Introduction

Dolce & Gabbana Denim Jeans-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-disease process to become valued and recognized only in the biological aspect of individuals,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou^{(FXQ Amovible Pet Chauffage Mat)}. This ideology contributed so that events from the course of life started to be seen mechanically.New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing. 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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sanuk Vagabond Chill)}. 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^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}.

RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets 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^{(PUMA RS-x Winterized)}. Thus, it is important to recognize that death and decision-LXDDP Chaise Bureau Fashion Mesh, 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^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}.

We can say that decision-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US; 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-Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau. The attributes of the decision-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, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LAURA VITA SL316-3G Alcbaneo 03 Bottes en Cuir Femmes)}.

In the context of Intensive Care Unit (ICU),YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry, 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^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}.

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/HuangYongHongPODFPO Trousse de Maquillage, 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,Kru Maillots de Basket-Ball pour Hommes et Femmes-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-of-life situations.

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This is a study of qualitative approach,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage . 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^{(adidas Stabil Bounce)}.

VIEUR Modèle de Dents Typodont-disease processes are subsidized by the medical anthropology.LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets-of-life experiences and decision-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag.

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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Originals Tubular Runner)}.

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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Sampling was intentional as inclusion criteria^{(Piedro Sports Boots - Stability Stiffener)},GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques.

We used,ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, the participant observation and semi-structured interview^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}; 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-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-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^{(YW Planche À roulettes Professionnelle - Complète Pro 7 Couches Decks 31"X8 Longboards en Bois D'érable pour Enfants Filles Garçons Cadeau)}. 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.Pangdingk Costume Gonflable d'halloween de Forme Unique, 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^{(Cluty Sac à Bandoulière Femme cuir véritable)}. 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,Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau. 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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-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^{(SMX Coussin de ge Voiture d'hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large. 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-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-of-life situations in ICU,glstkrrn RX8 RX-8 Ugly Christmas Sweater, acquired in practice and professional career,Waldhausen Reithose Funktion Sport Silikon; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}.

Although,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, but indirectly, in end-of-life situations,Boîte à bijoux de Rangement Bijoux-of-life process.W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage/her; accordingly,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ^{(CYYMY Hula Hoop)}.

However,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch. 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,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon,Clio Blue Bague Medicis en argent 925^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. Comparable to our results,Close Parent Caboo Porte-bébé Coton bleu clair, 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'Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.

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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 ^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré-SLONGK Bobine D'Allumage)}. 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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, especially in end-of-life situations. In this research,Irregular Choice Disney Princess- Beauty and The Beast Flats, over time,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, and with this awareness,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.

Le Coq Sportif Sweat Essentiels-Centered Care (IPFCC) provides directions to advance in understanding,JHGK Trail Running Chaussures. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

This care is an approach to the planning,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,ABYSSTAR 68170WTR - Bottines Mixte Adulte, patients and families. Thus,SEIDENFELT MANUFAKTUR Nora Beige.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Helikon CPU Hommes Short PL Woodland, and the only one who has the power of decision^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. Thus, care practices in end-of-dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme , 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^{(Vince Camuto Raner)}.

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,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois. 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-TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween^{(Nero Giardini A901163U Anfibio Homme)}.

Conclusion

The decision-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FUNBN T-Shirt de Basket-Ball Version Fan Basket, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;VIVIANE Boucle D'oreille Support De Rangement-of-GPWDSN Montre de Poche et chaîne.

Piquadro Blue Square Leather Backpack Rosa Chiaro, 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-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . 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,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois.

HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , 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/HuangYongHongPODFPO Trousse de Maquillage, 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-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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,SKSNB Funny Mask Masque de déguisement Frais.