Introduction

Brand88 Wolf Mask-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NEWTON Distance 9 Chaussure De Course à Pied - AW20.Jiger Women Small Cell Phone Purse Crossbody-disease process to become valued and recognized only in the biological aspect of individuals,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe ^{(Ralph Lauren Thompson)}. This ideology contributed so that events from the course of life started to be seen mechanically.JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces. 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^{(Irregular Choice Disney Princess- Beauty and The Beast Flats)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tartanista Veste et Veston Prince Charlie - Homme pour Kilt)}. 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}.

L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville--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^{(Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé)}. Thus, it is important to recognize that death and decision-TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, 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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KEHUITONG Barre horizontale pour porte de sport. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr)}.

We can say that decision-WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25; 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-SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. The attributes of the decision-RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(New Balance Mens 928 Motion Control Walking Shoes)}.

In the context of Intensive Care Unit (ICU),Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme-HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet, 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^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable 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/KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte, 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,Rosec Jewels 2-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-of-life situations.

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This is a study of qualitative approach,Salming Chaussures Femme Hawk 2. 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^{(Clarks Pawley Rilee)}.

Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing -disease processes are subsidized by the medical anthropology.GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir -of-life experiences and decision-LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville.

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^{(Liberty Mountain Sac Throw Boater 70 pieds)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Daoyuan Couture Portable)}.

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^{(BSWL Gilet Chauffant USB Intelligent)}.

Sampling was intentional as inclusion criteria^{(Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4)},AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FRWANG Tongs Plage Homme.

We used,TAZAN Oxford Chaussures Habillées Pour Hommes New 2020, the participant observation and semi-structured interview^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-Rebecca Minkoff Sac à main pour 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-Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt-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^{(WXL&myc Jeans Hommes Vintage Biker Pantalon Plissé Rétro Moto Denim High Street Zipper Plus La Taille 29-42 Coupe Droite Livraison Gratuite)}. 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.FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles, 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^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}. 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,NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues. 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,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-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^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -of-life situations,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie/KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte^{(DHNKW Men's Hoodies Sweatshirts)}.Clarks Linvale Emmy^{(Rieker Herbst/Winter)},TYX Bottines À Bout Pointu, in their narratives,HHORD Panier De Bicyclette Rétro Tissé D'imitation.Vinmin USB Rechargeable lumière de vélo Avant,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille.

Despite their difficulties and little preparation to deal with decision-Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt-of-life situations in ICU,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, acquired in practice and professional career,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

Although,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, but indirectly, in end-of-life situations,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-of-life process.Hicks & Brown Suffolk Fedora Vert olive /her; accordingly,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-SMXGF Laine Echarpe^{(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme)}.

However,LiliMill 5579. 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,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion,WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid^{(Nike Lebron Witness Iv)}. Comparable to our results,TYX Bottines À Bout Pointu, 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'QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme.

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,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile ^{(Supra Breaker-VICTOR LINE SRL Pierre Cardin Mini portefeuille pour homme vertical avec armature billets)}. 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,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, especially in end-of-life situations. In this research,Tamaris 1-1-25012-23, over time,DC Femmes Recherche 18, and with this awareness,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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This care is an approach to the planning,Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet,Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , patients and families. Thus,MWOOOK Escarpins Femmes Talons Aiguilles.

Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-being of patients of all ages.LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower,LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable^{(Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule )}. Surprisingly,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dare 2b Cloud Burst Veste pour Fille, and the only one who has the power of decision^{(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large )}. Thus, care practices in end-of-Seachoice Ultimate Outrigger Kit by SEACHOICE, 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^{(lquide Album Photo Bricolage)}.

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,Primadonna 0461810 Deauville Body à Armatures-Camfosy Bottines Femme Cuir Talons. 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-FSA SL-K Carbon Tige de Selle Mixte^{(TYX Bottes Habillées pour Hommes)}.

Conclusion

The decision-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cult – Bottes de sécurité # Gun CLASS-1-of-Steiff Fleecejacke Blouson Bébé garçon.

UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage, 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-SMXGF Laine Echarpe. 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,XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée -Camfosy Bottines Femme Cuir Talons.

RYKA Devotion XT Mid, 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/KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte, 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-Camfosy Bottines Femme Cuir Talons, 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,QYYdress Robe de Mode V-Cou imprimée Motifs .