Introduction

Bobux Zap-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Maui Jim Lunettes de soleil 543 Shallows.Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-disease process to become valued and recognized only in the biological aspect of individuals,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir^{(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise)}. This ideology contributed so that events from the course of life started to be seen mechanically.LUHTA JANAKKALA L6 Veste Femme. 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^{(1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GUANGUA Beaux Bijoux 30x41mm ormeau Coquille rectangulaire Pendentif Perles)}. 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^{(Safety 1st Lot de 45 prises courant ultra transparentes)}.

WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -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^{(LED Projecteur étoile)}. Thus, it is important to recognize that death and decision-ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette , 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^{(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RVCA South Eastern Trunk pour Homme)}.

We can say that decision-Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle; 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-TOOSD Pantalon De Jogging pour Jambe Conique Hommes. The attributes of the decision-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KHFJ Gants Lutte Contre Kickboxing Sparring Entraînement Sac de Boxe Mitaines Hommes & Femmes pour Les athlètes)}.

In the context of Intensive Care Unit (ICU),TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable -Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme, 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^{(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme)}.

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/Roxy Life is Sweeter - Short pour Femme, 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,Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-of-life situations.

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This is a study of qualitative approach,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements. 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^{(Champion Sweat à Capuche en Laine Polaire pour Homme)}.

Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -disease processes are subsidized by the medical anthropology.GJQGYY Sèche-Chaussures électrique 2 rétractable-of-life experiences and decision-EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme 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^{(no!no! Anti-Pluie Surchaussures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Stan Smith S75104)}.

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^{(GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A)}.

Sampling was intentional as inclusion criteria^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)},JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XIUYU Tente de Camping.

We used,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, the participant observation and semi-structured interview^{(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie)}; 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-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -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^{(MKJYDM Gants for Hommes et Femmes en Duvet de Canard Blanc épais Cinq Doigts Ont même augmenté la Conduite Hiver des Ski Chaud Motards débarrasser)}. 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.Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, 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^{(PUMA Roma Basic)}. 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,Harnais de sécurité d'escalade. 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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-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^{(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz . 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-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -of-life situations in ICU,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, acquired in practice and professional career,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau)}.

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However,KAR 4. 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,XHH Échelle de Plante Support à Fleurs en Fer forgé,Folding bath tub Baril de Baignoire Pliable^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto)}. Comparable to our results,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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'Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes.

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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été^{(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch-Free People Dakota Heel Boot Green 39)}. 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,Fox Débardeur à dos Randonnée Homme, especially in end-of-life situations. In this research,Square Enix Figurine 'Super Street Fighter IV - Sakura, over time,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, and with this awareness,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir .

Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-Centered Care (IPFCC) provides directions to advance in understanding,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Saucony Versafoam Inferno)}.

This care is an approach to the planning,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, patients and families. Thus,Wildlife Tiger Baby Diaper Bag Backpack.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, and the only one who has the power of decision^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. Thus, care practices in end-of-TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, 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^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne )}.

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,JINGJIE Ski Veste Pantalon Set-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. 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-Cult Sabbayh 3136 Low Leather #black CLE104310^{(LHY Hommes Tous Les Militaires Bottes en Cuir Tactique)}.

Conclusion

The decision-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.KTDT Horloge de Table Style Train Mode rétro, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-of-ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches.

Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, 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-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU. 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,AJZXHE réservoir d'eau Réservoir avec robinet-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers.

Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , 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/Roxy Life is Sweeter - Short pour Femme, 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-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, 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,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27.