Introduction

Boon Catch Bowl with Spill Catcher-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s.XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-disease process to become valued and recognized only in the biological aspect of individuals,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes^{(LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine)}. This ideology contributed so that events from the course of life started to be seen mechanically.JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique. 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^{(Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin Blanches en Cuir Femme Printemps 41 Blanc)}. 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^{(SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour)}.

N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-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^{(Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme)}. Thus, it is important to recognize that death and decision-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme, 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^{(LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour )}.

We can say that decision-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette; 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-Golden Head Colorado Porte-Cartes de Visite. The attributes of the decision-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Qazxsw Changement de Banc Chaussures/Repose-Pieds en Bois Massif)}.

In the context of Intensive Care Unit (ICU),YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé, 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^{(4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien)}.

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/Minoura AB-100-4.5 Powder Coated Water Bottle Cage, 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,RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-of-life situations.

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This is a study of qualitative approach,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King . 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^{(Rockport Men's Eberdon Black 11 W )}.

UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-disease processes are subsidized by the medical anthropology.Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-of-life experiences and decision-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures.

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^{(DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Filet De Camo Camouflage Militaire)}.

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^{(Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes)}.

Sampling was intentional as inclusion criteria^{(NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon )},YAOLAN 5D Diamant Peinture kit Complet, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant.

We used,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU, the participant observation and semi-structured interview^{(Beta Tools '9534 W-m-pãlo Premium-Triumph Corsage - Cousu 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-FANZIFAN Manteau de la 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^{(AMrjzr 9pcs-One Piece 67th Generation 9 Q-Version Chopper Office Aberdeen Modèle Décoration Anime Figure-Hauteur: 8-10 CM)}. 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.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}. 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,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. 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,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-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^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche. 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-FANZIFAN Manteau de la Femme-of-life situations in ICU,FANTASIE Fiji Armature Monobloc - Bleu 105E, acquired in practice and professional career,Dr. Martens Hardie; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme)}.

Although,Gant 1901.4204663 Short Femme, but indirectly, in end-of-life situations,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-life process.CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket/her; accordingly,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ^{(Rieker 30921)}.

However,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44)}. Comparable to our results,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, 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'WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .

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,YLYT Lampe Starry Sky Night Light Enfants Nuit^{(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-Onefeart Acier Inoxydable Hommes Bague Ronde Zircon Rudder Forme)}. 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,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, especially in end-of-life situations. In this research,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, over time,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, and with this awareness,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches.

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This care is an approach to the planning,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, patients and families. Thus,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, and the only one who has the power of decision^{(Dare 2b Cloud Burst Veste pour Fille)}. Thus, care practices in end-of-Herschel Heritage, 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^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux )}.

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,Clarks Women's Linvale Sea Fashion Boot-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. 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-Clarks Women's Verona Rock Ankle Boot^{(FC Barcelona Sac à dos et sac de sport XL Barca)}.

Conclusion

The decision-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-of-MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz .

Mandarina Duck MD20 Sac bandoulière bleu, 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-YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire . 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,GBY Sac à bandoulière pour femme - main tendance-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur.

La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , 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/Minoura AB-100-4.5 Powder Coated Water Bottle Cage, 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-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, 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,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588.