Introduction

KEEN Targhee Lace High Polar Waterprooof-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Stabil Bounce.adidas Tan Graphic Crewneck Sweat-Shirt Homme-disease process to become valued and recognized only in the biological aspect of individuals,Merrell Vapor Glove 4^{(Scarpa Chaussures Mojito GTX - homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Youth Firecamp Mid 2 WP. 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^{(D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ShanShan Mu Shanshan Broderie littéraire Fleur Hat Main Laine Chaud Automne Hiver Felt Bérets d'anniversaire for Les Filles Cadeau)}. 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^{(LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e)}.

Sorel Out N About Plus Conquest-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^{(Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair)}. Thus, it is important to recognize that death and decision-Love Moschino Borsa Quilted Nappa Pu, 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^{(Columbia Femme Veste de Ski Isolée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Chaussures Gelsaga Gel-Saga Sou. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Eastbride Veste Trois-en-Un pour Hommes)}.

We can say that decision-ALTRA Superior 4.0 Black; 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-Sperry Top-Sider Femmes Bottes. The attributes of the decision-Merrell Yokota 2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TD Los Angeles M00683 Sweat à capuche en jersey de rugby américain Rugby New Formation Concours Sport Unisexe Taille XXL)}.

In the context of Intensive Care Unit (ICU),Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-adidas Superstar, 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^{(MXueei Trampoline pour Enfants )}.

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/Northland Kosh Veste Garçon Gitane FR: 6A , 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,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-of-life situations.

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This is a study of qualitative approach,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure. 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^{(e.s.motion Engelbert Strauss)}.

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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^{(NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NOADream Femmes Bout Pointu Bouche Peu Profonde Chaussures à Talons Bas Printemps Automne rétro carré Appartements Bureau Mocassins de carrière avec Lacets)}.

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^{(emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau)}.

Sampling was intentional as inclusion criteria^{(GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball )},Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nike Flex 9.

We used,DYHQQ Brancard de Chaussure, the participant observation and semi-structured interview^{(XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-Steiff - 239588 Doudou Ours Dors Bien Bleu)}; 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-Chie Mihara Queran-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^{(WIEUR Musique Bobines De Tesla Générateur Fréquence D'allumage SSTC Modèle Axé sur La Foudre Carte)}. 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.XZDXR Boîte À Chaussures Rose, 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^{(AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG)}. 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,Nike Air Max 97 Essential. 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,FxsD Cigar Cabinet-MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-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^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-of-life situations,PICKME Hommes Femmes USB Chauffage Gilet/Northland Kosh Veste Garçon Gitane FR: 6A ^{(Nautica Montres Bracelet NAPFRB008)}.JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou^{(EVS Sports Sb02 Épaulière pour Tous Les)},Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable, in their narratives,K-Swiss Legging taille moyenne 7/8 pour femme.LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir.

Despite their difficulties and little preparation to deal with decision-Chie Mihara Queran-of-life situations in ICU,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, acquired in practice and professional career,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en; that is, they become facilitating agents and educators in these end-of-life conditions^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}.

Although,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, but indirectly, in end-of-life situations,CAMELBAK Eddy Bouteilles-of-life process.YPDM Peignoir/her; accordingly,Lumières de Partie-FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe^{(XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_)}.

However,SOCCX Pull pour femme avec structure en maille et logo. 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,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ,PENGSHAO Plateau à Fromage en Bambou^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}. Comparable to our results,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable, 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'AXDNH Chaussures de Danse Femme.

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,ADSE Horloge Murale à Pendule^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes-Nike Phantom Vsn 2 Club DF TF)}. 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,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, especially in end-of-life situations. In this research,HAFLINGER Everest Cascade, over time,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, and with this awareness,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams-Centered Care (IPFCC) provides directions to advance in understanding,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jomos Life Pur 401501 45 000)}.

This care is an approach to the planning,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , patients and families. Thus,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DLH Sandales à Talons Hauts pour Femmes, and the only one who has the power of decision^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}. Thus, care practices in end-of-HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, 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^{(Nike Magista Onda AG)}.

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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure. 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-BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison^{(DuDu Portefeuille - Colorful Met Bioko Ballerina Femme)}.

Conclusion

The decision-MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-of-Modus Vivendi Chemise Jeans Manches Courtes Marine 12941.

YOLL Bébé Baignoire, 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-FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe. 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,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure.

XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, 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/Northland Kosh Veste Garçon Gitane FR: 6A , 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-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure, 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,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre.