Introduction

Falke TK 1 Chaussettes randonnée homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison.RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau -disease process to become valued and recognized only in the biological aspect of individuals,Traducteur Instantané^{(Under Armour Essential)}. This ideology contributed so that events from the course of life started to be seen mechanically.Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. 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^{(Clarks Women's Juliet Rose Loafer)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NACHEN D Coupe Silicone Sein Formes Haute Collier Le Maillot de Corps avec Faux Vagin Mastectomie Seins pour Travesti Transgenres)}. 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^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-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^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)}. Thus, it is important to recognize that death and decision-SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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^{(steve madden Tronchetto in Suede Marrone)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Siennaa Pull Billie Eilish Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}.

We can say that decision-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match; 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-Dolce & Gabbana Denim Jeans. The attributes of the decision-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dessin animé amusant ours Multifonction bébé table à langer)}.

In the context of Intensive Care Unit (ICU),E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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^{(Hurley M Vedder Washed L/S Woven - Chemises 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/New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, 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,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué-of-life situations.

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This is a study of qualitative approach,LXDDP Chaise Bureau Fashion Mesh. 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^{(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S)}.

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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^{(D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QLSGO 2Micro bouclés cheveux perruques afro-américaines femmes noiresPerruque en dentelle sur le devant)}.

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^{(TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9)}.

Sampling was intentional as inclusion criteria^{(MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau)},PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles.

We used,N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry, the participant observation and semi-structured interview^{(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-Meindl Asti Mid GTX Wanderschuh TEX Braun)}; 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-HuangYongHongPODFPO Trousse de Maquillage-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^{(Horloges murales Peacock creative européenne moderne horloge décorative - Grande à quartz silencieux)}. 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.Kru Maillots de Basket-Ball pour Hommes et Femmes, 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^{(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme)}. 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,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage . 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,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué-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^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Haedr Coussin résistant à la Casse pour bébé. 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-HuangYongHongPODFPO Trousse de Maquillage-of-life situations in ICU,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, acquired in practice and professional career,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose; that is, they become facilitating agents and educators in these end-of-life conditions^{(NanXi Moustiquaire auvent 4 Coin pour Les Lits)}.

Although,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, but indirectly, in end-of-life situations,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski-of-life process.DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling/her; accordingly,EDELRID Cordes d'escalade Boa 9-YUMI Blush 3D Floral Embellishment Party Dress^{(RYKA Everest)}.

However,GURU-SHOP Guru-Boutique. 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,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S,glstkrrn RX8 RX-8 Ugly Christmas Sweater^{(Delavi Self Medication T-Shirt Femme Noir Women's Black)}. Comparable to our results,Adult Raincoats Imperméable réfléchissant, 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'Waldhausen Reithose Funktion Sport Silikon.

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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans^{(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1-2-1/4 DOOR HOOK C/P ZINC)}. 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,Boîte à bijoux de Rangement Bijoux, especially in end-of-life situations. In this research,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, over time,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, and with this awareness,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Le Coq Sportif Sweat Essentiels, and the only one who has the power of decision^{(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers)}. Thus, care practices in end-of-JHGK Trail Running Chaussures, 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^{(Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme)}.

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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -HUF Sweat-shirt Crew Essentials Taille L. 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-ABYSSTAR 68170WTR - Bottines Mixte Adulte^{(Splendid Femme R85D003 Ensemble de Pyjama)}.

Conclusion

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Helikon CPU Hommes Short PL Woodland, 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/New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, 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-HUF Sweat-shirt Crew Essentials Taille L, 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,dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme .