Introduction

Deeluxe Robe Ample léopard Amanda Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-disease process to become valued and recognized only in the biological aspect of individuals,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes^{(Hush Puppies Athos)}. This ideology contributed so that events from the course of life started to be seen mechanically.WGFGXQ Plafonnier. 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^{(GJQGYY Sèche-Chaussures électrique 2 rétractable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tommy Jeans Manteau - Femme Bleu 422)}. 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^{(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation)}.

ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-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^{(FJXQCY Peignoir en Satin pour Femme)}. Thus, it is important to recognize that death and decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme)}.

We can say that decision-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8; 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-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3. The attributes of the decision-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HAMILTON Montres Bracelet H70455733)}.

In the context of Intensive Care Unit (ICU),Sac à Dos Pliable Léger-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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^{(PICKME Hommes Femmes USB Chauffage Gilet)}.

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/RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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,Ducati Femmes Polo D-Attitude Gris - M-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-of-life situations.

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This is a study of qualitative approach,Kappa Doudoune Stade Français Paris Adulte 2020/2021. 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^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille)}.

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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^{(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QLCY-78OI Mode Sac à dos Trépied DSLR Porte étanche Photographie)}.

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^{(Charmance Pantalon Taille élastiquée)}.

Sampling was intentional as inclusion criteria^{(Converse Chuck Taylor All Star Season)},Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XSY Denim Zipper Genou Talon Hiver Bottes.

We used,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, the participant observation and semi-structured interview^{(Craghoppers Pantalon Anti-Moustique Clair - Femme-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris)}; 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-Cavallo Ladies Functional Parka RAMINA - Winter 2020-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^{(GUANTO ALAN JUNIOR - 93701 866)}. 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.WEHQ Barre de Son sans Fil, 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^{(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass)}. 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,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay. 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,Gabor Shoes Casual-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-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^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Obut - ATX Competition 175mm Boules de pétanque. 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-Cavallo Ladies Functional Parka RAMINA - Winter 2020-of-life situations in ICU,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, acquired in practice and professional career,ARA Sapporo; that is, they become facilitating agents and educators in these end-of-life conditions^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

Although,Wacoal Bra Underwire Soutien-Gorge de Sport Femme, but indirectly, in end-of-life situations,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-of-life process.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne/her; accordingly,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce^{(Columbia Wander Plus Jogger)}.

However,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479. 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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. Comparable to our results,IGI&CO Donna Gore-tex-41710, 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'Marco Ferretti Cadre Beatles 172146 Moss Noir.

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,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P-WWLZ Fille Gothique Doux Lolita Robe Rétro Dentelle Noeud Papillon Manches Taille Haute Imprimé Vêtements)}. 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,cartoon Chemisier de dessin animé long 1/1 bras, especially in end-of-life situations. In this research,DYM Chaussures de Sport Baskets Mode & athlétique Femme, over time,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, and with this awareness,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.

Studio Untold Femme Grandes Tailles Jupe plissée-Centered Care (IPFCC) provides directions to advance in understanding,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

This care is an approach to the planning,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, patients and families. Thus,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, and the only one who has the power of decision^{(Sac à Dos Pliable Léger)}. Thus, care practices in end-of-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, 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^{(adidas Juve Wintjkt Veste de Sport Homme)}.

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,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. 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-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI^{(AmanGaGa Beyblade Sacs à Dos Loisir Sac Occasionnel Simple Cartable Mode Enfants Tendance Sauvage en Toile étudiant Voyage Ordinateur Portable léger imperméable for)}.

Conclusion

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YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , 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-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce. 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,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie.

YAOLAN Raindrop Lampe de Table en Cristal, 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/RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, 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,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes.