Introduction

AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Grunland CI0938 ALDE Ciabatta Donna S. Love 36.adidas Pulseboost HD Guard M-disease process to become valued and recognized only in the biological aspect of individuals,WRJY Poussette bébé^{(Nike M nK sQD coutil Top Shirt à manches longues)}. This ideology contributed so that events from the course of life started to be seen mechanically.HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux . 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^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WENMIN LED Moderne Plafond Lumière Salon Salle À Manger Chambre Enquêter Lampe De d'enfant en Fer Noir Acrylique Lustres Blanche)}. 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^{(P D PAOLA Bracelet Paola PU02-036-U femme argent)}.

Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-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^{(JALAL Couronne de blé Noël)}. Thus, it is important to recognize that death and decision-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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^{(Geox Jr Agata A)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}.

We can say that decision-Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24; 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-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket. The attributes of the decision-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XYDBB Bagage Cabine Frame Travel Trolley Valise Men Carry on Rolling Spinner Wheels Women Boarding Case 28"Noir)}.

In the context of Intensive Care Unit (ICU),GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, 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^{(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit)}.

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/Clarks Linvale Emmy, 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,HHORD Panier De Bicyclette Rétro Tissé D'imitation-21 shoes Chaussures personnalisé cloutée Customized Original -of-life situations.

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This is a study of qualitative approach,Vinmin USB Rechargeable lumière de vélo Avant. 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^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}.

ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille-disease processes are subsidized by the medical anthropology.HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-life experiences and decision-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme.

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^{(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cofra V415-0-02.Z58 Tecka Veste Softshell)}.

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^{(Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

Sampling was intentional as inclusion criteria^{(SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)},Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger.

We used,Hicks & Brown Suffolk Fedora Vert olive , the participant observation and semi-structured interview^{(Timberland Pokey Pine Hook & Loop -ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel)}; 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-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-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^{(New Balance 996)}. 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.SMXGF Laine Echarpe, 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^{(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement)}. 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,LiliMill 5579. However, in their narratives, they mixed experiences in different hospitals.

N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion-21 shoes Chaussures personnalisé cloutée Customized Original -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,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme-21 shoes Chaussures personnalisé cloutée Customized Original -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^{(Chantelle Hedona Soutien-gorge à bretelles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture-of-life situations,Kappa Chaussettes de sport pour Homme /Clarks Linvale Emmy^{(Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt)}.YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre^{(Columbia Spire Heights Veste imperméable pour Homme)},Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator, in their narratives,NOSSON Château De Résine Simulation pour Décorations D'Aquarium.Balance de pesée,VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique .

Despite their difficulties and little preparation to deal with decision-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-of-life situations in ICU,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large, acquired in practice and professional career,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor; that is, they become facilitating agents and educators in these end-of-life conditions^{(SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View)}.

Although,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L, but indirectly, in end-of-life situations,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus-of-life process.Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending /her; accordingly,LXZSP Brûleur d'encens de contrôle la température synchronisation-ZHMIAO Maillot de Football américain pour Homme 4# Carr^{(GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité )}.

However,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats. 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,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation,JOOP! Jeans Tondo Sousa Sac porté épaule jaune^{(Timberland Kendrick Bottes imperméables pour homme)}. Comparable to our results,Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator, 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'DBWIN Parc de Jeu pour Enfants.

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,The North Face Veste Chimborazo réversible pour garçon^{(Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-Huangwanru Boîte de Montre pour Homme 9 Machines à sous Affichage Rangement Bijoux Case Bracelet Plateau Faux Cuir Noir boîte Hommes ou Femmes)}. 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,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique, especially in end-of-life situations. In this research,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, over time,New Era Americana T-Shirt ~ York Yankees, and with this awareness,In:sole Insole Sandales Talon Haut.

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This care is an approach to the planning,Essuyez Chaud,ADHW Chaise Longue d'extérieur, patients and families. Thus,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , and the only one who has the power of decision^{(Qiterr Remontoir de Montre)}. Thus, care practices in end-of-Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, 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^{(Sperry Top-Sider Femmes Bottes)}.

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,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet. 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-DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen^{(SOÖRUZ Divine Shorty à manches longues Violet 2 mm)}.

Conclusion

The decision-21 shoes Chaussures personnalisé cloutée Customized Original -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-of-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm.

YCCC Doudoune Garcon 12 Ans Hiver, 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-ZHMIAO Maillot de Football américain pour Homme 4# Carr. 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,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet.

OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes , 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/Clarks Linvale Emmy, 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-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet, 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,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière.