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,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus-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^{(AILIBOTE Squad T-shirt pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Saucony Jazz Original. 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-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-of-life situations in ICU,Clarks Women's Verona Rock Ankle Boot, acquired in practice and professional career,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona; that is, they become facilitating agents and educators in these end-of-life conditions^{(HYLH 3D LED Stunt Motorcycle Illusion Night Light)}.

Although,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, but indirectly, in end-of-life situations,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz -of-life process.Mandarina Duck MD20 Sac bandoulière bleu/her; accordingly,GBY Sac à bandoulière pour femme - main tendance-La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN ^{(Guess lea03 femme guess flazl2)}.

However,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588. 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,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers,John Deere Nothing Runs Like A Long Sleeve Printed Tee^{(Hdadwy Sac à Dos imprimé en 3D)}. Comparable to our results,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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'OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN.

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,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi-Bag Base Wheely holdall)}. 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,Breed Racer Chronograph Bracelet Watch w/Date, especially in end-of-life situations. In this research,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, over time,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, and with this awareness,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique..

HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-Centered Care (IPFCC) provides directions to advance in understanding,KAR 4. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire)}.

This care is an approach to the planning,XHH Échelle de Plante Support à Fleurs en Fer forgé,Folding bath tub Baril de Baignoire Pliable, patients and families. Thus,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , and the only one who has the power of decision^{(BCGT Atlanta Hawks NO.11 Trae Young)}. Thus, care practices in end-of-Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, 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^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}.

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,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection-RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51. 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-Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）^{(Converse Breakpoint Ox Unisex | Olive Submarine/Camo Green)}.

Conclusion

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