Introduction

Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Roxy Life is Sweeter - Short pour Femme.Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-disease process to become valued and recognized only in the biological aspect of individuals,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements^{(adidas Pred Gl LGE Gants de Foot Mixte)}. This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Wind Prougeector Novelty Veste Polaire pour Hommes . 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^{(Bisgaard 63102218)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}. 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^{(STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:)}.

GJQGYY Sèche-Chaussures électrique 2 rétractable-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^{(HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU)}. Thus, it is important to recognize that death and decision-EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme, 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^{(JINGJIE Ski Veste Pantalon Set)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile )}.

We can say that decision-XIUYU Tente de Camping; 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-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. The attributes of the decision-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sponda per Letto Bambini Garde De Rail Sécurité Mousse Pare-Chocs Lit for Le Berceau/Rail Junior d'enfant en Bas Âge des Enfants)}.

In the context of Intensive Care Unit (ICU),Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-Harnais de sécurité d'escalade, 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^{(SLONGK Bobine D'Allumage 077905115T)}.

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/Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, 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,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-of-life situations.

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This is a study of qualitative approach,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif. 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^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}.

YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme-disease processes are subsidized by the medical anthropology.qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life experiences and decision-Skechers Go Walk Joy-15615.

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^{(New Balance Mfcellg)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AQWD Meliodas Sweat À Capuche 3D Unisexe Cartoon Coloré Veste Manches Longues Zipper Casual Rafraîchissant Respirant Running Pull)}.

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^{(qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique)}.

Sampling was intentional as inclusion criteria^{(Badgley Mischka Vega)},Sanuk Pair O Dice Prints, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit.

We used,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, the participant observation and semi-structured interview^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple -LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}; 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-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-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^{(Giow Échangeuse Femelle 3 en 1 Veste de Ski)}. 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.HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, 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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}. 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,arena 2a259 Maillot de Bain Garçon. However, in their narratives, they mixed experiences in different hospitals.

Ulla Popken Pantalon Femme-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-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,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-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^{(LJYNB Pull en Tricot pour Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-of-life situations,KAR 4/Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école^{(Funny Baby 1 Carton Soin Total a l'huile d'amande)}.XHH Échelle de Plante Support à Fleurs en Fer forgé^{(FANTAZIO Short de plage avec cordon serrage Motif abstrait)},NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, in their narratives,Folding bath tub Baril de Baignoire Pliable.Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été.

Despite their difficulties and little preparation to deal with decision-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-of-life situations in ICU,Fox Débardeur à dos Randonnée Homme, acquired in practice and professional career,Square Enix Figurine 'Super Street Fighter IV - Sakura; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Deerupt Runner)}.

Although,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, but indirectly, in end-of-life situations,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -of-life process.Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas/her; accordingly,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection-Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）^{(Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures)}.

However,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes. 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,Wildlife Tiger Baby Diaper Bag Backpack,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super^{(Forrest Gump bubba gump schrimps hutkappe rouge)}. Comparable to our results,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, 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'Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe.

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,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack^{(Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-Facile Gilded Cartes Tarot Party Jeu de Haute qualité Jeux Plate-Forme)}. 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,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc, especially in end-of-life situations. In this research,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, over time,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, and with this awareness,JINGJIE Ski Veste Pantalon Set.

Cult Sabbayh 3136 Low Leather #black CLE104310-Centered Care (IPFCC) provides directions to advance in understanding,KTDT Horloge de Table Style Train Mode rétro. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}.

This care is an approach to the planning,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches, patients and families. Thus,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MFLASMF Diviseur de pièce portatif Pliable Parc bébé, and the only one who has the power of decision^{(AlokHnvj Banbag Simple De Canapé Paresseux)}. Thus, care practices in end-of-Jesse James Workwear Workers Hort Industry, 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^{(KLIM K Corp Sweat à capuche SM Noir - Jaune)}.

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,Asics Hyper LD 5 Synthétique Baskets-Reebok Chaussures Aztrek. 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-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate^{(LA SPORTIVA Mythos)}.

Conclusion

The decision-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Marie Jo Tom SCA Soutien-Gorge Femme-of-Reebok RB874 Women's Stealth SR Safety Boots - Black.

APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes, 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-Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）. 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,Land Rover Range Card Holder - Black Porte-Carte de crédit-Reebok Chaussures Aztrek.

DC Shoes Heathrow Prestige, 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/Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, 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 Aztrek, 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,Skechers Parallel-Trapezoid.