Introduction

mys Scarpe PersonalizzateOriginal -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TTmom Femme Portefeuille.Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-disease process to become valued and recognized only in the biological aspect of individuals,Pleaser Flamingo 1050FS Bottines à talons hauts^{(MFH 'Tente)}. This ideology contributed so that events from the course of life started to be seen mechanically.ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme. 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^{(Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LCCYJ La Santé Chaussons Jade Faire Pivoter Plantaire Point D'acupuncture Cailloux Sandales Hommes Et Femmes Massages Les Chaussures)}. 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^{(PUMA Femmes Chaussures De Sport A La Mode)}.

Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-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^{(ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes )}. Thus, it is important to recognize that death and decision-Skechers Newbury St Every Angle, 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^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU)}.

We can say that decision-SHOES-HY Chaussures de Sport pour Femmes; 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-Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl. The attributes of the decision-Lotto Leggenda Legging pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HXiaDyG Lot de 4 survêtement sport pour homme avec pantalon compression et t-shirt à manches courtes)}.

In the context of Intensive Care Unit (ICU),Gabor Shoes Jollys-Delsey Trolley Brisban Black M 4R, 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^{(ZSHWP Sexy)}.

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/Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage , 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,JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-bibi lou Sandalo in Lurex E Pelle Laminata Oro-of-life situations.

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This is a study of qualitative approach,Asics Chaussures Femme Court FF 2. 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^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}.

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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^{(YLYT Lampe Starry Sky Night Light Enfants Nuit)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ADV PRO Good Vibes Only Hand Room Dual Color LED Enseigne Lumineuse Neon Sign Rouge et Bleu 600 x 400mm st6s64-i3475-rb)}.

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^{(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée)}.

Sampling was intentional as inclusion criteria^{(Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket)},DOUCAL'S Chaussures - Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KG by Kurt Geiger BIRCHIN.

We used,Merrell Juno Mid Zip Sandal - Women's Brindle, the participant observation and semi-structured interview^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme )}; 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-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-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^{(Bertoni Lunettes de Soleil Polarisées Glacier Montagne Alpinisme Trekking Ski Mod. Alps Italy)}. 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.FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables , 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^{(XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation)}. 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,UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers. 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,Skechers Women's Go Walk Lite-16352 Ballet Flat-bibi lou Sandalo in Lurex E Pelle Laminata Oro-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^{(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YQ WHJB Recliner Réglable pour Outdoor Office Nap. 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-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-of-life situations in ICU,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, acquired in practice and professional career,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau ; that is, they become facilitating agents and educators in these end-of-life conditions^{(QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short)}.

Although,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues , but indirectly, in end-of-life situations,Skechers Performance Go Walk Evolution Ultra - 54736-of-life process.Pierre Cardin Futureflex Strech Denim Bermuda Short Homme/her; accordingly,Converse Chuck Taylor All Star Season-Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël^{(Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling )}.

However,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël. 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,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50,DANJIA Argent-gris perruque^{(FXQ Amovible Pet Chauffage Mat)}. Comparable to our results,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, 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'SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements.

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,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme-Star source 3D Pull)}. 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,Diamond Chandelier, especially in end-of-life situations. In this research,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）, over time,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle, and with this awareness,YONGQUAN Barrière en métal Blanc.

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This care is an approach to the planning,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, patients and families. Thus,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme, and the only one who has the power of decision^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. Thus, care practices in end-of-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, 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^{(FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison)}.

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,Lodi Pauli-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main. 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-Mizuno Wave Mirage 2.1^{(Hanes Ultimate T-shirt en mousse souple sans fil pour femme)}.

Conclusion

The decision-bibi lou Sandalo in Lurex E Pelle Laminata Oro-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Trefoil Sweat-Shirt à Capuche Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;IZOD Pull à fermeture éclair pour homme Taille L et haute-of-adidas X 18.3 FG.

Saucony Versafoam Inferno, 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-Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël. 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,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main.

Columbia Drainmaker 3D', 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/Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage , 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-Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main, 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,Gabor Casual.