Introduction

LILONGXI Gilet Doudoune-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb .Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-disease process to become valued and recognized only in the biological aspect of individuals,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires)}. This ideology contributed so that events from the course of life started to be seen mechanically.U/A Cardigan Pull Femme Géométrique Tricot Automne. 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^{(LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Berkley Scintillement Shad Pêche Appât)}. 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^{(WYZDQ Mens Bottes De Neige)}.

WRJY Poussette pour bébé Poussette-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^{(Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en)}. Thus, it is important to recognize that death and decision-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, 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^{(Vionic Women's)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint)}.

We can say that decision-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.; 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-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. The attributes of the decision-DIY fun shop Sac à bandoulière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HANG-FAN Ventilateurs de Refroidissement)}.

In the context of Intensive Care Unit (ICU),Deeluxe Robe Ample léopard Amanda Femme-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

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/POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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,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-Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire-of-life situations.

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This is a study of qualitative approach,WGFGXQ Plafonnier. 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^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}.

ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-disease processes are subsidized by the medical anthropology.Ellesse Orazio Sweatshirt Maillot de survêtement Homme-of-life experiences and decision-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.

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^{(Skechers Go Walk Lite - Rise)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SYXYSM Cyclisme Maillots Manches Longues Hommes Quick-Dry Spring Mountain Bike Vêtements Respirant Faire du Vélo)}.

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^{(Dansko Femmes Chaussures De Mule)}.

Sampling was intentional as inclusion criteria^{(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage)},CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.

We used,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, the participant observation and semi-structured interview^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou-KTDT Horloge de Table Style Train Mode rétro)}; 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-Sac à Dos Pliable Léger-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^{(Parc Intérieur pour Enfants Bébé Tapis Rampant Enfant en Bas Âge Clôture De Protection Sécurité À La Maison Ventouse Fixe Poussoir Matériel sans Odeur)}. 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.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}. 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure . 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 Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire-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^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme. 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-Sac à Dos Pliable Léger-of-life situations in ICU,Asics Men's GT-2000 8, acquired in practice and professional career,Dockers Polo Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}.

Although,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, but indirectly, in end-of-life situations,Gabor Shoes Casual-of-life process.Obut - ATX Competition 175mm Boules de pétanque/her; accordingly,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-BILLABONG Garçon Short décontracté^{(Skechers Flex Advantage 2.0)}.

However,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. 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,Sallypan ModeAntler Mur lumière,Burton Covert Veste de Snowboard Homme^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. Comparable to our results,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, 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'Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.

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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-Emergency Sleeping Bag – Reflective Bivy Sack Mylar Thermal Survival Includes Whistle)}. 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,ARA Sapporo, especially in end-of-life situations. In this research,Wacoal Bra Underwire Soutien-Gorge de Sport Femme, over time,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, and with this awareness,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne.

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This care is an approach to the planning,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, patients and families. Thus,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, and the only one who has the power of decision^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. Thus, care practices in end-of-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, 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^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl)}.

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,Studio Untold Femme Grandes Tailles Jupe plissée-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party. 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-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap^{(Mantis Synthetic Plus Tennis String - 200m Reel)}.

Conclusion

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TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, 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-BILLABONG Garçon Short décontracté. 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,Carter's Baby Ensemble de body et pantalon pour bébé garçon-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party.

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