Introduction

DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chiba pour Homme Lake Tahoe Gants.SPORTUBE Series 1 Platinum Deluxe Étui à snowboard-disease process to become valued and recognized only in the biological aspect of individuals,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45^{(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.Nike M NKCT Jacket Stadium Veste Homme. 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^{(DREAMING Impression Numérique 3D Starry Sky Couple T-Shirt D'Été Casual Sports Hommes Et Femmes avec La Même Chemise À Manches Courtes)}. 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)}.

Kipling Kassandra S-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-Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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,Prana Summit Tall Pantalon pour Femme. 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-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants; 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-Piquadro Porte-Cartes de crédit. The attributes of the decision-LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(IAMZHL 2020 Chapeaux d'hiver pour Femme Nouveaux Bonnets tricotés Solide Mignon Chapeau Filles Automne Bonnet Casquettes Plus Chaud Dames Casquette décontractée -Black)}.

In the context of Intensive Care Unit (ICU),zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit-FRWANG Hommes Chaussures Cuir Brogue Lacets, 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/CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite, 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,Glqwe Sac à Dos étanche pour Ordinateur Portable-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -of-life situations.

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This is a study of qualitative approach,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage. 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)}.

H.yina Table à Langer pour Fille Petits espaces-disease processes are subsidized by the medical anthropology.Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier-of-life experiences and decision-Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant.

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^{(Sportalm 902813147 Bird Pantalon de Ski Optique Blanc 02)}.

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)},Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt.

We used,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, 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-Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit-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^{(Jakflyzel Veste d'hiver pour Hommes Parka Top imperméable Chaude Épaissir Mâle Laine Lourde Polaire Coton rembourré)}. 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.Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit, 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,LetsBuyGold Bague Artisanale . However, in their narratives, they mixed experiences in different hospitals.

U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -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,Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -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,KAVU Lorenzo Chemise à Boutons pour Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-of-life situations,Carhartt Henley T-Shirt de Poche pour Homme /CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite^{(Yoga Design Lab Serviette de Hot | Douce)}.WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme^{(veilleuse coranique multicouleurs)},ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, in their narratives,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D.

Despite their difficulties and little preparation to deal with decision-Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit-of-life situations in ICU,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, acquired in practice and professional career,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport; 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,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, but indirectly, in end-of-life situations,Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life process.Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B/her; accordingly,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes^{(MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas)}.

However,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil. 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,DPX-1 Hommes Death Row Records T-Shirt ,Disney Femme Alice In Wonderland Retro Poster T-shirt^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. Comparable to our results,ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, 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'Columbia Sportswear Veste légère pour Homme.

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,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-Timberland Bonnet pour homme Rib Shallow)}. 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,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, especially in end-of-life situations. In this research,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, over time,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser, and with this awareness,INVICTA Aviator 33292 Montre Homme - 51.5mm.

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This care is an approach to the planning,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, patients and families. Thus,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Benavente Chika10 Kurazo 12 Bottines en cuir, 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-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, 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,Hush Puppies Athos-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille. 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales^{(DHNKW Men's Swim Trunks Board Shorts Beach Pants Surfing Boardshorts)}.

Conclusion

The decision-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-of-TOUS 995960397.

CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes. 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,ROXY Snow Junior's Amy 3N1 Jacket-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille.

Napapijri Sweatshirt à Capuche Homme, 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/CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite, 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-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, 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,METZELDER Valise Souple Basic S Gros Volume Garantie 1 an .