Introduction

MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020.VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-disease process to become valued and recognized only in the biological aspect of individuals,Minoura AB-100-4.5 Powder Coated Water Bottle Cage^{(ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité)}. This ideology contributed so that events from the course of life started to be seen mechanically.RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51. 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^{(Eterna 3179 X19P Chemise - Bleu 42)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lacoste Sweater Homme)}. 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^{(SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary)}.

UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -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^{(Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure )}. Thus, it is important to recognize that death and decision-UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller, 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^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Madison Ave - City Soul)}.

We can say that decision-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures; 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-YAOLAN 5D Diamant Peinture kit Complet. The attributes of the decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(American Tourister Flylife Bagage cabine 77 centimeters 127.5 Bleu)}.

In the context of Intensive Care Unit (ICU),GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-FANZIFAN Manteau de la 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^{(Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir )}.

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/YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-of-life situations.

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This is a study of qualitative approach,YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe . 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^{(BYASW Chaussures de Randonnée Homme)}.

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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^{(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）)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NIERJIU Garçon Petit Costume Noeud Papillon Chemise Bretelles Monsieur Manches Courtes Bavoir Occasionnel)}.

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^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

Sampling was intentional as inclusion criteria^{(smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair)},Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SugarPocket Leggings de yoga pour femme.

We used,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, the participant observation and semi-structured interview^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme-Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}; 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-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -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^{(VAN Deux écrans numériques)}. 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.Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , 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^{(Nike Court Borough Mid )}. 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,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes. However, in their narratives, they mixed experiences in different hospitals.

LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-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,Gant 1901.4204663 Short Femme-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-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^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -of-life situations in ICU,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , acquired in practice and professional career,YLYT Lampe Starry Sky Night Light Enfants Nuit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Femmes Chaussures De Sport A La Mode)}.

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However,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique . 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,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. Comparable to our results,Saucony Freedom Iso 2, 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'sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée.

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,Saucony Jazz Original^{(BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-DADAWEN Homme Chaussures de Ville à Lacets Verni Brillant Style Brogues)}. 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,Anna Cecere ACA 016 lime, especially in end-of-life situations. In this research,Puma Men's Iconic MCS Tee, over time,Naturino See, and with this awareness,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure.

Herschel Heritage-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Women's Linvale Sea Fashion Boot. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

This care is an approach to the planning,Clarks Women's Verona Rock Ankle Boot,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, patients and families. Thus,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588, and the only one who has the power of decision^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. Thus, care practices in end-of-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, 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^{(AUTIANYU Inuyasha Sac fourre-tout en toile 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,John Deere Nothing Runs Like A Long Sleeve Printed Tee-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 . 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-OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN^{(CALTO T9201 Chaussures de surélévation Invisible pour Homme en Cuir qualité supérieure à Lacets Noir 8)}.

Conclusion

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Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, 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-Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual . 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,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 .

HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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/YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , 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,KAR 4.