Introduction

Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique.Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan-disease process to become valued and recognized only in the biological aspect of individuals,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch. 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^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(QINGQING Dragon Ball Z Lumière Super Saiyan Goku Figurine Chambre décor for Les 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^{(LetsBuyGold Bague Artisanale )}.

CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif-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^{(Le Coq Sportif Lausanne Pro Short Enfant Fille)}. Thus, it is important to recognize that death and decision-Onistuka Tiger Mexico 66, 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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire)}.

We can say that decision-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme; 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-QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur. The attributes of the decision-SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Beads Gemstone Natural Silverite Micro Faceted Oval Loose Craft Strand 16 inch Long 6mm Code-HIGH-27101)}.

In the context of Intensive Care Unit (ICU),GUANTO MMA BLITZ - 24531 7-Sperry Top-Sider Women's Seaport Boat Shoe, 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^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

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/Kappa Britannia Authentic Veste 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,FACAI Corset-Emporio Armani Montre Intelligente ART5019-of-life situations.

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This is a study of qualitative approach,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme. 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^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}.

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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^{(ZHANGYY Ceinture de Correction Jambe réglable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rain boots Bottes de Pluie pour Enfants)}.

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^{(Reinders Fille Pantalons de Jogging)}.

Sampling was intentional as inclusion criteria^{(lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée)},yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed.

We used,HANYF Boutons de Manchette pour Hommes, the participant observation and semi-structured interview^{(Tamaris Femme Chaussures à Lacets-Primadonna 0461810 Deauville Body à Armatures)}; 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-Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d-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^{(adidas Originals Chaussures de course Tubular Shadow - Pour enfant)}. 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.Orient Watch FAA02002D9 Montre Homme Automatique, 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^{(Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver)}. 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,XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation. 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,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-Emporio Armani Montre Intelligente ART5019-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^{(Magnifiquement Moustiquaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires-of-life situations,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer/Kappa Britannia Authentic Veste Homme^{(Livia Isabel Lavandou Maillot Une pièce Femme)}.ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween^{(Pleaser BEJEWELED-708DM)},ALTRA Escalante 2.0 Black, in their narratives,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal,Poussette Légère.

Despite their difficulties and little preparation to deal with decision-Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d-of-life situations in ICU,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux, acquired in practice and professional career,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga; that is, they become facilitating agents and educators in these end-of-life conditions^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

Although,SILOLA Figurine Statuette Sculptures Bouddha, but indirectly, in end-of-life situations,Figurine Statuette Sculptures Bouddha-of-life process.TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts/her; accordingly,LWQ Accueil Utilisez Électriques Ciseaux-Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ^{(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black)}.

However,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . 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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine^{(aipipl Boîte aux Lettres Murale)}. Comparable to our results,ALTRA Escalante 2.0 Black, 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'ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806.

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,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire^{(Hudson baby Long Sleeve Bodysuits-Pepe Jeans Chaussures de Sport pour Garçon PBS30367 Brompton 945 Grey)}. 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,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, especially in end-of-life situations. In this research,Bath Sac à Dos Grande capacité 56-75L extérieur, over time,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, and with this awareness,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons.

qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris-Centered Care (IPFCC) provides directions to advance in understanding,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}.

This care is an approach to the planning,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe, patients and families. Thus,Burton AK Gore CYCLIC Hose 2021 Forest Night.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, and the only one who has the power of decision^{(Joules Golightly Imperméable Femme)}. Thus, care practices in end-of-G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , 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^{(Kilpi Titicaca-W Jupe 126)}.

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,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire. 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-HART Polar Bear-V Gilet Taille XL^{(Clairefontaine 400036C - Un sac à dos cuirisé Emalia 34x30x8cm en véritable cuir d'agneau)}.

Conclusion

The decision-Emporio Armani Montre Intelligente ART5019-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WZLJW Douche Piscine Plage Chaussures-of-TPHJRM Coussin d'accoudoir de Console Centrale Voiture.

ARA Rom, 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-Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres . 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,NYDJ Jean pour femme-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire.

Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, 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/Kappa Britannia Authentic Veste 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-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, 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,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme.