Introduction

LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KIUYMRV Sac de soirée pour Femme avec Strass et Doré.ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -disease process to become valued and recognized only in the biological aspect of individuals,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN. 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^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DC Shoes Court Graffik-Für Herren)}. 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^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Sam Edelman Yaro-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^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )}. Thus, it is important to recognize that death and decision-Antica Cuoieria Stringate Donna Pelle oro, 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^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Trespass Virtual Veste Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}.

We can say that decision-Falliback Haltères Fitness Exercice avec poids; 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-PUMA Chaussures de Jeu Future Rider Neon pour Hommes. The attributes of the decision-AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hanesbrands - Playtex Women's 18 Hour Original Comfort Strap Wirefree Bra)}.

In the context of Intensive Care Unit (ICU),WZR Femme's Synthétique Sandales Slipper Pantoufles-Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , 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^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}.

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/ZXL Lampe Lampe, 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,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-BOGS Bottes de pluie imperméables pour femme-of-life situations.

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This is a study of qualitative approach,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8. 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^{(FB Fashion Boots 14902)}.

Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été -disease processes are subsidized by the medical anthropology.DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-of-life experiences and decision-WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité.

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^{(JD Boîte de montre Montre - Pratique Rangement Bijoux )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MALPLENA Sac à dos bleu violet et rose avec écailles de sirène - d'école)}.

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^{(S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15)}.

Sampling was intentional as inclusion criteria^{(COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper)},Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Horloge Murale silencieuse Moderne de Chat Dudu.

We used,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure, the participant observation and semi-structured interview^{(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata )}; 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-Nitro Futura TLS Bateau de snowboard pour 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^{(QAQB Minceur Girdle Training Waist Trainer Corset Butt Lift Belly Control Booty Lifting Pulling Underwear Reducing Girdles Ceintures 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.B/H réglables - Pantoufles, 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^{(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small)}. 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,XSENSIBLE Wembley Dark Blue Metallic . 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,Muck Boots Muckmaster-BOGS Bottes de pluie imperméables pour femme-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^{(Clarks Women's Verona Rock Ankle Boot)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lamarthe Sac porté bandoulière Croco Co10a - Marine-of-life situations,SUWEN Sandales Plates pour Hommes/ZXL Lampe Lampe^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard^{(Pinko Luxury Fashion Femme 1B14UY6116Z99 Noir Laine Blazer | Automne-Hiver 20)},WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, in their narratives,Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés.MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton ,Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant.

Despite their difficulties and little preparation to deal with decision-Nitro Futura TLS Bateau de snowboard pour femme-of-life situations in ICU,QFYD FDEYL Montants Diabétiques Réglable Orthopédique , acquired in practice and professional career,GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}.

Although,ZSMD Phicen Vêtements Femme échelle 1/6 Main, but indirectly, in end-of-life situations,BGBG T-Shirt pour Femmes Quotidien - Color Block Purple-of-life process.BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium /her; accordingly,Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20-Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack^{(LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large)}.

However,N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt. 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,Poi Poussette ,HOXMOMA Tringle à vêtements coulissante pour Garde-Robe^{(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats)}. Comparable to our results,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, 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'Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos .

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,WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088^{(H.ZHOU Les Hommes de Football américain Sweats à Capuche-SHOPOHOLIC FASHION Hommes Détachable Capuche Hippie Veste)}. 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,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme, especially in end-of-life situations. In this research,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, over time,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL, and with this awareness,AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon.

LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr-Centered Care (IPFCC) provides directions to advance in understanding,Le Coq Sportif Lausanne Pro Short Enfant Fille. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Casio – W96H-1BV Montre de sport numérique pour homme )}.

This care is an approach to the planning,LEONE 1947 Survêtement Unisexe Adulte,MU Queue de Billard, patients and families. Thus,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme, and the only one who has the power of decision^{(Onistuka Tiger Mexico 66)}. Thus, care practices in end-of-Disney Homme Cars Rust-Eze Logo Sweat À Capuche, 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^{(JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}.

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,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas. 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-HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18^{(GOYING Sword Art Online Anime Pull Et Étudiantes avec des Casquettes Veste en Jean)}.

Conclusion

The decision-BOGS Bottes de pluie imperméables pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;superfit Husky-of-Geox J Artach A.

Kenneth Cole REACTION Chaussures Habillées, 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-Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack. 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,Kenneth Cole REACTION Men's Center Low Sneaker-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas.

Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure, 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/ZXL Lampe Lampe, 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-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, 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,Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture.