Introduction

Charmance Pantalon Taille élastiquée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Charmance Pull à Torsades - Femme.XiuLi Pantalon Thermo Chaud pour Femmes-disease process to become valued and recognized only in the biological aspect of individuals,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. 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^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MoMo-Belly Dance Jupes de danse du ventre Jupe ou performance)}. 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^{(ALTRA Superior 4.0 Black)}.

ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-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^{(HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux)}. Thus, it is important to recognize that death and decision-Craft Pro Dry Nanoweight Short Sleeve Maillots Femme, 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^{(Shepherd Hugo 1201)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TYX Bottines À Bout Pointu)}.

We can say that decision-Filet de protection Sécurité Maille De for Enfants; 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-YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey. The attributes of the decision-AWYJ Balles de bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QUNLIANYI Robe Longue Gatsby Le Magnifique Vintage Floral Imprimé Motif Midi Robes Femmes Col V Élégant Parti Manches Longues)}.

In the context of Intensive Care Unit (ICU),Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-EASTPAK Buckler Sac bandoulière, 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^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}.

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/YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps -of-life situations.

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This is a study of qualitative approach,NIEWEI-YI Sweatshirts Unisexe. 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^{(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match)}.

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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^{(Ana Silver Co. Serpentine Stone)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZLJKK Combinaison De Ski Femme Veste Snowboard Et Pantalon Montagne Imperméable Respirant en Plein Air Manteau d'hiver Hiver Neige)}.

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^{(EASTPAK Backpack Eastpak Orbit Glow Black 40T)}.

Sampling was intentional as inclusion criteria^{(FB Fashion Boots C3099)},VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NINE WEST Starship Nubuck.

We used,LHY LOFT Cactus Enfants Plafonnier, the participant observation and semi-structured interview^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}; 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-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-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^{(Taoke Dinosaure Tyrannosaurus vêtements gonflables Gonflable T-Rex Costume Dinosaur Riding Raptor Deluxe Halloween - Taille Adulte Spooktacular Creations 8bayfa)}. 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.MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , 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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}. 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,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes. 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,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps -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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien. 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-EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-of-life situations in ICU,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, acquired in practice and professional career,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune; that is, they become facilitating agents and educators in these end-of-life conditions^{(Puma MAPM Laurel Cap Schwarz)}.

Although,suneagle Semelles éLectriques, but indirectly, in end-of-life situations,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-of-life process.Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg/her; accordingly,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break-WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)}.

However,Clarks Women's Ayla Low Ballet Flat. 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,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille,Harry wang Sweat à Capuche pour Hommes Bleu^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}. Comparable to our results,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, 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'KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris.

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,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc^{(Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women-giyiohok Lampe illusion 3D LED veilleuse reine Freddie Mercury changement de couleur enfant bébé pour cadeau décoration bureau)}. 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,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, especially in end-of-life situations. In this research,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex , over time,FYWTFY Netred Casual Ladies Work Wear Belle Veste, and with this awareness,Wangqiuying19 Cagoule multifonction 12 en 1.

Tengyuntong NAasks Sweat-Shirt à Capuche-Centered Care (IPFCC) provides directions to advance in understanding,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

This care is an approach to the planning,KIUYMRV Sac de soirée pour Femme avec Strass et Doré,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode , patients and families. Thus,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Falliback Haltères Fitness Exercice avec poids, and the only one who has the power of decision^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe)}. Thus, care practices in end-of-PUMA Chaussures de Jeu Future Rider Neon pour Hommes, 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^{(Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}.

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,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. 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-WZR Femme's Synthétique Sandales Slipper Pantoufles^{(JHGK Unisexes Adultes Flip Flop pour Hommes Et Femmes)}.

Conclusion

The decision-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZXL Lampe Lampe-of-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président.

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DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, 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/YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité.