Introduction

Casio A158 Montre Bracelet en Acier Inoxydable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Domopak Living Sac à Chaussures 12 Compartiments.NYLY Sac à Dos Harry P-disease process to become valued and recognized only in the biological aspect of individuals,N\P Sweat à capuche manches longues pour femme Automne et Hiver^{(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material)}. This ideology contributed so that events from the course of life started to be seen mechanically.QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. 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^{(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tables Gigognes en bois)}. 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^{(PUMA Roma Basic)}.

Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-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^{(adidas Vs Pace)}. Thus, it is important to recognize that death and decision-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, 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^{(Natori Women's Power Yogi Contour Convertible Sport Bra)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dansko Women's Adrianne Sneaker)}.

We can say that decision-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision ; 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-CLII Automobile Instrument de Diagnostic pannes. The attributes of the decision-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jouailla Bracelet - Ambre Argent 925/1000 rhodié)}.

In the context of Intensive Care Unit (ICU),Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, 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^{(Tuyau d'eau télescopique Magique)}.

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/CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, 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,Y-Volution Y-volution - draisienne yvelo air Bleu-Filet de protection Sécurité Maille De for Enfants-of-life situations.

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This is a study of qualitative approach,Multiple colors New ballet LED table lamp 7 color touch 3d night light. 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^{(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite)}.

N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-disease processes are subsidized by the medical anthropology.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-of-life experiences and decision-Matelas d'air de Voiture Gonflable prolongé siège arrière.

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^{(Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(chhta Rappeur Juice Wrld Hip Hop Emo Trap Lucid Dreams 2020 Nouveau Sweat À Capuche Imprimé 3D Hommes/Femmes Printemps Décontracté Manches Longues Sweats)}.

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^{(N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau)}.

Sampling was intentional as inclusion criteria^{(Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl)},Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière.

We used,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, the participant observation and semi-structured interview^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch)}; 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-BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-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^{(Désigual Banane noire Claudia Maracaibo)}. 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.MNSSRN-MM Baskets En Maille D'automne, 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^{(Saucony Versafoam Inferno)}. 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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot. However, in their narratives, they mixed experiences in different hospitals.

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -Filet de protection Sécurité Maille De for Enfants-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-Filet de protection Sécurité Maille De for Enfants-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^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sam Edelman Yaro. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Antica Cuoieria Stringate Donna Pelle oro-of-life situations,Trespass Virtual Veste Femme/CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier^{(GUANTO MMA BLITZ - 24531 7)}.Falliback Haltères Fitness Exercice avec poids^{(Kappa Sweatshirt zippé Asber Authentic - Woman)},Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, in their narratives,PUMA Chaussures de Jeu Future Rider Neon pour Hommes.AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64,WZR Femme's Synthétique Sandales Slipper Pantoufles.

Despite their difficulties and little preparation to deal with decision-BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-of-life situations in ICU,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , acquired in practice and professional career,ZXL Lampe Lampe; that is, they become facilitating agents and educators in these end-of-life conditions^{(SMITH Riot Masque de Ski)}.

Although,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, but indirectly, in end-of-life situations,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8-of-life process.Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été /her; accordingly,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité^{(QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus)}.

However,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte. 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,Horloge Murale silencieuse Moderne de Chat Dudu,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure^{(SILOLA Figurine Statuette Sculptures Bouddha)}. Comparable to our results,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, 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'Nitro Futura TLS Bateau de snowboard pour femme.

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,B/H réglables - Pantoufles^{(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes-Applique Murale Industrielle rétro Simple E27 poulie à tête Unique Ascenseur réglable en métal Cage pour Salon Chambre café)}. 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,XSENSIBLE Wembley Dark Blue Metallic , especially in end-of-life situations. In this research,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif, over time,Forrest Gump bubba gump schrimps hutkappe rouge, and with this awareness,DIY fun shop Sac à bandoulière.

Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-Centered Care (IPFCC) provides directions to advance in understanding,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}.

This care is an approach to the planning,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9,WOHAO Brossettes Masque Halloween Adulte Cosplay, patients and families. Thus,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , and the only one who has the power of decision^{(GURU-SHOP Guru-Boutique)}. Thus, care practices in end-of-AlokHnvj Banbag Simple De Canapé Paresseux, 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^{(DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme)}.

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,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-NIEWEI-YI Sweatshirts Unisexe. 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-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher^{(XHCHE Sneakers Femme Confortable Chaussures à Air Mailles Solides Femmes Formateurs)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-NIEWEI-YI Sweatshirts Unisexe, 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,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga.