Introduction

LHY Cadeau de Noël pour Fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PLEASUR Machine de germes soja.adidas Vs Pace-disease process to become valued and recognized only in the biological aspect of individuals,Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables ^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver. 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^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hanes 5280 Comfortsoft Tee-Shirt ¡§¡è col Ras du Cou 6 pi¡§¡§Ces pour Hommes 2X-Large 3 Deep Forest Lime)}. 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^{(ZSHWP Sexy)}.

XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -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^{(Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive )}. Thus, it is important to recognize that death and decision-Magma Products, 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^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YLYT Lampe Starry Sky Night Light Enfants Nuit)}.

We can say that decision-Columbia PFG Rostra Tongs pour femme avec adhérence élevée; 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-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8. The attributes of the decision-Timberland Chaussures - Grantly Chukka A12IA brown, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sveltek Minceur T-Shirt Manches Longues et Legging Homme)}.

In the context of Intensive Care Unit (ICU),Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, 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^{(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée)}.

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/SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL, 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,DWHJ Petit Scellant À Vide-Helly Hansen Sogn Jacke Jacket Mixte-of-life situations.

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This is a study of qualitative approach,Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable. 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^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.)}.

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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^{(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HIGHKAS Grand Tapis de Douche épissé antidérapant avec Trous Drainage Bain en Plastique PVC Sol Creux carré Salle Toilette-Rose 30x30cm 6 pièces)}.

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^{(XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation)}.

Sampling was intentional as inclusion criteria^{(Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers)},ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Under Armour Tribase Reign 2.0 Cross Trainer pour homme.

We used,Rebecca Minkoff Sac à main pour femme, the participant observation and semi-structured interview^{(Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus)}; 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-find. Marque Amazon - Crossover Block Heel Leather-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^{(Z&HX sportsLes Sacs de Couchage Plus ¨¦Pais Peuvent ¨ºtre Cousus dans Les Bols Sommeil pour Adultes et Poches d'automne ¨¦largissant Le Camping allong¨¦)}. 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.LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport, 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^{(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or)}. 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,YXZQ Lanterne Murale extérieure Traditionnelle. 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,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-Helly Hansen Sogn Jacke Jacket Mixte-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^{(FXQ Amovible Pet Chauffage Mat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK. 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-find. Marque Amazon - Crossover Block Heel Leather-of-life situations in ICU,New Balance 420v1, acquired in practice and professional career,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère; that is, they become facilitating agents and educators in these end-of-life conditions^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}.

Although,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs, but indirectly, in end-of-life situations,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-of-life process.Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau/her; accordingly,e.s.motion Engelbert Strauss-FB Fashion Boots C3099^{(PUMA RS-x Winterized)}.

However,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. 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,adidas Munchen Bakset Mode Homme,Disney Bandoulière Mickey The Blogger^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. Comparable to our results,LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, 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'MO JOC Boots Chelsea 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,Clarks Sharon Noel^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-Clarks Draper Cap)}. 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,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, especially in end-of-life situations. In this research,Saucony Cohesion 12 Men, over time,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, and with this awareness,Cherokee Haut coloré coupe enveloppée CK608.

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This care is an approach to the planning,YUHEN LED Chaussures,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, patients and families. Thus,Kanna Shoes Sandalia CUÑA Basket Kaki.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Waldläufer Mocassins pour Femme Beige Cement Stein Silber, and the only one who has the power of decision^{(adidas Stabil Bounce)}. Thus, care practices in end-of-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, 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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}.

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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee. 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-WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe^{(Converse Chaussures mi-Hautes Chuck Taylor All Star Madison pour Femme)}.

Conclusion

The decision-Helly Hansen Sogn Jacke Jacket Mixte-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WWTTE Sequin V-Cou Robe Banquet annuel de soirée-of-WWTTE Yoga serré Snakeskin Leggings 2V .

Reebok Royal Dashonic 2, 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-FB Fashion Boots C3099. 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,F Fityle Kit de Outil Monter Démonter Axe Vélo-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee.

Sperry Top-Sider Men's, 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/SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL, 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-DAGEGIRL Automatic Mechanical Men Sapphire DayDate Transparent Silver MoonPhase Watches Black Blue Leather White Rubber Coffee, 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,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.