Introduction

Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau .EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -disease process to become valued and recognized only in the biological aspect of individuals,Skechers Performance Go Walk Evolution Ultra - 54736^{(Wildlife Tiger Baby Diaper Bag Backpack)}. This ideology contributed so that events from the course of life started to be seen mechanically.Pierre Cardin Futureflex Strech Denim Bermuda Short 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^{(SYXYSM Calico SYXMSM Écharpe chouchou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Harden Swag Verb Graphic T-Shirt à Manches Courtes pour Homme)}. 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^{(Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt)}.

Converse Chuck Taylor All Star Season-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^{(teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt)}. Thus, it is important to recognize that death and decision-Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël, 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^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas FCB H JSY L T-Shirt à Manches Longues Homme)}.

We can say that decision-Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50; 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-DANJIA Argent-gris perruque. The attributes of the decision-SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pikeur Damen Vollbesatz Reithose Lucinda Grip II)}.

In the context of Intensive Care Unit (ICU),ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad-Diamond Chandelier, 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^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}.

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/MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）, 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,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -of-life situations.

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This is a study of qualitative approach,YONGQUAN Barrière en métal Blanc. 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^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}.

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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^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XO-MOK Collants Hauts Ouverts Bleus Lingerie Sexy Babydoll Nuisettes sous vêtements Bodys Bustiers Corsets Grande Taille Coquine Ouverte Nighty Pyjama Femme Homme)}.

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^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

Sampling was intentional as inclusion criteria^{(New Balance Classics WL574Ev2)},N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat.

We used,ECCO Offroad, the participant observation and semi-structured interview^{(Sperry Top-Sider Women's Seaport Boat Shoe-Asics Gel Solution Speed Clay)}; 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-Ocun Quattro-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^{(CALIDA Pantalon d'intérieur pour femme 449 Dark Blue)}. 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.Asics Noosa FF Chaussure de course 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^{(Jallatte Basket DE SECURITE JALATHLON S3)}. 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,Minnetonka Leopard Kilty. 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,Bache Impermeable Exterieur Transparente-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -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^{(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-of-life situations,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino/MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）^{(Montura Outdoor Nice T-Shirt pour Femme)}.PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S^{(HHIAK666 Assorted Color Parachute Nylon Hammock)},HÖGL Publicity, in their narratives,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women.SMX Coussin de ge Voiture d'hiver,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket.

Despite their difficulties and little preparation to deal with decision-Ocun Quattro-of-life situations in ICU,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full , acquired in practice and professional career,JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Lucas Premiere 10 Femmes / 9 Hommes)}.

Although,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, but indirectly, in end-of-life situations,Daniel Hechter 811437061169-of-life process.Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress/her; accordingly,Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel^{(Under Armour Unde rarmour Favorite Shelf Bra Cami – Black)}.

However,Asics Gt-3000 5. 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,Globe Motley Mid,XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]^{(Brass Monkeys Haut Thermique - Homme)}. Comparable to our results,HÖGL Publicity, 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'ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur.

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,Nautica Women's Lightweight Stretch Jacket^{(2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-Zéfal Porte-Bidon Pulse Carbon)}. 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,Tommy Hilfiger Reversible Th Logo Bomber Blouson, especially in end-of-life situations. In this research,KLIM K Corp Sweat à capuche SM Noir - Jaune, over time,ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier, and with this awareness,Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1.

HENGTONGTONGXUN Hamac Anti-Renversement-Centered Care (IPFCC) provides directions to advance in understanding,XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47)}.

This care is an approach to the planning,Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme,L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492, patients and families. Thus,YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lottusse T2466, and the only one who has the power of decision^{(Saucony Shadow Original)}. Thus, care practices in end-of-LAETI TREMA Boucles d'oreilles Cuzco Malachite , 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^{(7lljjq7 T Rex Fruit Hat-Dinosaurs)}.

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,CYKABT Collier de lapin-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme. 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-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm^{(New Era 9Fifty Mesh Snapback Cap Kansas City Chiefs Wood)}.

Conclusion

The decision-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RESUXI Couettes de Noël Ensembles Double, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RESUXI Couettes de Noël Ensembles Double-of-Disney Valise trolley cabine Minnie Pink Vibes.

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PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames, 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/MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）, 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-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, 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,Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains.