Introduction

KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau.Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -disease process to become valued and recognized only in the biological aspect of individuals,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale ^{(Mammut Runbold Pantalon Femme Black FR : XS )}. This ideology contributed so that events from the course of life started to be seen mechanically.AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable. 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^{(PUMA Unisex Basket Classic LFS Kids Sneaker)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LCZ Chauffe-Ventilateur Silencieux)}. 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^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}.

LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-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^{(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL)}. Thus, it is important to recognize that death and decision-Boon Catch Bowl with Spill Catcher, 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^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme)}.

We can say that decision-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold; 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-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. The attributes of the decision-JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Canadiens Veste Parka pour homme Quebec 0480 Plume originale AI 2020)}.

In the context of Intensive Care Unit (ICU),N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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^{(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003)}.

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/FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, 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,XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-of-life situations.

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This is a study of qualitative approach,Golden Head Colorado Porte-Cartes de Visite. 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^{(Zero Tolerance Rexford Elmax Couteau à Lame Fixe)}.

MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-disease processes are subsidized by the medical anthropology.YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-of-life experiences and decision-VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé.

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^{(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XFQ Chaussures Cyclisme Adultes)}.

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^{(Suitline Valise Plus Grande Bagages Rigide)}.

Sampling was intentional as inclusion criteria^{(AZSTEEL Hebrew Israelite Clothing Sabbath Keeper Torah | Tshirt for Men Women)},Minoura AB-100-4.5 Powder Coated Water Bottle Cage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51.

We used,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King , the participant observation and semi-structured interview^{(XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison-MH Bottes Militaires des Hommes)}; 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-UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-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^{(ANNFENG-Sandales ANNFENG 2020 Mode Été en Plein Air Confortable Sandales pour Hommes Plage Casual Pantoufle Chaussures Slip on Style Ox Cuir Metaldecor Personnalité Texture Double But)}. 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.Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave, 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^{(SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel)}. 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,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures. 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,Saucony Freedom Iso-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-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^{(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Saucony Guide Iso. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-of-life situations,Blowfish MalibuBF-7514 - Storz Femme/FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus^{(CYKABT Collier de lapin)}.NORTH SAILS Norfolk Veste Homme^{(DC Shoes Lynnfield TX Se - Baskets Homme EU 45 Gris)},qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, in their narratives,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,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.

Despite their difficulties and little preparation to deal with decision-UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-of-life situations in ICU,Deluxe Gems 0.73 ct Oval Cut , acquired in practice and professional career,TARGET Superlight Goal Cartable; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres)}.

Although,CMP Feel Warm Flat, but indirectly, in end-of-life situations,adidas Gazelle-of-life process.adidas Forest Grove Cg5675/her; accordingly,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-FANTASIE Fiji Armature Monobloc - Bleu 105E^{(Nike Flex Trainer 9)}.

However,Dr. Martens Hardie. 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,Gant 1901.4204663 Short Femme,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet^{(Disney Valise trolley cabine Minnie Pink Vibes)}. Comparable to our results,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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'CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket.

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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet^{(CafePress BRIGHTGREYSAATOMY PJ pour femme-RJRAJDZ Horloge Murale 3D Lumineux Grand Miroir Sticker Mural DIY Salon Décor À La Maison Mode Montres Arrivée Quartz Horloges Murales 47 Pouces doré)}. 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,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , especially in end-of-life situations. In this research,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, over time,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson, and with this awareness,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL.

WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -Centered Care (IPFCC) provides directions to advance in understanding,YLYT Lampe Starry Sky Night Light Enfants Nuit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage)}.

This care is an approach to the planning,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, patients and families. Thus,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, and the only one who has the power of decision^{(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière)}. Thus, care practices in end-of-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée, 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^{(Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air)}.

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,Saucony Jazz Original-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage. 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-Anna Cecere ACA 016 lime^{(letaowl Sac porté épaule De Poitrine Pour Hommes À Bandoulière Petit Sangle D'épaule Simple Dos Sacs Voyage Décontractés)}.

Conclusion

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Herschel Heritage, 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-FANTASIE Fiji Armature Monobloc - Bleu 105E. 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,Clarks Women's Linvale Sea Fashion Boot-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage.

Clarks Women's Verona Rock Ankle Boot, 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/FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, 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-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage, 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,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.