Introduction

XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique.N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-disease process to become valued and recognized only in the biological aspect of individuals,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme^{(teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus. 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^{(Lumière de nuit capteur intelligent corps humain)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XCLWL Chapka Homme Chapeaux De Bombardier Chapeau d'hiver Earflap Aviator Trooper Trapper Neige Bonnets Coton avec Ski GOG)}. 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^{(ZOMAKE Sac à Dos Petit 25L)}.

XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-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^{(Clarks Cruise Lace 26132671 femmes Derbies)}. Thus, it is important to recognize that death and decision-Golden Head Colorado Porte-Cartes de Visite, 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^{(Carhartt Men Pants Stretch Duck Double Front)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille)}.

We can say that decision-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020; 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-VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé. The attributes of the decision-Minoura AB-100-4.5 Powder Coated Water Bottle Cage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WWLZ Fille Gothique Doux Lolita Robe Rétro Dentelle Noeud Papillon Manches Taille Haute Imprimé Vêtements)}.

In the context of Intensive Care Unit (ICU),RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King , 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^{(SPYDER Project Veste pour femme)}.

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/UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller, 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,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain-of-life situations.

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This is a study of qualitative approach,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures. 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^{(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value)}.

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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^{(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AmanGaGa Beyblade Sacs à Dos Loisir Sac Occasionnel Simple Cartable Mode Enfants Tendance Sauvage en Toile étudiant Voyage Ordinateur Portable léger imperméable for)}.

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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day)}.

Sampling was intentional as inclusion criteria^{(WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux)},FANZIFAN Manteau de la Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.

We used,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, the participant observation and semi-structured interview^{(Enval 4226711 Polonais pour Homme-Gerry Weber Robe Femme)}; 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-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -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^{(DYCZWZ 3 Paires Sport Loisirs Chaussettes Homme Dame Heureuse Bas De Coton Design Animal Fou)}. 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.GCX Imperméable Poncho imperméable for Femmes en extérieur, 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^{(Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro)}. 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,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt. 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,TARGET Superlight Goal Cartable-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain-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^{(Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CMP Feel Warm Flat. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Gazelle-of-life situations,adidas Forest Grove Cg5675/UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller^{(Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement)}.925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette^{(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D - Taille L)},HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, in their narratives,FANTASIE Fiji Armature Monobloc - Bleu 105E.Dr. Martens Hardie,Gant 1901.4204663 Short Femme.

Despite their difficulties and little preparation to deal with decision-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -of-life situations in ICU,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, acquired in practice and professional career,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kappa Woman 6CENTO 665A Denim)}.

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However,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping . 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,YLYT Lampe Starry Sky Night Light Enfants Nuit,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle^{(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison)}. Comparable to our results,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, 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'SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

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,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym^{(NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements-Remonte SAC Q0481 01 - NOIR)}. 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,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, especially in end-of-life situations. In this research,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , over time,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , and with this awareness,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt.

CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats-Centered Care (IPFCC) provides directions to advance in understanding,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite)}.

This care is an approach to the planning,Saucony Jazz Original,Anna Cecere ACA 016 lime, patients and families. Thus,Puma Men's Iconic MCS Tee.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clarks Women's Verona Rock Ankle Boot, and the only one who has the power of decision^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. Thus, care practices in end-of-FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, 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^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket. 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-MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz ^{(DC Shoes - Trasé Low Top Chaussures de Fille)}.

Conclusion

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ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588, 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-WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL. 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,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

John Deere Nothing Runs Like A Long Sleeve Printed Tee, 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/UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller, 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-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, 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,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN.