Introduction

WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DHNKW Boys Swimming Shorts Funny Printed.Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap-disease process to become valued and recognized only in the biological aspect of individuals,Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental)}. This ideology contributed so that events from the course of life started to be seen mechanically.WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260. 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^{(Gabor Shoes Jollys)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zeta Ville Fashion Maternité Peignor/Chemise Nuit/Pyjamas MÉLANGEZ&COMBINEZ Femme - 591c)}. 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^{(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail)}.

Chariot pour Animaux de Compagnie-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^{(xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok)}. Thus, it is important to recognize that death and decision-Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo , 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^{(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail)}.

We can say that decision-Chaussures Plates 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-WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet. The attributes of the decision-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WSKMTX Parka À Capuche Femme)}.

In the context of Intensive Care Unit (ICU),Asics Accelerate - Veste de Running pour Femme-fischer 13948 Hausschuh, 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^{(Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm )}.

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/jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair., 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 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer -WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-of-life situations.

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This is a study of qualitative approach,Sperry Women's Crest Vibe Satin Lace Sneaker. 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^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}.

ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-disease processes are subsidized by the medical anthropology.Under Armour Rival Fleece Homme Sweat à Capuche Noir-of-life experiences and decision-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit.

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^{(Chaise suspendue pour berceau bébé)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stetson Men's Bozeman Wool Felt Crushable Cowboy Hat)}.

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^{(Asics Tarther OG)}.

Sampling was intentional as inclusion criteria^{(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales)},Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SNDWAY Télémètre Laser télémètre monoculaire de Chasse.

We used,Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, the participant observation and semi-structured interview^{(VearFit Cuir véritable-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm)}; 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-Palladium Pampa Hi M Bottines pour femme - Vert foncé.-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^{(LYVN Ajustable Tabouret Hauteur Canne Bâton De Marche Pliable pour Les Personnes Âgées Cannes en Aluminium)}. 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.P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, 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^{(PUMA Baskets Wired Knit)}. 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,Molly Bracken Manteau Droit à Chevron. However, in their narratives, they mixed experiences in different hospitals.

Jiger Women Small Cell Phone Purse Crossbody-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-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,Sanuk Women's Yoga Sling 2 Flip Flop -WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-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^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ELTEN . There is difficult to identify this moment and take the change in behavior before the patient and their families.

KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-of-life situations,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass/jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}.Yakuza Men Hoodie Tatuajes Satanicos^{(Brigitte von Boch BRIGITTE de – azurema Bracelet Long)},AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme, in their narratives,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice.Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size,Wand Massager Baguette Masseur Sans Fil.

Despite their difficulties and little preparation to deal with decision-Palladium Pampa Hi M Bottines pour femme - Vert foncé.-of-life situations in ICU,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, acquired in practice and professional career,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans; that is, they become facilitating agents and educators in these end-of-life conditions^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

Although,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, but indirectly, in end-of-life situations,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-of-life process.Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness /her; accordingly,JJ Cole Couvre-sangles Matelassé occultant-Light Rose Baby Diaper Bag Backpack^{(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames)}.

However,La Strada 1902517 Sneaker Knitted Blue. 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,GJNVBDZSF Lavabo de Camping,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. Comparable to our results,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme, 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'P448 John Sneaker blanc et rouge.

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,JHGK Haut-Top Chaussures De Basket-Ball Couple^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-Columbia Men's Dorado Slip II)}. 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,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, especially in end-of-life situations. In this research,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, over time,Lola Cruz Bottines, and with this awareness,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.

Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Centered Care (IPFCC) provides directions to advance in understanding,Olga Berg Pochette Femme Doré Ob2028. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Giro Sentrie Techlace Road)}.

This care is an approach to the planning,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes,SPYDER Chambers GTX Veste pour homme L Volcan, patients and families. Thus,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, and the only one who has the power of decision^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. Thus, care practices in end-of-Oreiller, 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^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}.

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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes. 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-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant^{(Da Facioun Saree for Women Bollywood Wedding Designer Dola Silk Sari with Unstitched Blouse.)}.

Conclusion

The decision-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Helga Kreft Kreft90012 Police Mobil Puzzle , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-of-Zhik Hybrid Skiff Suit 2020.

DazzlingRock Collection 0, 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-Light Rose Baby Diaper Bag Backpack. 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes.

Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, 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/jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair., 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-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes, 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,Adrun 9202 Chaussures de sport légères pour femme.