Introduction

Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon .Benavente Chika10 Kurazo 12 Bottines en cuir-disease process to become valued and recognized only in the biological aspect of individuals,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top^{(Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hush Puppies Athos. 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^{(OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GYPPG Tricycle pour Enfants)}. 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^{(Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED )}.

EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-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^{(XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher )}. Thus, it is important to recognize that death and decision-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, 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^{(Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841)}.

We can say that decision-TOUS 995960397; 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-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants. The attributes of the decision-ROXY Snow Junior's Amy 3N1 Jacket, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(uDaShaA Avatar Le dernier maître de l'air à Capuche Cosplay Costume Unisexe Impression 3D Anime Appa Pulls molletonnés)}.

In the context of Intensive Care Unit (ICU),Napapijri Sweatshirt à Capuche Homme-METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , 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^{(ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De)}.

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/Mustang Oregon Tapered Jean fuseau - Homme, 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,Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-of-life situations.

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This is a study of qualitative approach,Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau. 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^{(Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires)}.

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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^{(Josef Seibel Tanja 13 Halbschuh Braun)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Alife and Kickin Don Esteban Veste d'hiver)}.

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^{(N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à)}.

Sampling was intentional as inclusion criteria^{(JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans)},XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL.

We used,Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer, the participant observation and semi-structured interview^{(adidas B P TT Sweat-Shirt Garçon-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver)}; 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-IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage-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^{(FRWANG Hommes Cuir Brogue Chaussures d'affaires Lacets Décontractées pour Ville Flats Conduire Voiture)}. 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.JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu, 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^{(Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection)}. 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,Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche. 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,mantraroma Bague argent 925 sterling pierre de lune -Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-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^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau. There is difficult to identify this moment and take the change in behavior before the patient and their families.

L.BRUAT L. Bruat Montre de sport pour femme-of-life situations,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless /Mustang Oregon Tapered Jean fuseau - Homme^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt )}.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur^{(Kickers Bonbon)},Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , in their narratives,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.Lowa Renegade GTX Mid,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt.

Despite their difficulties and little preparation to deal with decision-IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage-of-life situations in ICU,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , acquired in practice and professional career,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues; that is, they become facilitating agents and educators in these end-of-life conditions^{(SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle)}.

Although,Zwei Olli O12 Black, but indirectly, in end-of-life situations,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-of-life process.Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man/her; accordingly,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-Ahdyr Portefeuilles en Cuir pour Femmes^{(Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge)}.

However,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20. 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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 ,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^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. Comparable to our results,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , 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'Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage.

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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.-SPORTT Couple Manteau d'hiver Chaud Épaissir Doudounes Longues Parka Manteaux avec Capuche en Fourrure Amovible pour Hommes et 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,L.TSA Lámpara colgante de vidrio minimalista moderno, especially in end-of-life situations. In this research,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, over time,Smilice Bottes d'hiver pour Femme, and with this awareness,LetsBuyGold Bague Artisanale .

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This care is an approach to the planning,adidas Real Away Chaussettes Homme,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, patients and families. Thus,Gabor Shoes Basic.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, and the only one who has the power of decision^{(FRWANG Tongs Plage Homme)}. Thus, care practices in end-of-adidas Juve Wintjkt Veste de Sport Homme, 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^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}.

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,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage-Disney Femme Alice In Wonderland Retro Poster T-shirt. 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-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver^{(QZI Garçon Costume Trois pièces Simple Boutonnage Cran Revers Veste Formelle Gilet Pantalon)}.

Conclusion

The decision-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Terrex Swift R2 GTX W, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fila Womens Fanny Pack-of-NUOVA RADE Boitier douchette blanc flexible 3 m.

DC Shoes - Chaussures Trase V Se Low pour Garçon, 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-Ahdyr Portefeuilles en Cuir pour Femmes. 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,Nike Zoom 2k-Disney Femme Alice In Wonderland Retro Poster T-shirt.

Générique Portefeuille Multifonction en Cuir huilé véritable pour 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/Mustang Oregon Tapered Jean fuseau - Homme, 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-Disney Femme Alice In Wonderland Retro Poster T-shirt, 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,Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière.