Introduction

Limit Sport MA192 Aldara Moyen Âge Multicolore-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode .Geox XLED Girl J928DA Fille Baskets Mode-disease process to become valued and recognized only in the biological aspect of individuals,Nfudishpu Tambour électronique^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. 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^{(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Bulk Masque à Gaz Respirateur Réutilisable Alimentation électrique en air adapté aux peintures solvants & polyuréthanes et poussières)}. 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^{(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir)}.

CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-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^{(YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey)}. Thus, it is important to recognize that death and decision-McAlister Textiles Denim Bleu Savane Rideaux, 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^{(Dare 2b Cloud Burst Veste pour Fille)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux )}.

We can say that decision-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events ; 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-MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton. The attributes of the decision-MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Joyara Boucles d'oreilles Femme / pendantes 14 ct Or Blanc Rond Rose Saphir & Diamant Halo Style)}.

In the context of Intensive Care Unit (ICU),KYWBD Ensemble Lingerie Sexy-Giro Monaco II Gel Gants de Cyclisme, 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^{(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale)}.

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/PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, 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,Oceansouth Leger Alliage des échelles-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -of-life situations.

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This is a study of qualitative approach,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin. 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^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}.

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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^{(Happiness Leggings Serpent)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nobrannd Tente De Camping Entièrement Automatique Double Pont Hex extérieur 5-8 Personnes Plage Ouvert antipluie Rapide en Plein Air)}.

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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

Sampling was intentional as inclusion criteria^{(Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les)},ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc.

We used,Orca Bags SAC D'EPAULE ORCA OR-4, the participant observation and semi-structured interview^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol-Box J-Boîte de Montre Coffret en Bois)}; 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-YAS Yasemira Loose Lace Top Blouse Femme-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^{(LXDDP Rampe d'escalier Mains courantes pour escaliers Marches extérieures Contre Le Mur Couloir intérieur Personnes âgées Barres Enfants Salle Bains en Fer forgé métal Noir)}. 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.AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}. 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,Vans Asher V-Velcro. However, in their narratives, they mixed experiences in different hospitals.

PUMA City Snow Boot S Wn's-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -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^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020. 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-YAS Yasemira Loose Lace Top Blouse Femme-of-life situations in ICU,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, acquired in practice and professional career,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage; that is, they become facilitating agents and educators in these end-of-life conditions^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

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However,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman. 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,casco Reithelm VG1 Spirit - 3 Crystal,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man^{(Huber Romi Veste en Tricot pour Femme Bleu Clair)}. Comparable to our results,Wembley X-Line Lederhalfter Finesse II, 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'TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes.

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,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau^{(Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-Charles & Colvard bague pour main droite Forever One - or blanc 14K Moissanite rond 2.3 mm)}. 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,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, especially in end-of-life situations. In this research,FACAI Étagère De Cuisine Rangement, over time,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, and with this awareness,NYDJ Barbara Bootcut Jeans Femme.

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This care is an approach to the planning,aipipl Boîte aux Lettres Murale,SDJJ Sac à dos vintage en cuir pour femme Motif floral, patients and families. Thus,HÖGL Highlander.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid, and the only one who has the power of decision^{(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie)}. Thus, care practices in end-of-Sanuk Kids Unisex Lil Puffer Fashion Boot, 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^{(YZT QUEEN Bottes Cuissardes Femmes)}.

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,SPYDER Project Veste pour femme-Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet. 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-LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver^{(Fila Disruptor)}.

Conclusion

The decision-MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple-of-DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens.

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The difficulty for the expansion of knowledge in the decision-Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet, 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,Sylvie Flirty Swimwear Britta Monokini Femme.