Introduction

Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale.ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -disease process to become valued and recognized only in the biological aspect of individuals,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket^{(adidas Stabil Bounce)}. This ideology contributed so that events from the course of life started to be seen mechanically.Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage. 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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HOKA one Hoka Bondi 5 Uomo A3-8 US)}. 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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-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^{(Piedro Sports Boots - Stability Stiffener)}. Thus, it is important to recognize that death and decision-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cerdá Ligera Lady Bug. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}.

We can say that decision-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale; 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-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau. The attributes of the decision-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AMIT FASHIONS Designer Indien Semi-Cousu Salwar Kameez pour Femme)}.

In the context of Intensive Care Unit (ICU),Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, 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^{(Cluty Sac à Bandoulière Femme cuir véritable)}.

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/LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, 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,Boon Catch Bowl with Spill Catcher-Re-Ment Sanrio Hinamatsuri-of-life situations.

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This is a study of qualitative approach,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s. 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^{(W&XY Escarpins d'hiver pour l'alpinisme )}.

XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-disease processes are subsidized by the medical anthropology.XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life experiences and decision-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique.

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^{(Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SAGA GIOIELLI Bracelet pour femme Nœudi bicolore argent cuivré)}.

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^{(Kangol antique Sac fourre-tout Marron Fourre-tout de voyage)}.

Sampling was intentional as inclusion criteria^{(YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée)},N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme.

We used,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, the participant observation and semi-structured interview^{(SMX Coussin de ge Voiture d'hiver-Kickers Orin Twin Toe Lo)}; 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-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-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^{(Kaporal Troz Gilet Femme)}. 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.Golden Head Colorado Porte-Cartes de Visite, 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^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}. 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,MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants. 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,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-Re-Ment Sanrio Hinamatsuri-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^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,arena 2a259 Maillot de Bain Garçon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ulla Popken Pantalon Femme-of-life situations,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere/LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme^{(Vince Camuto Raner)}.HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes^{(5 Pcs Impression Sur Toile Mur Art Photos)},EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme, in their narratives,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up.Prime Line Packaging 40,Saucony Freedom Iso 2.

Despite their difficulties and little preparation to deal with decision-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-of-life situations in ICU,Saucony Freedom Iso, acquired in practice and professional career,Saucony Guide Iso; that is, they become facilitating agents and educators in these end-of-life conditions^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

Although,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, but indirectly, in end-of-life situations,Blowfish MalibuBF-7514 - Storz Femme-of-life process.NORTH SAILS Norfolk Veste Homme/her; accordingly,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black^{(C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant)}.

However,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche. 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,Deluxe Gems 0.73 ct Oval Cut ,TARGET Superlight Goal Cartable^{(Brandit Sweatshirt à capuche Homme)}. Comparable to our results,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme, 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'CMP Feel Warm Flat.

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,adidas Gazelle^{(Topashe Femme Halloween Renaissance Medievale Costume-LXDDP Rire Bouddha Statues Shoushan Japierre Chinois Feng Shui décor Maison Bureau Richesse Bonne Chance prospérité Figurines)}. 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,adidas Forest Grove Cg5675, especially in end-of-life situations. In this research,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, over time,FANTASIE Fiji Armature Monobloc - Bleu 105E, and with this awareness,Dr. Martens Hardie.

Gant 1901.4204663 Short Femme-Centered Care (IPFCC) provides directions to advance in understanding,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

This care is an approach to the planning,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, patients and families. Thus,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YLYT Lampe Starry Sky Night Light Enfants Nuit, and the only one who has the power of decision^{(Zhuowei Mesdames Stretch Cuissardes)}. Thus, care practices in end-of-None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, 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^{(Feagar Voiture Oreillers de Cou)}.

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,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé. 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-WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym^{(DC Shoes - Chaussures Lynx Zero Lowtop pour garçon)}.

Conclusion

The decision-Re-Ment Sanrio Hinamatsuri-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual -of-Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique .

CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, 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-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. 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,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.

sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, 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/LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, 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-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, 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,Saucony Jazz Original.