Introduction

MEETGG Porte-Bébé Multifonctionnel Trois en Un-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire .Gringo Fairtrade Felt Owl Shoulder Bag-disease process to become valued and recognized only in the biological aspect of individuals,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. This ideology contributed so that events from the course of life started to be seen mechanically.Npeiyi Seau pour urine féminine. 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^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pepe Jeans Chaussures de Sport pour Garçon PBS30367 Brompton 945 Grey)}. 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^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}.

Kamay's Kamay’s Boîte de rangement-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^{(dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme )}. Thus, it is important to recognize that death and decision-Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible, 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^{(Escabeau escabeau escabeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.

We can say that decision-DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day; 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-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes . The attributes of the decision-huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clairefontaine 400036C - Un sac à dos cuirisé Emalia 34x30x8cm en véritable cuir d'agneau)}.

In the context of Intensive Care Unit (ICU),Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince -GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, 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^{(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc )}.

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/Kayak 1/2/3/4 Personne Faisant du Kayak, 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,NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-of-life situations.

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This is a study of qualitative approach,LY88 Ouvre-Bouteille électrique. 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^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}.

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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^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(yologg Yologg 42X60Cm Fshion Stickers Muraux Décor À La Maison Salon Chambre Vinyle Sticker Dame De Beauté Femme Africaine Coiffure Autocollants)}.

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^{(Deeluxe Robe Ample léopard Amanda Femme)}.

Sampling was intentional as inclusion criteria^{(Balance de pesée)},TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage.

We used,Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage, the participant observation and semi-structured interview^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}; 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-LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba-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^{(Parasol Base Granit 20 kg Rond Noir Maison Jardin Pelouse Outdoor Living Parapluie Extérieur Accessoires Bases)}. 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.YQSHOES Bottes pour Dames De Printemps Et d'automne, 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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}. 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,TIEON Uniformes de Baseball des Red Sox. 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,BCGT Atlanta Hawks NO.11 Trae Young-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-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^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099. 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-LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba-of-life situations in ICU,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, acquired in practice and professional career,CafePress T-shirt American Buckeye avec logo du club de volaille; that is, they become facilitating agents and educators in these end-of-life conditions^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}.

Although,LIUCHANG Trotteur, but indirectly, in end-of-life situations,Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe-of-life process.GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse/her; accordingly,RKRCXH Maillot de Bain sirène Queue De Sirène-SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur^{(GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele)}.

However,KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain. 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,Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président,Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01^{(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer)}. Comparable to our results,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, 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'Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir.

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,HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines^{(Held Team Shirt L-PUMA Ignite Evoknit Lo VR Wn Baskets pour femme)}. 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,IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, especially in end-of-life situations. In this research,Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet, over time,Retour Jeans Garçon Long-Pantalons, and with this awareness,Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe.

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This care is an approach to the planning,Columbia Men's Roatan Drifter Water Short,Merrell Femmes Chaussures De Sport A La Mode, patients and families. Thus,Carmens padova Baskets pour Femme Blanc Bianco.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes, and the only one who has the power of decision^{(El Naturalista Nido)}. Thus, care practices in end-of-Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training, 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^{(Orus bijoux Bague Argent Divine Seth Quartz fumé - 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,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable -Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair. 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-MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau^{(Bjird Lit d’Enfant Complet 70x140 80x160 80x180 sommier tiroir barrierères Matelas Gratuit pour Filles garçons lit Simple - Rose Nounours avec Fleurs 80 x 180 cm)}.

Conclusion

The decision-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit-of-CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc .

IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas, 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-SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur. 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,YLLJJ Bracelet de Montre-Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair.

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The difficulty for the expansion of knowledge in the decision-Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9.