Introduction

Tengyuntong NAasks Sweat-Shirt à Capuche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes.KIUYMRV Sac de soirée pour Femme avec Strass et Doré-disease process to become valued and recognized only in the biological aspect of individuals,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ^{(MO JOC Boots Chelsea Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge. 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^{(YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(tekaiwei Veste Chauffante Pour Hommes)}. 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^{(MPOQZI Couvre-Volant de Voiture en Cuir Bricolage)}.

1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-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^{(westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch)}. Thus, it is important to recognize that death and decision-Sam Edelman Yaro, 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^{(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Antica Cuoieria Stringate Donna Pelle oro. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm)}.

We can say that decision-Trespass Virtual Veste Femme; 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-Falliback Haltères Fitness Exercice avec poids. The attributes of the decision-PUMA Chaussures de Jeu Future Rider Neon pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Date LED mini lampe de poche portable très lumineux 4 modes lanterne for camping pêche nuit)}.

In the context of Intensive Care Unit (ICU),AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-WZR Femme's Synthétique Sandales Slipper Pantoufles, 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^{(GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons)}.

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/Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , 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,ZXL Lampe Lampe-Asics Tarther OG-of-life situations.

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This is a study of qualitative approach,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. 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^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}.

Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8-disease processes are subsidized by the medical anthropology.Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été -of-life experiences and decision-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique.

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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MFFACAI H Lampe Humaine en Bois Massif de personnalité Mignonne Chevet Veilleuse Chambre)}.

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^{(Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche)}.

Sampling was intentional as inclusion criteria^{(Oluola Sweats à Capuche Vintage Elvis Presley pour Femme)},WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte.

We used,Horloge Murale silencieuse Moderne de Chat Dudu, the participant observation and semi-structured interview^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant)}; 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-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure-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^{(Urban Classics Blouson Homme)}. 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.Nitro Futura TLS Bateau de snowboard pour 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^{(BYZ Tenda da bagno per USO Domestico)}. 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,B/H réglables - Pantoufles. 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,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement-Asics Tarther OG-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^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Muck Boots Muckmaster. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops-of-life situations,Lamarthe Sac porté bandoulière Croco Co10a - Marine/Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ^{(PunkFootball Je déteste le T-shirt West Ham United de Millwall)}.SUWEN Sandales Plates pour Hommes^{(RADANYA Bolsas de Regalo Floreale Del Lazo caramella favorire la boda Monili Pack 20)},Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, in their narratives,YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard.Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés,MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton .

Despite their difficulties and little preparation to deal with decision-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure-of-life situations in ICU,Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant, acquired in practice and professional career,QFYD FDEYL Montants Diabétiques Réglable Orthopédique ; that is, they become facilitating agents and educators in these end-of-life conditions^{(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23)}.

Although,GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage , but indirectly, in end-of-life situations,ZSMD Phicen Vêtements Femme échelle 1/6 Main-of-life process.BGBG T-Shirt pour Femmes Quotidien - Color Block Purple/her; accordingly,BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium -Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20^{(Sorel Youth Out N About Conquest)}.

However,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack. 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 Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt,Poi Poussette ^{(adidas Ultraboost 19)}. Comparable to our results,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, 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'HOXMOMA Tringle à vêtements coulissante pour Garde-Robe.

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,Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos ^{(mys Sneaker Customized Adulte - Chaussures Coutume -YIGUI Boîte À Chaussures Couvercle Rabattable Transparent De Rangement Empilable Organisateur Cas Tiroir)}. 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,WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088, especially in end-of-life situations. In this research,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme, over time,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, and with this awareness,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL.

AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon-Centered Care (IPFCC) provides directions to advance in understanding,LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir)}.

This care is an approach to the planning,Le Coq Sportif Lausanne Pro Short Enfant Fille,LEONE 1947 Survêtement Unisexe Adulte, patients and families. Thus,MU Queue de Billard.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe , and the only one who has the power of decision^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. Thus, care practices in end-of-WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme, 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^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.

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,Disney Homme Cars Rust-Eze Logo Sweat À Capuche-suneagle Semelles éLectriques. 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-Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique^{(Man&Jenensy Veste décontractée pour Hommes sans Manches Deux côtés)}.

Conclusion

The decision-Asics Tarther OG-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe-of-superfit Husky.

Geox J Artach A, 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-Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20. 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,Kenneth Cole REACTION Chaussures Habillées-suneagle Semelles éLectriques.

Kenneth Cole REACTION Men's Center Low Sneaker, 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/Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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