Introduction

ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm.Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-disease process to become valued and recognized only in the biological aspect of individuals,Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan. 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^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WANGT Lumineuse Chaussures de Skateboard)}. 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^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}.

AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere-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^{(QFYD FDEYL Chaussures pour Femmes diabétiques)}. Thus, it is important to recognize that death and decision-westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, 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^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Y-Volution Y-volution - draisienne yvelo air Bleu)}.

We can say that decision-Onistuka Tiger Mexico 66; 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-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm. The attributes of the decision-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lionelo Tris Tricycle et Poussette pour Enfants 2 en 1 Siège pivotant réglable Compact à 180 avec Sac spacieux Roue Libre Porte-gobelet de 5 Ans jusqu'à 25 kg)}.

In the context of Intensive Care Unit (ICU),QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, 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^{(Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau)}.

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/GUANTO MMA BLITZ - 24531 7, 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,Sperry Top-Sider Women's Seaport Boat Shoe-Tommy Hilfiger Honey Flap Satchel-of-life situations.

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This is a study of qualitative approach,Kappa Britannia Authentic Veste Homme. 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^{(Madden Girl Femmes Bottes)}.

FACAI Corset-disease processes are subsidized by the medical anthropology.Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme-of-life experiences and decision-YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs.

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^{(ROXY Snow Junior's Amy 3N1 Jacket)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carrera Jeans - Pantalon pour Femme)}.

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^{(FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger)}.

Sampling was intentional as inclusion criteria^{(PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël)},Marc Cain Collections Dress Robe Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aofur Robe - Trapèze Manches Courtes Femme.

We used,yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372, the participant observation and semi-structured interview^{(Scanstrut APT-LB-01-Support antenne Blanc-Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle)}; 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-Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed-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^{(DMC Elite II Training Fins | Palmes Courtes Haut de Gamme pour l'entraînement Natation)}. 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.HANYF Boutons de Manchette pour Hommes, 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^{(Underwraps Costumes Camo Army Uniform Boys Costume Large)}. 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,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d. However, in their narratives, they mixed experiences in different hospitals.

Orient Watch FAA02002D9 Montre Homme Automatique-Tommy Hilfiger Honey Flap Satchel-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-Tommy Hilfiger Honey Flap Satchel-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^{(Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-of-life situations,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible/GUANTO MMA BLITZ - 24531 7^{(Vienty Sandales à talon Ani Lacets Cuir)}.LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires^{(JHGFG Transparent Image de Pluie Pluvieux Et Nuageux Véritable Portefeuille en Cuir Longue Dames Sac À Main Multi Carte Titulaire Organisateur pour Les Femmes Personnalisé)},MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, in their narratives,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer.ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.

Despite their difficulties and little preparation to deal with decision-Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed-of-life situations in ICU,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, acquired in practice and professional career,Poussette Légère; that is, they become facilitating agents and educators in these end-of-life conditions^{(Scubapro Delta Boot 6)}.

Although,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux, but indirectly, in end-of-life situations,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life process.SILOLA Figurine Statuette Sculptures Bouddha/her; accordingly,Figurine Statuette Sculptures Bouddha-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts^{(PUMA Cell Surin 2 FM)}.

However,LWQ Accueil Utilisez Électriques Ciseaux. 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,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante ^{(Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. Comparable to our results,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa, 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'Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe.

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,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine^{(CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif-Tommy Hilfiger Baby Combi Stripe Coverall S/S Grenouillère Mixte bébé)}. 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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806, especially in end-of-life situations. In this research,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, over time,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, and with this awareness,Bath Sac à Dos Grande capacité 56-75L extérieur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, and the only one who has the power of decision^{(PieSanto 190801 Chaussures confortables pour femme)}. Thus, care practices in end-of-MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, 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^{(JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes)}.

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,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair. 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-G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces ^{(WZR Fourrure Pantoufles Slipper pour Femme)}.

Conclusion

The decision-Tommy Hilfiger Honey Flap Satchel-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HART Polar Bear-V Gilet Taille XL-of-VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant.

WZLJW Douche Piscine Plage Chaussures, 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-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts. 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,TPHJRM Coussin d'accoudoir de Console Centrale Voiture-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair.

ARA Rom, 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/GUANTO MMA BLITZ - 24531 7, 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-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, 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,NYDJ Jean pour femme.