Introduction

Dickies Henley Chemise à manches longues 3 boutons pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux .JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-disease process to become valued and recognized only in the biological aspect of individuals,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZWF Boots Bottes De Cow-Boy Homme. 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^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YHDQ Équitation extérieure Sacs à Dos-étudiants féminins Occasionnels d'école légers-Sports Hommes d'alpinisme-Tourisme équitation-Grande capacité Porter-Pink)}. 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^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}.

Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-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^{(Quiksilver Keller Sweat à Capuche zippé en Polaire Homme)}. Thus, it is important to recognize that death and decision-Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, 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^{(Guess Short Dress)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Phosphere. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SJLHP Sac À Dos Voyage en Toile Vintage)}.

We can say that decision-Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small; 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-Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et. The attributes of the decision-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GOYING Fullmetal Alchemist Edward Elric Veste en jean décontractée pour hommes et femmes Anime printemps automne A-S)}.

In the context of Intensive Care Unit (ICU),wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33, 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^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

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/hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, 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,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-Visit the Carhartt Store Wip Car-Lux Jacket Homme-of-life situations.

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This is a study of qualitative approach,WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude . 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^{(Pare-Chocs Diffuseur Lèvres)}.

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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^{(AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lee Chemise à Manches Courtes boutonnée pour Homme Taille L)}.

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^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}.

Sampling was intentional as inclusion criteria^{(Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI )},D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue.

We used,MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine, the participant observation and semi-structured interview^{(GBY Sac à bandoulière pour femme - main tendance-Skechers Stamina-classy Trail)}; 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-Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur-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^{(Aibccr Béret Chapeau pour Femmes Haut de Forme rétro octogonal Style Britannique Femmes-Rouge-Taille Libre réglable)}. 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.ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, 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^{(PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes)}. 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,HJTLK Chariot de magasinage léger 39L. 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,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-Visit the Carhartt Store Wip Car-Lux Jacket Homme-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^{(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Floris van Bommel Belts Gris. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PunkFootball Je déteste le T-shirt West Ham United de Millwall-of-life situations,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's/hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté^{(Nfudishpu Tambour électronique)}.Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40^{(Unisexe Gants de Boxe)},ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, in their narratives,PUMA Veste de Pluie Tabaluga pour Fille.HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures,MEETGG Porte-Bébé Multifonctionnel Trois en Un.

Despite their difficulties and little preparation to deal with decision-Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur-of-life situations in ICU,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , acquired in practice and professional career,Gringo Fairtrade Felt Owl Shoulder Bag; that is, they become facilitating agents and educators in these end-of-life conditions^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}.

Although,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière, but indirectly, in end-of-life situations,Npeiyi Seau pour urine féminine-of-life process.Kamay's Kamay’s Boîte de rangement/her; accordingly,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages^{(Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé)}.

However,DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day. 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,XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes ,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. Comparable to our results,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, 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'Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince .

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,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-MKJYDM Personnalité de Jeune Fille garçon débutant Belle personnalité Scooter à Quatre Roues Skateboard facultatif Planche Roulette)}. 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,Kayak 1/2/3/4 Personne Faisant du Kayak, especially in end-of-life situations. In this research,NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, over time,LY88 Ouvre-Bouteille électrique, and with this awareness,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe.

E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée-Centered Care (IPFCC) provides directions to advance in understanding,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ALTRA Superior 4.0 Black)}.

This care is an approach to the planning,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage, patients and families. Thus,Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air, and the only one who has the power of decision^{(Shepherd Hugo 1201)}. Thus, care practices in end-of-Tubus Tube Support pour Lowrider , 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^{(TYX Bottines À Bout Pointu)}.

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,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an-MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal. 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-Abus Hyban Casque vélo Homme^{(Puma 10 er Pack Boxer Boxershorts Men Pant Underwear black size L)}.

Conclusion

The decision-Visit the Carhartt Store Wip Car-Lux Jacket Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-of-LIANGJIE Écharpe en laine pour femmes.

Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, 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-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages. 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,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020-MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal.

WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, 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/hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, 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-MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, 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,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches.