Introduction

Prana Summit Tall Pantalon pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants.Piquadro Porte-Cartes de crédit-disease process to become valued and recognized only in the biological aspect of individuals,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. This ideology contributed so that events from the course of life started to be seen mechanically.zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit. 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^{(Skechers Go Walk Lite - Rise)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YIGUI Boîte À Chaussures 1 Pc Flip-Open Cover Durable en Plastique Cintres De Stockage Transparent Diviseur Tiroir Portable Organisateur)}. 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^{(Dansko Femmes Chaussures De Mule)}.

FRWANG Hommes Chaussures Cuir Brogue Lacets-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^{(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage)}. Thus, it is important to recognize that death and decision-CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite, 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^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Glqwe Sac à Dos étanche pour Ordinateur Portable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KTDT Horloge de Table Style Train Mode rétro)}.

We can say that decision-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage; 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-H.yina Table à Langer pour Fille Petits espaces. The attributes of the decision-Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QUNLIANYI Femmes Floral Print Robe en Mousseline de Soie Printemps Automne Femme Casual Manches Longues à Lacets Bow Neck Elastic Waist Office Dresses)}.

In the context of Intensive Care Unit (ICU),Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short 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^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

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/huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt, 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,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille-of-life situations.

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This is a study of qualitative approach,Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit. 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^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}.

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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^{(MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(American Baby Company Heavenly Soft Drap de lit en chenille)}.

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^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}.

Sampling was intentional as inclusion criteria^{(bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables)},BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme.

We used,OLYMP Luxor Chemise à col montant Blanc, the participant observation and semi-structured interview^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme-Hein Strijker Bretelles en daim avec cuir marron)}; 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-TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-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^{(Jazz Music Festival avec disque vinyle pour homme Hoodies humoristiques Cool Graphic Sweat-shirts à manches longues Imprimé 3D Vêtements décontractés grandes poches)}. 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.TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, 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^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}. 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,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron. 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,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille-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^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes. 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-TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-of-life situations in ICU,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, acquired in practice and professional career,DPX-1 Hommes Death Row Records T-Shirt ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}.

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However,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. 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,INVICTA Aviator 33292 Montre Homme - 51.5mm,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. Comparable to our results,YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets, 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'WENZHEN Sac à Dos Langer bébé.

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,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - -APXPF Robe de Quinceanera pour femme avec cristaux et volants)}. 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,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, especially in end-of-life situations. In this research,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, over time,Gabor Femme Ballerines, and with this awareness,BDHBB Lampe LED Lampes de Bureau Explosion Champignon.

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This care is an approach to the planning,Benavente Chika10 Kurazo 12 Bottines en cuir,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, patients and families. Thus,Hush Puppies Athos.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, and the only one who has the power of decision^{(adidas Manchester United FC WOV Shorts Homme)}. Thus, care practices in end-of-ROXY Snow Junior's Amy 3N1 Jacket, 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^{(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}.

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,Napapijri Sweatshirt à Capuche Homme-SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage. 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-METZELDER Valise Souple Basic S Gros Volume Garantie 1 an ^{(HAIGAFEW Motif de Noël Impression Urbain décontracté col marée sans Manches Veste vers Le Bas Manteau Gilet)}.

Conclusion

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Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable, 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-ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. 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,HR Chevalière en forme de cœur gravé or jaune 7 mm-SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage.

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