Introduction

Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Misu Chaussures de Danse pour Homme Noir.HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-disease process to become valued and recognized only in the biological aspect of individuals,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié^{(adidas Ultraboost 19)}. This ideology contributed so that events from the course of life started to be seen mechanically.VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine. 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^{(mys Sneaker Customized Adulte - Chaussures Coutume )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZSDGY sous-vêtement/Soutien-Gorge d'allaitement/sous-vêtements d'allaitement No Trace/Soutien-Gorge Anti-affaissement en Coton C-90B)}. 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^{(Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir)}.

Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-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^{(Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau )}. Thus, it is important to recognize that death and decision-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, 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^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Odlo Midlayer Full Zip Proita Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.

We can say that decision-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture; 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-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. The attributes of the decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AOOEDM Winnie l'ourson sac à main pour téléphone portable bandoulière voyage dos femmes filles fête cadeau)}.

In the context of Intensive Care Unit (ICU),Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-Superdry Icarus Hood Pull Homme, 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^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

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/Detazhi Montre en Bois, 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,KGAYUC Mot Épaule Robe De Soirée Verte-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-of-life situations.

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This is a study of qualitative approach,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10. 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^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard)}.

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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^{(Buffalo CAI)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LetsBuyGold Bague Artisanale)}.

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^{(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris)}.

Sampling was intentional as inclusion criteria^{(SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox)},Dickies Nevada Sweat à Capuche Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse .

We used,Asics Chaussures Gel-Nimbus 21 pour Hommes, the participant observation and semi-structured interview^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG -Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}; 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-YUMI Robe - Femme-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^{(DC Shoes - Trasé Low Top Chaussures de Fille)}. 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.Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique, 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^{(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear)}. 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,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium. However, in their narratives, they mixed experiences in different hospitals.

Steiff - 239588 Doudou Ours Dors Bien Bleu-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-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,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-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^{(HUF Sweat-shirt Crew Essentials Taille L)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. 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-YUMI Robe - Femme-of-life situations in ICU,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, acquired in practice and professional career,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland Jayne Bottes de confort pour femme 15 cm)}.

Although,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, but indirectly, in end-of-life situations,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur-of-life process.NENGGE Barre de Traction/her; accordingly,SBDLXY Parc pour bébé extérieur-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ^{(adidas Advantage Chaussure de tennis pour femme)}.

However,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles . 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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme,Hoonmis Robe de soirée Enfant^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}. Comparable to our results,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022, 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'LED night light.

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,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard-mini melissa Chaussures Plates Ultragirl Sweet Iv pour Enfant Unisexe)}. 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,Hatley Swimsuits Maillot Une pièce Garçon, especially in end-of-life situations. In this research,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, over time,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, and with this awareness,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1.

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This care is an approach to the planning,Mephisto Mocassins pour Homme,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, patients and families. Thus,Fossil Portefeuille à Trois Volets Jesse Cognac.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dare 2b pour femme PREMISS Veste imperméable isolée, and the only one who has the power of decision^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique)}. Thus, care practices in end-of-Piquadro Pierre Sac de Sport Grand Format, 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^{(Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}.

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,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-Crocs Sanrah Hammered Metallic Sandal Women. 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-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé^{(RaceFace Short Indy pour Homme)}.

Conclusion

The decision-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres-of-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou.

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osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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/Detazhi Montre en Bois, 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-Crocs Sanrah Hammered Metallic Sandal Women, 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,Procase ProCase Trousse de Toilette Transparente Anti-Fuite.