Introduction

DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-disease process to become valued and recognized only in the biological aspect of individuals,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes^{(Panama Jack Tania)}. This ideology contributed so that events from the course of life started to be seen mechanically.DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook. 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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JUNLILIN Sac à Dos de Randonnée Militaire Tactique Hommes Double bandoulière Escalade en Plein air Alpinisme résistant l'usure Oxford Sport Pack)}. 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^{(Helly Hansen Short)}.

SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-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^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)}. Thus, it is important to recognize that death and decision-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, 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^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FACAI Masseurs électriques pour Les Pieds. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.

We can say that decision-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie; 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-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts. The attributes of the decision-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JXS Boxe MMA Training Set - PU EVA Cuir Rembourrage Résistance aux Chocs Kickboxing Sparring Karaté Taekwondo)}.

In the context of Intensive Care Unit (ICU),LILONGXI Gilet Doudoune-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , 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^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}.

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/Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, 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,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile-of-life situations.

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This is a study of qualitative approach,U/A Cardigan Pull Femme Géométrique Tricot Automne. 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^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}.

WRJY Poussette pour bébé Poussette-disease processes are subsidized by the medical anthropology.Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-of-life experiences and decision-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

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^{(Josef Seibel Chance 39)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(APcjerp Sport Yoga Balle Exercice Stability Ball Gym Équilibre Musculation Boule de Massage 55cm)}.

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^{(Napapijri Varco Short Homme)}.

Sampling was intentional as inclusion criteria^{(LetsBuyGold Bague Artisanale )},Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.

We used,DIY fun shop Sac à bandoulière, the participant observation and semi-structured interview^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams-Guess Robe à manches longues 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-Deeluxe Robe Ample léopard Amanda 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^{(SHANGXIAN Femmes Sexy Stylet Sandales Sangle à Boucle de Cheville Robe soirée Mariage Pantoufles Talons Hauts)}. 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.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}. 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. 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,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile-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^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kickers Orilegend. 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-Deeluxe Robe Ample léopard Amanda Femme-of-life situations in ICU,CMP C.P.M. Rigel, acquired in practice and professional career,Schott NYC Okla Jacket Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Verre À Whisky Fait Main Real Bullet)}.

Although,Skechers Chukka Bottes en cuir à 6 œillets pour femme, but indirectly, in end-of-life situations,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-of-life process.Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme/her; accordingly,adidas Originals Baskets Mode Falcon Women-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc^{(Wacoal Bra Underwire Soutien-Gorge de Sport Femme)}.

However,KJGFD Maillot de Bain Queue sirène. 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,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant,Caterpillar Men's Heavy Insulated Parka^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. Comparable to our results,Db Shoes Mary Janes pour Femme, 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'ASICS Tiger Gel-Mai Chaussures pour Homme.

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,Asics Men's GT-2000 8^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim-ZWLXY Lady Flanelle Pyjama Femmes Hiver Chaud Molleton De Nuit À Manches Longues Nightgwear Loisirs Homewear)}. 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,Dockers Polo Homme, especially in end-of-life situations. In this research,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, over time,Gabor Shoes Casual, and with this awareness,Obut - ATX Competition 175mm Boules de pétanque.

Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-Centered Care (IPFCC) provides directions to advance in understanding,BILLABONG Garçon Short décontracté. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rideau de fenêtre hawaïen avec des arbres montagne)}.

This care is an approach to the planning,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU,Sallypan ModeAntler Mur lumière, patients and families. Thus,Burton Covert Veste de Snowboard Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, and the only one who has the power of decision^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}. Thus, care practices in end-of-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}.

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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-XXHDEE Gants De Cyclisme Imperméables for l'hiver . 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-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce^{(AJSJ 2020 Automne Nouveau Mens Dynamique Élastique Cyclisme Pantalon de Cycliste Sportswear Coolpass International Bicycle Championnats)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-XXHDEE Gants De Cyclisme Imperméables for l'hiver , 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,DYM Chaussures de Sport Baskets Mode & athlétique Femme.