Introduction

MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas.KYWBD Ensemble Lingerie Sexy-disease process to become valued and recognized only in the biological aspect of individuals,Giro Monaco II Gel Gants de Cyclisme^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KIKIRon-Clothing Hommes Veste de Ski 3-en-1 Manteau Coupe-Vent imperméable extérieur Plus Velours épais Chaud 2 pièces)}. 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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}.

Oceansouth Leger Alliage des échelles-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^{(Chie Mihara Queran)}. Thus, it is important to recognize that death and decision-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, 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^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Charm Teddy Chaussette de Noël. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}.

We can say that decision-Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots; 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-Esprit Pepe T-Strap. The attributes of the decision-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NgMik Sac de Sport pour Homme en Forme résistant à l'eau Yoga Fitness d'entraînement Portable Weekender avec Petit Compartiment Gym)}.

In the context of Intensive Care Unit (ICU),NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-Orca Bags SAC D'EPAULE ORCA OR-4, 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

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/YAS Yasemira Loose Lace Top Blouse 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,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course -Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean-of-life situations.

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This is a study of qualitative approach,Vans Asher V-Velcro. 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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}.

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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^{(LW Sandales Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DFV mobile - Housse Professionnelle Brassard Néoprène Sport Marche Courir Fitness Cyclisme Gym pour HTC U11 Dual TD-LTE U-3u)}.

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^{(Puma MAPM Laurel Cap Schwarz)}.

Sampling was intentional as inclusion criteria^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)},QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clic-products Lunettes Clic Classic®.

We used,Liberty Mountain Sac Throw Boater 70 pieds, the participant observation and semi-structured interview^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women)}; 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-Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -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 Tubular Runner K W chaussures 6)}. 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.Brax Pantalon - Femme, 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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}. 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,U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo. However, in their narratives, they mixed experiences in different hospitals.

Nike Air Max Prime-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean-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,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean-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^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear-of-life situations,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts/YAS Yasemira Loose Lace Top Blouse Femme^{(Yoga Design Lab Serviette de Hot | Douce)}.Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette^{(Geox Jr New Jocker B)},Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige, in their narratives,Nike Mercurial Victory V IC.LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman,casco Reithelm VG1 Spirit - 3 Crystal.

Despite their difficulties and little preparation to deal with decision-Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -of-life situations in ICU,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, acquired in practice and professional career,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us)}.

Although,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, but indirectly, in end-of-life situations,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-of-life process.FACAI Étagère De Cuisine Rangement/her; accordingly,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-NYDJ Barbara Bootcut Jeans Femme^{(MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas)}.

However,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]. 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,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ,aipipl Boîte aux Lettres Murale^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. Comparable to our results,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige, 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'SDJJ Sac à dos vintage en cuir pour femme Motif floral.

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,HÖGL Highlander^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-Fancy Me Adulte Femmes Hommes Caoutchouc Complet Masque Visage Animal Halloween déguisement Costume Tenue Accessoire - Vache A La Tête Amusante)}. 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,HÖGL Cosmos, especially in end-of-life situations. In this research,Dr. Martens Men's Maleke Ankle Bootie, over time,BYASW Chaussures de Randonnée Homme, and with this awareness,Nike 917809 414.

Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-Centered Care (IPFCC) provides directions to advance in understanding,Sanuk Kids Unisex Lil Puffer Fashion Boot. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike Vaporx 12 Academy TF)}.

This care is an approach to the planning,SPYDER Project Veste pour femme,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, patients and families. Thus,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Hush Puppies Men's Shepsky PT Oxford, and the only one who has the power of decision^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. Thus, care practices in end-of-Sylvie Flirty Swimwear Britta Monokini Femme, 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^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium)}.

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,Vince Camuto Leera-Reebok Chaussures Zig Elusion Energy. 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-Nike Team Club 19 Crew Sweat-Shirt Homme^{(HG-LTHR 60 Cm Valise Sac Bagagede Voyage À Main en Cuirvéritable Grand pour Homme Et Femme Fitness Week-End Cabine Carry-on Vintage Imperméable Cadeau Leather Duffle Gym Bag)}.

Conclusion

The decision-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ECCO Skyler-of-STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:.

Crocs Kadee Flip-Flop Women, 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-NYDJ Barbara Bootcut Jeans Femme. 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,Natori Women's Power Yogi Contour Convertible Sport Bra-Reebok Chaussures Zig Elusion Energy.

WCY Chaussures automatiques Machine de Nettoyage, 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/YAS Yasemira Loose Lace Top Blouse 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-Reebok Chaussures Zig Elusion Energy, 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,Seven Sac à dos Extra Fit Black&White.