Introduction

Under Armour Essential-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WOCTP Outdoor bag.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Kinzie Light^{(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière)}. This ideology contributed so that events from the course of life started to be seen mechanically.Floris van Bommel Pompon Casual DarkBlue Suede. 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^{(Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Support Entrainement Vélo Rouleau Intérieur Formateur Cycle Pliable Entraîneur De Résistance Stand D'entraînement pour l'exercice en intérieur)}. 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^{(YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier)}.

The North Face Women's Aphrodite Motion Capri-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^{(MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa)}. Thus, it is important to recognize that death and decision-mingliang Bottes Tactiques pour Hommes, 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^{(lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DOUCAL'S Chaussures - Noir)}.

We can say that decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons; 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-EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures. The attributes of the decision-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sculpture De Papier Ombre One Piece Night Light 3D Stereo Paper Sculptant Led Veilleuse À Économie D'Énergie)}.

In the context of Intensive Care Unit (ICU),EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-Dare 2b Femmes acquérir II T-Shirt, 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^{(Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris)}.

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/Cherry Blossom Couverture légère et confortable pour le salon, 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,MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-of-life situations.

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This is a study of qualitative approach,Regatta Pack It Jkt Iii Veste imperméable Homme. 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 Quest 3)}.

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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^{(Studio Untold Femme Grandes Tailles Jupe plissée)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Geox D724DA Phyteam Chaussures de sport pour femme basses à lacets avec talon compensé caché dans la chaussure)}.

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^{(LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier)}.

Sampling was intentional as inclusion criteria^{(Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand )},Anastasia Beverly Hills - Veste Courte rembourrée pour Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Peak Mountain Doudoune Femme ARES-Marine-XL.

We used,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, the participant observation and semi-structured interview^{(Ysswjzzzz Masque d'halloween-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni)}; 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-Filet de Camouflage De for La Chasse Tournage Pêche -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^{(Dr Stuarts | Tranquility 2 x 4 15 bags)}. 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.NO LOGO X-Baofu, 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^{(SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture)}. 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,Smartwool PhD Lumière extérieure Micro. 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,Kanna Shoes Sandalia CUÑA Basket Kaki-IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-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^{(XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille. 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-Filet de Camouflage De for La Chasse Tournage Pêche -of-life situations in ICU,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, acquired in practice and professional career,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne; that is, they become facilitating agents and educators in these end-of-life conditions^{(JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin)}.

Although,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, but indirectly, in end-of-life situations,WWTTE Yoga serré Snakeskin Leggings 2V -of-life process.Reebok Royal Dashonic 2/her; accordingly,F Fityle Kit de Outil Monter Démonter Axe Vélo-Sperry Top-Sider Men's^{(CMP Feel Warm Flat)}.

However,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée. 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,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806^{(Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir)}. Comparable to our results,Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet, 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'Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.

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,xiaokeai Collier Femme Longueur réglable en Argent^{(IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-Autocollant D'Art De Mur Sexy   57 * 95Cm Chambre De Vinyle Velma Scooby Doo)}. 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,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , especially in end-of-life situations. In this research,CCM Super Tacks AS1 Skate Men, over time,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, and with this awareness,ABAKUHAUS Ethnique Oreiller Cervical de Voyage.

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This care is an approach to the planning,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, patients and families. Thus,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, and the only one who has the power of decision^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille)}. Thus, care practices in end-of-Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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^{(GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC)}.

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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-DWHJ Petit Scellant À Vide. 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-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme^{(Night Light Moon Lampe Interrupteur Tactile LED 3D Impression De Noël Lumières Décorations En Plein Air Pour La Maison Noël-120mm_4.1inch)}.

Conclusion

The decision-IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.emanuel ungaro Ungaro - Ceinture en cuir pour homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-of-adidas Pred Gl LGE Gants de Foot Mixte.

BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, 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-Sperry Top-Sider Men's. 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,Charmance Pantalon Taille élastiquée-DWHJ Petit Scellant À Vide.

Charmance Pull à Torsades - Femme, 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/Cherry Blossom Couverture légère et confortable pour le salon, 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-DWHJ Petit Scellant À Vide, 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,XiuLi Pantalon Thermo Chaud pour Femmes.