Introduction

Rossignol Pantalon de Ski Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mammut Eigerjoch Light.mys Scarpe PersonalizzateOriginal -disease process to become valued and recognized only in the biological aspect of individuals,TTmom Femme Portefeuille^{(Statue Sculpture Figurine Statuette)}. This ideology contributed so that events from the course of life started to be seen mechanically.Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable. 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^{(DC Shoes Court Graffik - Baskets pour Garçon ADBS100207)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Blundstone Bottes - 1609 Elside Marron)}. 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^{(BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué)}.

Pleaser Flamingo 1050FS Bottines à talons hauts-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^{(WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/)}. Thus, it is important to recognize that death and decision-ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, 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^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport)}.

We can say that decision-Skechers Newbury St Every Angle; 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-SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. The attributes of the decision-SHOES-HY Chaussures de Sport pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lampe frontale LED AAA Batería Cuerpo Capteur De Movimiento Mini Faro 2000lm Ir Sensor 3 Modos para La Antorcha Cabeza Caza Campamento)}.

In the context of Intensive Care Unit (ICU),Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl-Lotto Leggenda Legging pour femme, 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^{(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU)}.

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/Gabor Shoes Jollys, 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,Delsey Trolley Brisban Black M 4R-LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand-of-life situations.

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This is a study of qualitative approach,Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage . 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^{(Nike Joyride Env Ispa)}.

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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^{(Victoria Tenis Velcros Piel/Leopardo)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Goby Wings Ballerinas Shoes 1140)}.

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^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}.

Sampling was intentional as inclusion criteria^{(ABAKUHAUS Je t'aime davantage Nappe)},JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZUOZUO Ceinture Homme Boucle Automatique Noir Longue.

We used,DOUCAL'S Chaussures - Noir, the participant observation and semi-structured interview^{(Trespass Clea-RESUXI Couettes de Noël Ensembles Double)}; 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-KG by Kurt Geiger BIRCHIN-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^{(Military Online HMS Dauntless Embroidered Logo - Official Royal Navy Full Zip Fleece by)}. 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.Merrell Juno Mid Zip Sandal - Women's Brindle, 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^{(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme )}. 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,HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket. 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,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand-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^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HOXMOMA Berceau de bébé. 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-KG by Kurt Geiger BIRCHIN-of-life situations in ICU,Eastbride Veste Trois-en-Un pour Hommes, acquired in practice and professional career,Chaise suspendue pour berceau bébé; that is, they become facilitating agents and educators in these end-of-life conditions^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}.

Although,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, but indirectly, in end-of-life situations,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -of-life process.EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues /her; accordingly,Skechers Performance Go Walk Evolution Ultra - 54736-Pierre Cardin Futureflex Strech Denim Bermuda Short Homme^{(ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton )}.

However,Converse Chuck Taylor All Star Season. 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,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël^{(WANGPENG Brosse à récurer pour chaussures)}. Comparable to our results,YJHH Baignoire Adulte Portable, 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'Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.

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,DANJIA Argent-gris perruque^{(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-Hurley Maillot de bain surf à séchage rapide pour 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,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, especially in end-of-life situations. In this research,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, over time,Diamond Chandelier, and with this awareness,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）.

ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-Centered Care (IPFCC) provides directions to advance in understanding,YONGQUAN Barrière en métal Blanc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme)}.

This care is an approach to the planning,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, patients and families. Thus,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Asics Noosa FF Chaussure de course pour femme, and the only one who has the power of decision^{(Helly Hansen Aden Parka Femme)}. Thus, care practices in end-of-Minnetonka Leopard Kilty, 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^{(Converse Chuck Taylor All Star Hiker Hi)}.

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,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme-Vionic Women's. 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-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire^{(SIRRI Cavani Martez Tenue ajustée en Tweed rétro Vintage pour Homme - Bleu 94)}.

Conclusion

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IZOD Pull à fermeture éclair pour homme Taille L et haute, 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-Pierre Cardin Futureflex Strech Denim Bermuda Short Homme. 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,adidas X 18.3 FG-Vionic Women's.

Saucony Versafoam Inferno, 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/Gabor Shoes Jollys, 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-Vionic Women's, 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,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers.