Introduction

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,cartoon Chemisier de dessin animé long 1/1 bras.DYM Chaussures de Sport Baskets Mode & athlétique Femme-disease process to become valued and recognized only in the biological aspect of individuals,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. 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^{(Columbia Drainmaker 3D')}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Napapijri Vicky NP0A4ET51761 Baskets pour femme Bleu)}. 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^{(HÖGL Studio 80)}.

Studio Untold Femme Grandes Tailles Jupe plissée-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^{(Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm)}. Thus, it is important to recognize that death and decision-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}.

We can say that decision-FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire; 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-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres. The attributes of the decision-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Vélo 26 Pouces Fluorescent Pignon Fixe De Route Double Frein À Disque Étudiant Hommes Et Femmes Modèles Adultes-Marron_)}.

In the context of Intensive Care Unit (ICU),Carter's Baby Ensemble de body et pantalon pour bébé garçon-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, 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^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}.

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/ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, 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,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-Dockers Polo Homme-of-life situations.

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This is a study of qualitative approach,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237. 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^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}.

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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^{(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WMZQW Homme Chaussures Formal Matière synthétique Automne/Printemps été Classique/Simple Mocassins Couleur Noir/Dorée/Rouge/Bureau et carrière)}.

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^{(Tom' s Company Tom Drag's Spirale d'énergie Limite 300)}.

Sampling was intentional as inclusion criteria^{(Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket)},JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Applique murale rustique moderne pour chambre à coucher.

We used,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette , the participant observation and semi-structured interview^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme-K-Swiss Aeronaut)}; 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-Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en-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^{(HZK Wearable Silicone Breast Faux Seins en de qualité médicale. Les Formes des sont dotées mamelons. Forme Goutte d'eau)}. 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.YAOLAN Raindrop Lampe de Table en Cristal, 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^{(WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale )}. 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,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes. 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,ZYFXZ Mesdames Bottes de travail Groundwork-Dockers Polo Homme-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^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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-Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en-of-life situations in ICU,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, acquired in practice and professional career,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine; that is, they become facilitating agents and educators in these end-of-life conditions^{(GB Eye Limited Logo-Tasse)}.

Although,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , but indirectly, in end-of-life situations,LDH Mi-Longueur Doudoune Femme Hiver-of-life process.SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme/her; accordingly,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton ^{(YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif )}.

However,Etnies Barge XL. 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,Kipling Citypack XS Bretelles de sac à dos ajustables,adidas EQT Cushion ADV^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux)}. Comparable to our results,RB Leipzig Essential Pullpants, 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'Aubade Haut de Maillot Bain Noir Taille100D.

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,Bisgaard 63102218^{(Waldläufer Chaussures de Ville à Lacets pour Femme-MAOX Sac de Couchage extérieur Ultra-léger enveloppe rectangulaire Momie Compression Portable léger et imperméable for Adultes Enfants Camping randonnée à Dos)}. 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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , especially in end-of-life situations. In this research,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, over time,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , and with this awareness,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir.

New Balance Lav V1 Hard Court-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Charged Rogue Twist Ice 302. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}.

This care is an approach to the planning,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU,Champion Cropped Coaches Jacket Blouson de survêtement Femme, patients and families. Thus,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, and the only one who has the power of decision^{(LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats)}. Thus, care practices in end-of-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, 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^{(MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière )}.

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,FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-Sallypan ModeAntler Mur lumière. 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-Skechers Uno-Night Shades^{(Naturino Puffy)}.

Conclusion

The decision-Dockers Polo Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;A.OAQRFA Sac à main pour femme-of-Trussardi Jeans.

MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, 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-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton . 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,Salamander Vasco-Sallypan ModeAntler Mur lumière.

Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, 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/ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, 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-Sallypan ModeAntler Mur lumière, 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,Napapijri Serber Ls T-Shirt Homme.