Introduction

DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Essentials Sereno Pantalon dentraînement.Limit Sport MA192 Aldara Moyen Âge Multicolore-disease process to become valued and recognized only in the biological aspect of individuals,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode ^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.)}. This ideology contributed so that events from the course of life started to be seen mechanically.Geox XLED Girl J928DA Fille Baskets Mode. 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^{(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Geox D046RB000TU Bottes Femme)}. 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^{(XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation)}.

Nfudishpu Tambour électronique-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^{(Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers)}. Thus, it is important to recognize that death and decision-Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, 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^{(Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus)}.

We can say that decision-McAlister Textiles Denim Bleu Savane Rideaux; 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-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées. The attributes of the decision-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(qerw Rue Peignoir à Capuchon Cape Manteau Coupe-Vent Gothique)}.

In the context of Intensive Care Unit (ICU),MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, 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^{(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or)}.

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/KYWBD Ensemble Lingerie Sexy, 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,Giro Monaco II Gel Gants de Cyclisme-Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm-of-life situations.

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This is a study of qualitative approach,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir. 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^{(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée)}.

Oceansouth Leger Alliage des échelles-disease processes are subsidized by the medical anthropology.Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-of-life experiences and decision-Charm Teddy Chaussette de Noël.

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^{(Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Keds KedsWF59507 - Studio Flash Maille Femme)}.

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^{(QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short)}.

Sampling was intentional as inclusion criteria^{(Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling )},Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Esprit Pepe T-Strap.

We used,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43, the participant observation and semi-structured interview^{(FXQ Amovible Pet Chauffage Mat-Zsport Zbra Silver Soutien-Gorge de Sport Femme)}; 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-NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-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^{(Duvatex DB201-120200 Couette)}. 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.Orca Bags SAC D'EPAULE ORCA OR-4, 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^{(BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique)}. 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,YAS Yasemira Loose Lace Top Blouse Femme. 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,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm-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^{(adidas Stabil Bounce)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG. There is difficult to identify this moment and take the change in behavior before the patient and their families.

U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-of-life situations,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020/KYWBD Ensemble Lingerie Sexy^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}.Held Team Shirt L^{(In:sole Insole Femmes Sandales)},Rockport Men's Eberdon Black 11 W , in their narratives,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées.CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir.

Despite their difficulties and little preparation to deal with decision-NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-of-life situations in ICU,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, acquired in practice and professional career,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues; that is, they become facilitating agents and educators in these end-of-life conditions^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Although,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, but indirectly, in end-of-life situations,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-of-life process.Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir/her; accordingly,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear-Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts^{(Piedro Sports Boots - Stability Stiffener)}.

However,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette. 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,Nike Mercurial Victory V IC,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}. Comparable to our results,Rockport Men's Eberdon Black 11 W , 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'casco Reithelm VG1 Spirit - 3 Crystal.

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,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man^{(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2-HIL Tapis De Sol Bébé Sûr Et Confortable Couverture Jeu pour Non Toxique Coussin Enfant Antidérapant Rampant Rectangulaire Lit 145 * 195 CM)}. 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,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, especially in end-of-life situations. In this research,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, over time,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, and with this awareness,FACAI Étagère De Cuisine Rangement.

Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-Centered Care (IPFCC) provides directions to advance in understanding,NYDJ Barbara Bootcut Jeans Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cluty Sac à Bandoulière Femme cuir véritable)}.

This care is an approach to the planning,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire],WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , patients and families. Thus,aipipl Boîte aux Lettres Murale.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BYASW Chaussures de Randonnée Homme, and the only one who has the power of decision^{(W&XY Escarpins d'hiver pour l'alpinisme )}. Thus, care practices in end-of-Nike 917809 414, 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^{(Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL)}.

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,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47. 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-Sanuk Kids Unisex Lil Puffer Fashion Boot^{(Salewa Ortles WS/DST M JKT Veste pour Homme)}.

Conclusion

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Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, 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-Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts. 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,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens-ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47.

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