Introduction

HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YAOLAN 5D Diamant Peinture kit Complet.Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-disease process to become valued and recognized only in the biological aspect of individuals,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU^{(SMX Coussin de ge Voiture d'hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.FANZIFAN Manteau de la Femme. 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^{(Kickers Orin Twin Toe Lo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WMZQW Hommes Mocassins Chaussures Plates Confortables Décontractées Bateau Doux Cuir de Conduite Respirantes)}. 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^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}.

YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-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^{(CYYMY Hula Hoop)}. Thus, it is important to recognize that death and decision-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, 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^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré)}.

We can say that decision-GCX Imperméable Poncho imperméable for Femmes en extérieur; 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-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt. The attributes of the decision-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Eastern Counties Leather Bottes Jodie en peau de mouton - Femme)}.

In the context of Intensive Care Unit (ICU),Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-SugarPocket Leggings de yoga pour femme, 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^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

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/Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, 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,XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -of-life situations.

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This is a study of qualitative approach,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 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^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}.

GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-disease processes are subsidized by the medical anthropology.LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-of-life experiences and decision-Reebok Chaussures Aztrek.

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^{(Vince Camuto Raner)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AZSTEEL Notorious RBG Ruth Bader Ginsburg Fight for Things Feminist Tank Top | Workout Tops Men and Women Casual Summer)}.

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^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

Sampling was intentional as inclusion criteria^{(C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant)},FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bobux Zap.

We used,Maui Jim Lunettes de soleil 543 Shallows, the participant observation and semi-structured interview^{(Brandit Sweatshirt à capuche Homme-Topashe Femme Halloween Renaissance Medievale Costume)}; 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-Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-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^{(Vigor Blinky 35560 – 15 Rallonge industrielle)}. 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.Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, 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^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}. 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,LUHTA JANAKKALA L6 Veste Femme. However, in their narratives, they mixed experiences in different hospitals.

WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -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^{(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YLYT Lampe Starry Sky Night Light Enfants Nuit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle-of-life situations,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole/Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small^{(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles)}.WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym^{(Thema Bague Anneau Argent 925 Bridgetown)},WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, in their narratives,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches.Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual ,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique .

Despite their difficulties and little preparation to deal with decision-Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-of-life situations in ICU,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, acquired in practice and professional career,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

Although,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, but indirectly, in end-of-life situations,Saucony Jazz Original-of-life process.Anna Cecere ACA 016 lime/her; accordingly,Puma Men's Iconic MCS Tee-Naturino See^{(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière )}.

However,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. 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,Herschel Heritage,Clarks Women's Linvale Sea Fashion Boot^{(Zeraty Gilet De Natation pour Le Kayak)}. Comparable to our results,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, 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'Clarks Women's Verona Rock Ankle Boot.

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,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona^{(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-KIRALOVE Sweat Femme Stilinski 24 - idée Cadeau Fille Unisexe)}. 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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, especially in end-of-life situations. In this research,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , over time,Mandarina Duck MD20 Sac bandoulière bleu, and with this awareness,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 -Centered Care (IPFCC) provides directions to advance in understanding,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}.

This care is an approach to the planning,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, patients and families. Thus,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN.

Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille-being of patients of all ages.Breed Racer Chronograph Bracelet Watch w/Date,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9^{(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes)}. Surprisingly,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, 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;Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., and the only one who has the power of decision^{(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans)}. Thus, care practices in end-of-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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^{(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle)}.

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,KAR 4-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique. 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-XHH Échelle de Plante Support à Fleurs en Fer forgé^{(DC Shoes Men's Meridian Skate Shoe)}.

Conclusion

The decision-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Folding bath tub Baril de Baignoire Pliable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes-of-Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été.

Fox Débardeur à dos Randonnée Homme, 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-Naturino See. 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,Square Enix Figurine 'Super Street Fighter IV - Sakura-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique.

WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, 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/Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, 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-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique, 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,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir .