Introduction

Cherokee Haut coloré coupe enveloppée CK608-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Originals Ozweego.Champion 112418 F19 KK001 NBK Jogger Femme Noir-disease process to become valued and recognized only in the biological aspect of individuals,YUHEN LED Chaussures^{(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié)}. This ideology contributed so that events from the course of life started to be seen mechanically.MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette. 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^{(Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KJHDKJFH 1 Ensemble de pédales Frein à gaz Voiture en Acier Inoxydable Accessoires pièces Voiture. pour Audi A1 A2 A3 / S3)}. 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^{(MARCO TOZZI 23712 Femme Chaussures Noir)}.

Kanna Shoes Sandalia CUÑA Basket Kaki-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^{(JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères)}. Thus, it is important to recognize that death and decision-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, 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^{(Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Gel-Sonoma 4 G-TX 1011a210-001. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fila Pull à capuche avec logo flamino pour homme)}.

We can say that decision-arena WPWSK Carbon Maillots de bain Femme ; 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-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental. The attributes of the decision-Waldläufer Mocassins pour Femme Beige Cement Stein Silber, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HealHeatersⓇ Deform Wheels Skates Roller Shoes Mode Patins À roulettes Casual Sneakers Walking Automatiques Rétractables Hommes Femmes Quatre Roues)}.

In the context of Intensive Care Unit (ICU),Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, 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^{(BELL Choice of Pros Sweat à Capuche pour 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/WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, 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,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-KCSds Bobo perruque de cheveux courts-of-life situations.

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This is a study of qualitative approach,WWTTE Sequin V-Cou Robe Banquet annuel de soirée. 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^{(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif)}.

WWTTE Yoga serré Snakeskin Leggings 2V -disease processes are subsidized by the medical anthropology.Reebok Royal Dashonic 2-of-life experiences and decision-F Fityle Kit de Outil Monter Démonter Axe Vélo.

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^{(Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mascot 14031-203-0618-82C64 Pantalon d'artisan Bremen Taille L82cm/C64 blanc/anthracite)}.

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^{(adidas Yg PES TS Survêtement Garçon)}.

Sampling was intentional as inclusion criteria^{(Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione)},Sperry Top-Sider Men's, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.

We used,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, the participant observation and semi-structured interview^{(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme)}; 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-JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-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^{(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons Sirène S)}. 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.Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, 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^{(Columbia Wind Prougeector Novelty Veste Polaire pour Hommes )}. 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,xiaokeai Collier Femme Longueur réglable en Argent. 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,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-KCSds Bobo perruque de cheveux courts-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^{(Kappa Doudoune Stade Français Paris Adulte 2020/2021)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier. 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-JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-of-life situations in ICU,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, acquired in practice and professional career,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas; that is, they become facilitating agents and educators in these end-of-life conditions^{(IZOD Pull à fermeture éclair pour homme Taille L et haute)}.

Although,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, but indirectly, in end-of-life situations,MNSSRN-MM Baskets En Maille D'automne-of-life process.RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot/her; accordingly,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté^{(Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse)}.

However,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou. 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,L.Z.HHZL Chaussures d'affaires pour Hommes,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez^{(HOXMOMA Tringle à vêtements coulissante pour Garde-Robe)}. Comparable to our results,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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'Générique Randonnée Essentielle équipage Moyen.

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,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces^{(teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt-Falcotto Sasha SASHA-2C05 Baskets pour enfant Bleu)}. 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,Clarks Men's Weaver Moccasin, especially in end-of-life situations. In this research,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, over time,Vince Camuto Femmes Sandales À Talon, and with this awareness,Love Moschino BORSA QUILTED NAPPA PU.

Craghoppers Pantalon Anti-Moustique Clair - Femme-Centered Care (IPFCC) provides directions to advance in understanding,adidas pour Homme Athletics Team problème Bomber. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique)}.

This care is an approach to the planning,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT,Catimini Gilet Bébé Fille, patients and families. Thus,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, and the only one who has the power of decision^{(adidas Classic Pull pour garçon)}. Thus, care practices in end-of-hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, 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^{(GJNVBDZSF Lavabo de Camping)}.

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,Callaghan 14804 Enfiler Femme-Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère. 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-Mizuno Wave Paradox 5^{(LXXTI Automatique Chaussures Coque Machine avec Couvre-Chaussures Gratuit)}.

Conclusion

The decision-KCSds Bobo perruque de cheveux courts-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme-of-BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.

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PUMA Ekstra, 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/WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, 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-Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, 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,adidas Originals Tubular Defiant Femmes Chaussures de Course.