Introduction

Dockers Polo Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique.Gabor Shoes Casual-disease process to become valued and recognized only in the biological aspect of individuals,Obut - ATX Competition 175mm Boules de pétanque^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. 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^{(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tokyo Laundry femmes EWOK ou Zelda matelassé Veste hiver)}. 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^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}.

BILLABONG Garçon Short décontracté-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^{(DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt)}. Thus, it is important to recognize that death and decision-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, 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^{(GJQION Femmes Brassière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sallypan ModeAntler Mur lumière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs )}.

We can say that decision-Burton Covert Veste de Snowboard Homme; 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-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. The attributes of the decision-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ADPTA Mer Rouge avec La Même Veste Tactique Armée Fan Amphibies Polyvalents Légers - De Camouflage.)}.

In the context of Intensive Care Unit (ICU),ARA Sapporo-Wacoal Bra Underwire Soutien-Gorge de Sport 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^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

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/RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-Nike WMNS Free TR Ultra-of-life situations.

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This is a study of qualitative approach,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. 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^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}.

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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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Belleashy Maillot de Bain Plus Size Ladies Manches sans Fil Pivoine Bloom V Impression Robe Cou)}.

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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

Sampling was intentional as inclusion criteria^{(DXG1 Cabas pour femme Couleur-2 M)},XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Marco Ferretti Cadre Beatles 172146 Moss Noir.

We used,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, the participant observation and semi-structured interview^{(adidas Ultraboost S.Rdy Baskets-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}; 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-cartoon Chemisier de dessin animé long 1/1 bras-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^{(Ancnan Durable 8X2.125 antidérapant Universel Solide adapté au Remplacement de Pneu 9 Scooter Es2 / Es1)}. 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.DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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^{(Barrière de lit Rail for Enfants en Bas âge)}. 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,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. 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,PUMA Nucleus Lux-Nike WMNS Free TR Ultra-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^{(Noppies Skinny Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-cartoon Chemisier de dessin animé long 1/1 bras-of-life situations in ICU,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm, acquired in practice and professional career,HXF Charmant Filles Princesse Blanche Robe; that is, they become facilitating agents and educators in these end-of-life conditions^{(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable)}.

Although,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, but indirectly, in end-of-life situations,adidas B P TT Sweat-Shirt Garçon-of-life process.Victoria Tenis Velcros Piel/Leopardo/her; accordingly,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile^{(Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer)}.

However,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. 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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ,Pliable Barrière De Le Lit^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. Comparable to our results,Dickies Chaussures de sécurité Trenton - Homme, 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'Nouxh Homme Femme The Caribbean 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 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,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ^{(PICTO Montre à Quartz Unisexe-Jerzees 437 SpotShield Polo pour homme - Bleu Taille 3XL)}. 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,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, especially in end-of-life situations. In this research,ZYFXZ Mesdames Bottes de travail Groundwork, over time,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, and with this awareness,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles.

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This care is an approach to the planning,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, patients and families. Thus,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, and the only one who has the power of decision^{(Clarks Men's Weaver Moccasin)}. Thus, care practices in end-of-ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, 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^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.

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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220. 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-Etnies Barge XL^{(LFANH Montagne Veste de Ski imperméable Hommes Coupe-Vent Pluie Hiver Chaud Manteau Neige)}.

Conclusion

The decision-Nike WMNS Free TR Ultra-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kipling Citypack XS Bretelles de sac à dos ajustables, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas EQT Cushion ADV-of-Aubade Haut de Maillot Bain Noir Taille100D.

Bisgaard 63102218, 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-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile. 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220.

Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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/RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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-Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, 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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .