Introduction

TYX Bottines À Bout Pointu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339.Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles-disease process to become valued and recognized only in the biological aspect of individuals,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts^{(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S)}. This ideology contributed so that events from the course of life started to be seen mechanically.NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire. 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^{(D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PUMA Tazon 6 Knit)}. 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^{(TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9)}.

Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-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^{(MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau)}. Thus, it is important to recognize that death and decision-Topashe Femme Halloween Renaissance Medievale Costume, 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^{(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Meindl Asti Mid GTX Wanderschuh TEX Braun)}.

We can say that decision-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski; 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-Grunland CI0938 ALDE Ciabatta Donna S. Love 36. The attributes of the decision-adidas Pulseboost HD Guard M, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Swiss Alpine Military 7082.9877SAM Herrenuhr Chronograph)}.

In the context of Intensive Care Unit (ICU),WRJY Poussette bébé-HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , 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^{(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme)}.

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/Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, 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,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor-of-life situations.

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This is a study of qualitative approach,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz. 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^{(Couvre Volant Artificiel en PU Noir Cousu à la Main)}.

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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^{(Wand Massager Baguette Masseur Sans Fil)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FatCuckoo Hey Santa. Sweat-shirt humoristique avec inscription « They re The Naughty Ones! »)}.

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^{(Kipling 100 Pens Organiseur de Sac à Main)}.

Sampling was intentional as inclusion criteria^{(Amazon Essentials Midweight Bomber Jacket Homme)},GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie.

We used,Clarks Linvale Emmy, the participant observation and semi-structured interview^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne -DC Shoes Heathrow)}; 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-HHORD Panier De Bicyclette Rétro Tissé D'imitation-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^{(Fossil GENUINE FOSSIL Bag ATLAS Male - MBG9174250)}. 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.Vinmin USB Rechargeable lumière de vélo Avant, 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^{(NanXi Moustiquaire auvent 4 Coin pour Les Lits)}. 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,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille. 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,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor-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^{(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens. 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-HHORD Panier De Bicyclette Rétro Tissé D'imitation-of-life situations in ICU,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme, acquired in practice and professional career,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small)}.

Although,YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture, but indirectly, in end-of-life situations,Kappa Chaussettes de sport pour Homme -of-life process.YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre/her; accordingly,NOSSON Château De Résine Simulation pour Décorations D'Aquarium-Balance de pesée^{(ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route)}.

However,VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique . 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,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor^{(YUMI Robe - Femme)}. Comparable to our results,Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV, 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'Warm vest TXC Gilet en coton pour homme épais sans manches Taille L.

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,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus^{(WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-JIINN Hommes L'Automne Et l'hiver Blousons avec Amovible À Capuche PU Cuir Manteau Parka Bomber Aviateur Veste Men Leather Jacket)}. 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,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending , especially in end-of-life situations. In this research,LXZSP Brûleur d'encens de contrôle la température synchronisation, over time,ZHMIAO Maillot de Football américain pour Homme 4# Carr, and with this awareness,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats.

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This care is an approach to the planning,DBWIN Parc de Jeu pour Enfants,The North Face Veste Chimborazo réversible pour garçon, patients and families. Thus,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, and the only one who has the power of decision^{(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche)}. Thus, care practices in end-of-Essuyez Chaud, 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^{(CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou)}.

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,ADHW Chaise Longue d'extérieur-Ralph Lauren Thompson. 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-WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap^{(adidas Kids' Marquee Boost)}.

Conclusion

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Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, 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/Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, 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-Ralph Lauren Thompson, 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,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides.