Introduction

Isotoner Addie Bottes en microdaim pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête.LYATW Montre de Poche Femme métal épinglette for Nurse Watch-disease process to become valued and recognized only in the biological aspect of individuals,Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}. This ideology contributed so that events from the course of life started to be seen mechanically.57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard. 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^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(smzzz Amélioration de l'habitat Remontage Automatique Montre Remontoir Batterie Rocker Box Double Montres Rotation Stockage 2 Epitope Winding)}. 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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}.

HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon -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^{(Chie Mihara Queran)}. Thus, it is important to recognize that death and decision-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween, 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^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}.

We can say that decision-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une; 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-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:. The attributes of the decision-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Uglyfrog 2020 Nouveau Hiver Vêtements de Cyclisme Thermique Polaires Sports Plein air Hommes vélo Maillot à Manches Longues vélos DSRET02)}.

In the context of Intensive Care Unit (ICU),AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

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/LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, 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,mmmy Perruque-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-of-life situations.

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This is a study of qualitative approach,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144. 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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}.

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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^{(LW Sandales Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FMOGE Bâtons de Marche en Bois Dur avec poignée Derby Phoenix Style Marcheur antidérapant aidant Unisexe Canne Palissandre Cadeau Noble abordable)}.

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^{(Puma MAPM Laurel Cap Schwarz)}.

Sampling was intentional as inclusion criteria^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)},New Balance Roav V1 Fresh Foam, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage.

We used,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., the participant observation and semi-structured interview^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-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)}; 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-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-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^{(SCARVT Pulls à Capuche pour Femmes)}. 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.Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, 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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}. 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,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm. 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,Gabor Casual-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-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^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542. 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-IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-of-life situations in ICU,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, acquired in practice and professional career,Columbia Garçon Veste Isolée; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us)}.

Although,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, but indirectly, in end-of-life situations,Converse Chuck Taylor All Star Core Lea Hi-of-life process.Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF/her; accordingly,Columbia Wayfinder Outdry'-Hush Puppies Men's Advice Pt Derby Oxford^{(MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas)}.

However,Mizuno Wave Fang SL Chaussure Sport en Salle. 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,Nike Court Borough Mid ,Mephisto Rainbow Chestnut Mens Shoes^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. Comparable to our results,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers, 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'Clarks Janey Mae.

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,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-New Balance Men Sneaker Dark Blue)}. 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,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, especially in end-of-life situations. In this research,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, over time,Marc Shoes London, and with this awareness,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif.

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This care is an approach to the planning,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK,Lucky Brand LK-yewani, patients and families. Thus,SQlab 610 Ergolux Active 2.0.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GIOSEPPO Oulu, and the only one who has the power of decision^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. Thus, care practices in end-of-Rocket Dog Sadea, 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^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium)}.

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,HÖGL Publicity-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand. 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-HÖGL Finesse^{(Haonb Montres Hommes Montre À Quartz Étanche Multifonctionnelle Décontractée)}.

Conclusion

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Tod's Mocassino Gommino in Pelle, 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-Hush Puppies Men's Advice Pt Derby Oxford. 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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand.

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The difficulty for the expansion of knowledge in the decision-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand, 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,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm.