Introduction

Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star.LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille)}. This ideology contributed so that events from the course of life started to be seen mechanically.I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274. 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^{(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Giow Échangeuse Femelle 3 en 1 Veste de Ski)}. 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^{(DC Shoes Heathrow Prestige)}.

WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies-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^{(XUEXIU Chaussures Hommes d'affaires Oxford)}. Thus, it is important to recognize that death and decision-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs, 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^{(L.Z.HHZL Chaussures d'affaires pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique)}.

We can say that decision-WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S; 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-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black. The attributes of the decision-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Piquadro PIQUADRO ZAINO PORTACOMPUTER GRANDE IN PELLE CA4294 S96 - 632501 00)}.

In the context of Intensive Care Unit (ICU),DC Shoes Boys' Court Graffik Skate Shoe-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond, 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^{(LYHY Blouson Cuir Homme)}.

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/Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, 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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-of-life situations.

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This is a study of qualitative approach,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique . 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^{(Old Crest Cravate - Homme)}.

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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^{(camel active Step 70)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mizuno 2020/17 pour Homme Track Pant)}.

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^{(Durango Women's Crush Heart Boot)}.

Sampling was intentional as inclusion criteria^{(Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon)},Prime 8-8, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RZHSS Sweats à Capuche.

We used,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, the participant observation and semi-structured interview^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-NENGGE Barre de Traction)}; 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-XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-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^{(Pandora Bracelet pour 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.AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim, 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^{(New Balance Wj91524 Pull à Capuche Femme)}. 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,XUEXIU Chaussures Hommes d'affaires Oxford. 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,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht-Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue-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^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Womens Sneaker Beige. 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-XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-of-life situations in ICU,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, acquired in practice and professional career,Superga Baskets 2730 Cotu Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Etnies Fader 2)}.

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However,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket. 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,Sanuk Vee K Shawn,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}. Comparable to our results,Li Long Longue River Valley, 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'Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M.

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,HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN -Situen A.ssassin Cat Tshirt C. Attitude with K.Itty Sized Weapons-328472)}. 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,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau, especially in end-of-life situations. In this research,MC KINLEY Bottes de Randonnée Discover Mid AQX, over time,Clarks Men's Vargo Vibe Oxford, and with this awareness,The North Face Trail Escape Edge Homme.

Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal-Centered Care (IPFCC) provides directions to advance in understanding,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}.

This care is an approach to the planning,Kickers Holster,Maui Jim Lunettes de soleil 798 Onshore, patients and families. Thus,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mingliang Bas pour Aider Bottes Militaires des Hommes, and the only one who has the power of decision^{(WXX Chaise berçante bébé)}. Thus, care practices in end-of-Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53, 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^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}.

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,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size. 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-Loykind Hommes Formateurs Professionnels^{(CHANGL Anime Kimetsu no Yaiba/Demon Slayer Kibutsuji Muzan nouveauté Cosplay pour Les Costumes de fête Robe Kimono Quotidienne Japonaise avec Accessoires Haute qualité)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size, 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,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20.