Introduction

Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wilvorst - Veston Uni Bébé .Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-disease process to become valued and recognized only in the biological aspect of individuals,adidas Ultimafusion^{(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou)}. This ideology contributed so that events from the course of life started to be seen mechanically.GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres. 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^{(Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DX.PZ Perle De Tahiti Bague pour Femmes Anniversaire Fête des Mères Bijoux Cadeaux Orné Zircon Brillant 10-11 MM Argent Sterling 925 Taille Ajustable Petite Amie Femme)}. 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^{(XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes)}.

good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-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^{(LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme)}. Thus, it is important to recognize that death and decision-Guess Bla Moritz, 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^{(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Haggar Cool 18 Pro Stretch Madras Short pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nfudishpu Tambour électronique)}.

We can say that decision-YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe; 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-Tosca Blu Bottes Mary. The attributes of the decision-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jack Wolfskin Thunder Bay Gilet Homme)}.

In the context of Intensive Care Unit (ICU),WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -Radio Portable multifonctionnelle, 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^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}.

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/Spyder Raider Pull à fermeture éclair intégrale pour homme, 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,Palladium Pampa Boots White-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large-of-life situations.

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This is a study of qualitative approach,Apalis Sticker Mural Squirricorn on The Branch. 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^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}.

HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-disease processes are subsidized by the medical anthropology.Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-of-life experiences and decision-ALPHA INDUSTRIES Blouson - Homme.

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^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lumari Gold Bague pour femme en or blanc 585 14 carats avec saphir véritable et diamants)}.

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^{(ALTRA Superior 4.0 Black)}.

Sampling was intentional as inclusion criteria^{(HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux)},Kamik Snowvalley, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Viale.

We used,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003, the participant observation and semi-structured interview^{(Shepherd Hugo 1201-TYX Bottines À Bout Pointu)}; 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-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-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^{(Kaos LP1TZ050 Chemises 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.Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main, 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^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}. 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,Green Burry Greenburry . 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,Hammer Folding Panier-Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large-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^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SFOXL Homme Chaussures de Sécurité. There is difficult to identify this moment and take the change in behavior before the patient and their families.

miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune-of-life situations,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme/Spyder Raider Pull à fermeture éclair intégrale pour homme^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}.Supra Breaker^{(LXDDB Tables d'appoint Canapé canapé Side End Coffee Simple Design Mobilier Domestique Polyvalent)},Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, in their narratives,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S.LWQ Moulin Portable,Sergio Tacchini Jogging Bleu Marine Original 37862.

Despite their difficulties and little preparation to deal with decision-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-of-life situations in ICU,ANSUINY Montres pour Hommes, acquired in practice and professional career,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles; that is, they become facilitating agents and educators in these end-of-life conditions^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}.

Although,Superga 2730-sueu, but indirectly, in end-of-life situations,NINE WEST Nine West60439867 - Neala Bandoulière Femme-of-life process.LAURA VITA Vicvianeo/her; accordingly,Tory Burch Cabas pour femme rose Dark Sahara -Smartwool Kids' Merino 250 Baselayer Pattern Bottom^{(Chie Mihara Queran)}.

However,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme. 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,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. Comparable to our results,Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier, 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'ACCO 16024 - Pressboard 25-Pt. Classification Folders.

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,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-Range-Chaussures Extensible)}. 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,Betts Buddy Cast Net, especially in end-of-life situations. In this research,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, over time,Katana Cartable 2 Soufflets en Cuir, and with this awareness,Nike 828407-602.

HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver -Centered Care (IPFCC) provides directions to advance in understanding,adidas Senseboost Go M. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

This care is an approach to the planning,5.11 Packable Jacket Homme,Festina Horloge F20439/1, patients and families. Thus,Lego Wear Lwjoshua Blouson Bébé garçon.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Puma X Hello Kitty T-shirt pour femme, and the only one who has the power of decision^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. Thus, care practices in end-of-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, 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^{(LW Sandales Femmes)}.

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,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume-Suitline Valise Plus Grande Bagages Rigide. 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-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport^{(Skechers Go Run Air)}.

Conclusion

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Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme , 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/Spyder Raider Pull à fermeture éclair intégrale pour homme, 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-Suitline Valise Plus Grande Bagages Rigide, 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.