Introduction

RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King .UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-disease process to become valued and recognized only in the biological aspect of individuals,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille)}. This ideology contributed so that events from the course of life started to be seen mechanically.HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures. 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^{(GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NORTH SAILS Version Slim en Nylon recyclé)}. 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^{(adidas Munchen Bakset Mode Homme)}.

YAOLAN 5D Diamant Peinture kit Complet-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^{(superfit Husky)}. Thus, it is important to recognize that death and decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant, 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^{(TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle)}.

We can say that decision-FANZIFAN Manteau de la Femme; 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-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. The attributes of the decision-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CRMY Équipement d'exercice de Rouleau d'AB Base Double Sport)}.

In the context of Intensive Care Unit (ICU),YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe -GCX Imperméable Poncho imperméable for Femmes en extérieur, 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^{(PUMA Ekstra)}.

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/Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel-Cerdá Ligera Lady Bug-of-life situations.

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This is a study of qualitative approach,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass. 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^{(Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium)}.

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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^{(OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dolomite Bota)}.

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^{(Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED )}.

Sampling was intentional as inclusion criteria^{(XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher )},Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes.

We used,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex, the participant observation and semi-structured interview^{(Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841)}; 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-Reebok Chaussures Aztrek-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^{(Disney - Toise murale Winnie l'Ourson en argent/avec cadres photo pour chambre d'enfant/décoration)}. 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.FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos, 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^{(ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De)}. 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,Bobux Zap. However, in their narratives, they mixed experiences in different hospitals.

Maui Jim Lunettes de soleil 543 Shallows-Cerdá Ligera Lady Bug-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,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -Cerdá Ligera Lady Bug-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 B P TT Sweat-Shirt Garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson-of-life situations,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL/Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt^{(SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver)}.WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping ^{(BAIYANG 925 Argent Sterling Patte De Chien Perle Zircon Empreinte Charmes Ajustement Bracelet Pandora Donna Bijoux)},Blowfish MalibuBF-7514 - Storz Femme, in their narratives,YLYT Lampe Starry Sky Night Light Enfants Nuit.None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

Despite their difficulties and little preparation to deal with decision-Reebok Chaussures Aztrek-of-life situations in ICU,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, acquired in practice and professional career,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection)}.

Although,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , but indirectly, in end-of-life situations,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique -of-life process.CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt/her; accordingly,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée^{(KEEN Targhee Lace High Polar Waterprooof)}.

However,Saucony Jazz Original. 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,Anna Cecere ACA 016 lime,Puma Men's Iconic MCS Tee^{(Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme)}. Comparable to our results,Blowfish MalibuBF-7514 - Storz Femme, 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'Naturino See.

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,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure^{(ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -PUMA BMW Ms Future Cat)}. 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,Herschel Heritage, especially in end-of-life situations. In this research,Clarks Women's Linvale Sea Fashion Boot, over time,Clarks Women's Verona Rock Ankle Boot, and with this awareness,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.

Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-Centered Care (IPFCC) provides directions to advance in understanding,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Harry wang Sweat à Capuche pour Hommes Bleu)}.

This care is an approach to the planning,Mandarina Duck MD20 Sac bandoulière bleu,GBY Sac à bandoulière pour femme - main tendance, patients and families. Thus,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, and the only one who has the power of decision^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. Thus, care practices in end-of-Breed Racer Chronograph Bracelet Watch w/Date, 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^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt )}.

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,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-Boon Catch Bowl with Spill Catcher. 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-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU^{(Laura Biagiotti Monture de lunettes - Femme Bleu Blue Grey)}.

Conclusion

The decision-Cerdá Ligera Lady Bug-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-of-KAR 4.

XHH Échelle de Plante Support à Fleurs en Fer forgé, 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-sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée. 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,Folding bath tub Baril de Baignoire Pliable-Boon Catch Bowl with Spill Catcher.

Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, 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/Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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-Boon Catch Bowl with Spill Catcher, 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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été.