Introduction

Beginnings Sterling Silver lapis Grand anneau ovale-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Ultraboost DNA Chaussure de course pour homme.Beginnings Double Dog Tag Pendentif argent sterling pour hommes-disease process to become valued and recognized only in the biological aspect of individuals,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bisgaard Rain. 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^{(Sallypan ModeAntler Mur lumière)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HLJ Cheval à bascule en bois Secouer bébé Enfants solide Musique Bébé Jouet Rocking Chair massif amovible)}. 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^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-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^{(Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air)}. Thus, it is important to recognize that death and decision-Clarks Kitna Vibe, 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^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}.

We can say that decision-arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back; 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-CAPRICE Femme Bottines 26365-23. The attributes of the decision-adidas Grand Court, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vélo Saddles Coussin Confortable VTT Selle Route vélo Respirant Creux Bike Saddle Covers)}.

In the context of Intensive Care Unit (ICU),Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-NORTHCAPE Flint Waterproof Femme Boots Marron, 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^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

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/Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, 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,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-of-life situations.

LILONGXI Tapis

This is a study of qualitative approach,YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée. 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^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}.

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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^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cloud City 7 I Work to Support My Wifes Dog Addiction Kid's Sweatshirt)}.

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^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}.

Sampling was intentional as inclusion criteria^{(KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes)},CareTec Pantalon de Pluie Enfants , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier.

We used,LW Sandales Femmes, the participant observation and semi-structured interview^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403-Cetti C847 Basket 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-MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -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^{(Handsome Girl dresses Women Dress Solid Color Lace Stitching Openwork Temperament Popular Dignified Trend Long Summer)}. 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.SJLHP Sac À Dos Voyage en Toile Vintage, 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^{(Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280)}. 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,CRMY Bottes rétro Classiques pour Femmes Dames. 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,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary -Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-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^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme. 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-MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -of-life situations in ICU,Tentes à Tente rétractable de lit, acquired in practice and professional career,adidas Originals Chaussures Junior Haiwee; that is, they become facilitating agents and educators in these end-of-life conditions^{(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite)}.

Although,Ysswjzzzz Masque d'halloween, but indirectly, in end-of-life situations,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura -of-life process.H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique/her; accordingly,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore-NanXi Moustiquaire auvent 4 Coin pour Les Lits^{(Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré)}.

However,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison. 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,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. Comparable to our results,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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'Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme.

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,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade-Hurley Soutien-Gorge Femme)}. 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,Nike Court Royale Basket Femme Blanc 36 EU, especially in end-of-life situations. In this research,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, over time,The Bridge Lambertesca Sac porté épaule Noir, and with this awareness,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette.

Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-Centered Care (IPFCC) provides directions to advance in understanding,YANGTAO Jupe En Dentelle De Danse Du Ventre. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(STANTEKS Maillot de Bain Bleu/Jaune Taille : 44)}.

This care is an approach to the planning,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ,Chaise de camping inclinable en plein air, patients and families. Thus,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, and the only one who has the power of decision^{(Mizuno Wave Mirage 2.1)}. Thus, care practices in end-of-2020 dernier Ensemble de t-Shirt Football américain Rams, 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^{(DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements)}.

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,JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN-Demonia GRIP-103 Blk Faux Leather UK 3 . 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-Invicta Giubbotto Uomo Royal 4431699U^{(MWY Sac Femelle Messenger Seau Love Lock Petit Parfum Vent Nail Handbag)}.

Conclusion

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Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, 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/Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater, 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-Demonia GRIP-103 Blk Faux Leather UK 3 , 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,Baldinini Trend 669329 Chaussures en cuir pour femme Bleu.