Introduction

Maui Jim Lunettes de soleil 543 Shallows-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis.Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir-disease process to become valued and recognized only in the biological aspect of individuals,LUHTA JANAKKALA L6 Veste Femme^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. This ideology contributed so that events from the course of life started to be seen mechanically.WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet . 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^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TININNA Cape à Capuche Bébé Garçon Filles Poncho en Coton Manteau de Doux Coupe-Vent Veste Capuchon Vêtements d'extérieur Automne Hiver Chaude Châle)}. 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^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}.

ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette -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^{(FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière)}. Thus, it is important to recognize that death and decision-SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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^{(DLYDSSZZ Élastique Balance Ball)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}.

We can say that decision-TOOSD Pantalon De Jogging pour Jambe Conique Hommes; 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-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro. The attributes of the decision-TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ulla Popken Hemdblusenkleid Mit Bindeband Robe Femme)}.

In the context of Intensive Care Unit (ICU),Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-Roxy Life is Sweeter - Short pour 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^{(Stonefly Season III 28 Nappa)}.

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/Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le 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,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-of-life situations.

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This is a study of qualitative approach,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes . 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^{(Silver Jeans - Homme)}.

GJQGYY Sèche-Chaussures électrique 2 rétractable-disease processes are subsidized by the medical anthropology.EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-of-life experiences and decision-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre.

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^{(Fjällräven Stina Jacket Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kengtong Papillon Fille Robe Longue Formelle de Princesse en Dentelle & Fleur Costume Belle sans Manches pour Soirée Cérémonie Anniversaire Mariage)}.

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^{(Egypt Bazar Caftan style oriental pour femme Orange)}.

Sampling was intentional as inclusion criteria^{(Loykind Chaussures De Sécurité)},XIUYU Tente de Camping, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire.

We used,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , the participant observation and semi-structured interview^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court-Betsey Johnson Verona)}; 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-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-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^{(ZAMAY USB Charge LED Bandes Chaussures De Patin À roulettes - Simple/Double Roue Clignotant Adulte Unisexe Garçons Et Filles Étudiant Sport en Plein Air Baskets)}. 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.Harnais de sécurité d'escalade, 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^{(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme)}. 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,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. 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,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz -HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-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^{(Berkemann Soft-Toeffler)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mandarina Duck MD20 Sac bandoulière bleu. 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-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-of-life situations in ICU,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, acquired in practice and professional career,Breed Racer Chronograph Bracelet Watch w/Date; that is, they become facilitating agents and educators in these end-of-life conditions^{(Boîte aux Lettres)}.

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However,XHH Échelle de Plante Support à Fleurs en Fer forgé. 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,Folding bath tub Baril de Baignoire Pliable,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes^{(BILLABONG Garçon Short décontracté)}. Comparable to our results,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, 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'Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été.

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,Fox Débardeur à dos Randonnée Homme^{(Warehouse 13 Logo Hommes Hoodie-UICICI Maillot de Bain Jellyfish à Capuche séchage Rapide)}. 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,Square Enix Figurine 'Super Street Fighter IV - Sakura, especially in end-of-life situations. In this research,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, over time,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , and with this awareness,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas.

Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection-Centered Care (IPFCC) provides directions to advance in understanding,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(G.H.Y Cravate florale imprimée pour hommes)}.

This care is an approach to the planning,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes,Wildlife Tiger Baby Diaper Bag Backpack, patients and families. Thus,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, and the only one who has the power of decision^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}. Thus, care practices in end-of-JINGJIE Ski Veste Pantalon Set, 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^{(Home Trainer Rouleaux dim. 145L x 56l 10)}.

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,Cult Sabbayh 3136 Low Leather #black CLE104310-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe . 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-KTDT Horloge de Table Style Train Mode rétro^{(Manz Chaussures de Ville à Lacets pour Homme Marron Muscat)}.

Conclusion

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AJZXHE réservoir d'eau Réservoir avec robinet, 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-KAR 4. 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,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe .

Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, 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/Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le 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-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31.