Introduction

Orchid Jewelry Naturel Améthyste-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KHSKX Planche à roulettes de Sport.YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux -disease process to become valued and recognized only in the biological aspect of individuals,ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. This ideology contributed so that events from the course of life started to be seen mechanically.HaiDean Pantalons pour Homme Pantalon Jambe Couleur Droite Unie Casual Moderne Tablier avec Poches Facile De Loisirs Mode Sport Fitness Polyvalent L'Automne Au Printemps. 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^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BOSSLV Grenier Lustre Rétro Diamètre 250Mm Aluminium Fer Métal de Style Industriel Nordique E27)}. 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^{(Roxy RG Viva Stamp Flip Flop Sandal)}.

GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe-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^{(Crocs Kadee Flip-Flop Women)}. Thus, it is important to recognize that death and decision-JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux, 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^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GUANTO MMA BLITZ - 24531 7)}.

We can say that decision-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear; 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-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant. The attributes of the decision-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Breed Maverick Chronographe Montre bracelet en cuir avec date)}.

In the context of Intensive Care Unit (ICU),Barrière De Sécurité Pour Bébé Escalier Clôture Extra Large Animaux Compagnie Chien Jardin En Métal Ajustée à Pression Avec Porte Fermetur-lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique, 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^{(SMITH Riot Masque de Ski)}.

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/lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, 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,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres-NO LOGO X-Baofu-of-life situations.

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This is a study of qualitative approach,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes. 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^{(SILOLA Figurine Statuette Sculptures Bouddha)}.

D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-disease processes are subsidized by the medical anthropology.KCSds Bobo perruque de cheveux courts-of-life experiences and decision-CNC ZTTO 11Vitesse Roue Libre Cassette.

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^{(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pole shop Persona 4 Costumes)}.

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^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}.

Sampling was intentional as inclusion criteria^{(Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy)},DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.yunyu Montre de Poche pour Homme.

We used,adidas Originals Midiru Court Mid W, the participant observation and semi-structured interview^{(GURU-SHOP Guru-Boutique-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour 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-Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-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^{(Urban Factory Ugp55uf Vélo et Moto pour GoPro Hero Caméras)}. 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.New Balance 420v1, 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^{(QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique)}. 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,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère. 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,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-NO LOGO X-Baofu-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^{(QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-of-life situations,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme/lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière^{(YONGQUAN Barrière en métal Blanc)}.QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag^{(TTW Chaussures Cyclisme pour Hommes)},WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, in their narratives,Filet de protection Sécurité Maille De for Enfants.YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey,AWYJ Balles de bébé.

Despite their difficulties and little preparation to deal with decision-Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-of-life situations in ICU,Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, acquired in practice and professional career,EASTPAK Buckler Sac bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions^{(CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen)}.

Although,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, but indirectly, in end-of-life situations,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-of-life process.NIEWEI-YI Sweatshirts Unisexe/her; accordingly,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt^{(Clarks Kinzie Light)}.

However,CLJ Lunettes de Lecture pour Hommes. 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,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.,NINE WEST Starship Nubuck^{(adidas Solar Glide St 19 W)}. Comparable to our results,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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'LHY LOFT Cactus Enfants Plafonnier.

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,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15^{(Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-BELDIAMO Ancre en argent sterling 925 massif avec zircone cubique Noir 8 g)}. 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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , especially in end-of-life situations. In this research,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, over time,steve madden Leona Black One Size, and with this awareness,Think! Kapsl_3-000045.

AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-Centered Care (IPFCC) provides directions to advance in understanding,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(EEUK Sweat À Capuche pour Hommes)}.

This care is an approach to the planning,Casio A158 Montre Bracelet en Acier Inoxydable,Domopak Living Sac à Chaussures 12 Compartiments, patients and families. Thus,NYLY Sac à Dos Harry P.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, and the only one who has the power of decision^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. Thus, care practices in end-of-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa)}.

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,CLII Automobile Instrument de Diagnostic pannes-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir . 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-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison ^{(CCYUANG Autocollants Muraux Peinture Yoga Vinyle Decal Mur Accueil Décoration Murale Autocollant Médecin)}.

Conclusion

The decision-NO LOGO X-Baofu-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-of-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

Y-Volution Y-volution - draisienne yvelo air 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-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt. 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,Multiple colors New ballet LED table lamp 7 color touch 3d night light-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir .

N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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/lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, 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-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir , 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable.