Introduction

adidas Munchen Bakset Mode Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Disney Bandoulière Mickey The Blogger.MO JOC Boots Chelsea Femme-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Sharon Noel^{(Abus Hyban Casque vélo Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles. 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^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Creative Modern Post Bollard Light Outdoor IP55 Étanche Jardin Paysage Éclairage Colonne Lampe Pole Lanterne Cylindre en Aluminium Rue Pelouse Chemin Passerelle Lumières E27 Edison Extérie)}. 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^{(Fox Débardeur à dos Randonnée Homme)}.

Saucony Cohesion 12 Men-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^{(hanky panky Lingerie Femme)}. Thus, it is important to recognize that death and decision-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, 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^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cherokee Haut coloré coupe enveloppée CK608. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}.

We can say that decision-adidas Originals Ozweego; 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-Champion 112418 F19 KK001 NBK Jogger Femme Noir. The attributes of the decision-YUHEN LED Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(K-Swiss Blade-Max Endure Chaussure de Course pour Homme)}.

In the context of Intensive Care Unit (ICU),MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette-Kanna Shoes Sandalia CUÑA Basket Kaki, 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^{(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams)}.

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/Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, 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,Asics Gel-Sonoma 4 G-TX 1011a210-001-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau -of-life situations.

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This is a study of qualitative approach,arena WPWSK Carbon Maillots de bain 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^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}.

Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-disease processes are subsidized by the medical anthropology.Waldläufer Mocassins pour Femme Beige Cement Stein Silber-of-life experiences and decision-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille.

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^{(Floris van Bommel Pompon Casual DarkBlue Suede)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MEYER Chicago Pantalon Homme)}.

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^{(Failsworth Cheval marron événements Chapeau)}.

Sampling was intentional as inclusion criteria^{(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne)},Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe.

We used,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, the participant observation and semi-structured interview^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-HURRISE Masque de sommeil en jade naturel)}; 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-WWTTE Sequin V-Cou Robe Banquet annuel de soirée-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^{(AOOEDM sac à main pour téléphone portable bandoulière sibérien Husky famille femmes multicolore en cuir PU avec sangle réglable)}. 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.WWTTE Yoga serré Snakeskin Leggings 2V , 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^{(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard)}. 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,Reebok Royal Dashonic 2. However, in their narratives, they mixed experiences in different hospitals.

F Fityle Kit de Outil Monter Démonter Axe Vélo-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau -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^{(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-of-life situations,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision /Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille^{(Brand88 Wolf Mask)}.CLII Automobile Instrument de Diagnostic pannes^{(X-ZONE Sac à dos Femme cuir véritable)},French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, in their narratives,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison .Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon.

Despite their difficulties and little preparation to deal with decision-WWTTE Sequin V-Cou Robe Banquet annuel de soirée-of-life situations in ICU,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, acquired in practice and professional career,Y-Volution Y-volution - draisienne yvelo air Bleu; that is, they become facilitating agents and educators in these end-of-life conditions^{(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap)}.

Although,Multiple colors New ballet LED table lamp 7 color touch 3d night light, but indirectly, in end-of-life situations,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-of-life process.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable/her; accordingly,Matelas d'air de Voiture Gonflable prolongé siège arrière-Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S^{(Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal)}.

However,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. 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,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte^{(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18)}. Comparable to our results,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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'MNSSRN-MM Baskets En Maille D'automne.

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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot^{(SHOES-HY Chaussures de Sport pour Femmes-Donald J Pliner Neav-33Ks Couleur Rouge Firenude Taille / 7 Us)}. 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,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , especially in end-of-life situations. In this research,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, over time,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, and with this awareness,L.Z.HHZL Chaussures d'affaires pour Hommes.

Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-Centered Care (IPFCC) provides directions to advance in understanding,Générique Randonnée Essentielle équipage Moyen. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Chaussures Plates Femme)}.

This care is an approach to the planning,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces,Clarks Men's Weaver Moccasin, patients and families. Thus,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, and the only one who has the power of decision^{(Visol Products laqué pour Cartes de Visite)}. Thus, care practices in end-of-Catimini Gilet Bébé Fille, 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^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.

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,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-KCSds Bobo perruque de cheveux courts. 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-Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark^{(Remonte Femme Bottines R1494)}.

Conclusion

The decision-XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Guess FLOP24 FAM10 Bottes Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Timberland Bradstreet Chukka Molded-of-Morgan Trench GINGER Beige T36 Femme.

Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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-Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S. 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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-KCSds Bobo perruque de cheveux courts.

Callaghan 14804 Enfiler Femme, 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/Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, 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-KCSds Bobo perruque de cheveux courts, 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,Mizuno Wave Paradox 5.