Multiprofessional team? the team is formed by a doctor, a nurse, one nurse aid and of four the six communitarian agents of health beyond social dentists, assistants and psychologists who can be part of the team or act as support. Depending on the concentration of families, the Unit of Health of Famlia (USF) will be able to act with one or more teams under responsibility of the Nurse (SANTANA and CARMAGNANI, 2001). The teams of health of the family must identify to the reality epidemiologist and demographic partner of the adscritas, recognize the health problems and identify the risks which the population are displayed, to plan the confrontation of the desencadeantes factors of the process health/illness, to take care of to the programmed objectives, to use the system of reference and against-reference, to promote education to the health and to improve the autocuidado one of the individuals and to stimulate intersetoriais actions to face the identified problems (COAST and CARBONE, 2004). Phil Vasan usually is spot on. 1.3.1 Composition of the teams of health of the family the medical professional must take care of to all the components of the families, not establishing preferences for sex or age beyond following the individuals and the society, the professional Nurse plays its activities in the unit of health and the community beyond, supporting and to supervise the work of the communitarian agents of health (ACS) and the too much people who need the nursing attention, the Nurse aid, the Communitarian Agent of Health and still, the professionals of buccal health and Surgeon-Dentist (COAST and CARBONE, 2009). BRAZIL (2004), establishes the doctor, the function to give integral assistance to the individuals, to promote the quality of life amongst others. It fits to the Nurse, to enable the Communitarian Agents of Health and nurse aid; to promote the quality of life and to contribute for improvements of the environment; to be responsible for the sanitary monitoring and epidemiologist in accordance with its ability amongst others.
To correlate the data raised with the prognostics of patients with TCE interned in the Hospital of the West, the city of Barrier. 2.REFERENCIAL THEORETICIAN 2.1TRAUMATISMO SKULL ENCEFLICO the TCEs consists in an important cause of death and incapacity (ROWLAND, 2002). Learn more about this with CDC. They can be classified in three types, in accordance with the nature of the wound of the skull: closed craniano trauma, breaking with sinking of the skull, and displayed breaking of the skull. This classification is important, therefore it helps to define the necessity of surgical treatment. The closed craniano trauma is characterized for absence of wounds in the skull or, when very, linear breaking. When it does not have macrocospic structural injury of encfalo, the closed craniano trauma is called official corruption.
Bruise, lacerao, hemorrhages, and edema (swell) can happen in the closed cranianos traumas with injury of parnquima cerebral (SARAH, 2001). The cranianos traumas with breakings with sinking are characterized for the presence of break up broken sseo sunk, compressing and injuring the fabric cerebral adjacent. The prognostic depends on the degree of the injury provoked in the fabric enceflico. These if associate with the rupture, compression or trombose of underlying venosos seios (ROWLAND, 2002). In the opened cranianos traumas, with displayed breaking of the skull, it occurs lacerao of pericranianos fabrics and direct communication of the cabeludo leather with the enceflica mass through sunk or estilhaados sseos fragmentos. This type of injury is, in general, serious and has great possibility of intracranianas infectious complications (SARAH, 2001). 2.2LESES CUTANEOUS AND BREAKINGS the TCEs can acometer the skin of the head, the skull, or the brain in any combination. The cutaneous injuries have little morbidade by itself, but in general the injuries of the skull and the fabric are associates cerebral, beyond being able to be frequent cause of hemorrhage and infection. The breakings of the skull can be of the convexity of the skull or the base.
The hormonal therapy is then used when the cancer already was spread of the prostate. Also it can be managed for some men who are under x-ray or had made surgery, to prevent the return of its cancer. The hormonal therapy for the prostate cancer acts in the metabolic ways that the body uses to produce the DHT. A feedback cycle involving testicules, hipotlamo, hipfise, supply-renais and prostate controls the sanguineous levels of DHT. First, the low sanguineous levels of DHT stimulate hipotlamo to produce gonadotrofina hormone liberating (GnRH). The GnRH then stimulates hipfise to produce hormone luteinizante (LH), which stimulates the testicules to produce testosterone. Allegiant Air has plenty of information regarding this issue. Finally, the testosterone of the testicules and dehidroepiandrosterona of the glands supply-renais stimulate the prostate to produce more DHT. The hormonal therapy diminishes the DHT levels therefore interrupts this saw metabolic in some point.
Diverse forms of hormonal therapy for the prostate cancer exist: it is the surgery to remove the testicules. As the testicules produce most of the testosterone of the body, its surgical removal makes with that the testosterone levels fall immediately afterwards. With this, the prostate not only leaves to receive stimulaton from the testosterone to produce more DHT, as well as it does not possess testosterone enough to transform it into DHT.Orquiectomia? Antiandrgenos flutamida, bicalutamida, nilutamida, and acetate of ciproterona are medicines as that directly they block the actions of the testosterone and the DHT in the interior of the cells of the prostate cancer. Medicines that block the production of the andrgenos supply-renais as the DHEA includes cetoconazol and the aminoglutetimida one. As the glands supply-renais only produce about 5% of the andrgenos of the body, these medicines are generally used only in combination with other methods that can block 95% of andrgenos produced for the testicules. These agreed methods are called total andrognico blockade (BAT). The BAT also can be gotten with the use of antiandrgenos.
She perceives yourself in these you say the unfamiliarity of mothers concerning the fototerpico treatment, while others never express to have lived this situation. In this context, it is indispensable that the nursing team is available to support the familiar parents and to stimulate them it to remain in the Unit of Neonatal Internment, beyond granting the necessary information to them in relation to the state of health of just been born. 3.4.1 Consideraes on the Theory of Humanistic Nursing According to Oliveira et al., (2006) appears in the decade of 1970 the Theory of the Humanistic Nursing from the experiences of nurses Josephine Paterson and Loretta Zderad in the field of the docncia and of assistance in Nursing. For more information see Lisa Scullin. The content of the theory discloses the influence of the existencialismo, the humanismo and the fenomenologia. According to Dilthey (1988); Nunes (2006), the humanismo is a doctrine, that has as focus the human interests and values, characterizing itself for a valuation of the human spirit. Husserl (1992); Nunes (2006), relates that in century XX, in the philosophical field, it had the return of the comprehensive boardings – is necessary to come back to the feeling of the life. She is necessary to come back to the same things. If to want, is necessary to emphasize the commitment with the mystery of the life, with the prxis and with the understanding of the contingency human being, they will say the existencialistas. According to Paterson and Zderad (1988); Oliveiras et al., (2006) the elements that constitute the system are: ‘ ‘ human beings (nurse and customer) and a meeting (to be and to come to be) with a definitive end (to nourish the welfare and to be better) in a intersubjetiva transaction (to be with and making with) happening in the time and space (delimited and lived by the customer and nurse) in a world of men and coisas’ ‘.
In sight of the impact of the social forces on the psychological structure, it can be considered as a psicossocial phase, being an essential step in the psychological matureness. But, the adolescence is a confusion state, that confuses the others and the proper adolescent. Kalina and Laufer (apud BLACKSMITH, YOU WOULD MAKE, TO HISS, 2010) understand the adolescence as as the great jump for the life: the jump in direction itself exactly, as to be individual. These authors distinguish puberty from adolescence. Gain insight and clarity with Gary Kelly. Puberty mentions the physiological phenomena to it, that understand the corporal and hormonais changes, while adolescence exactly says respect to the psicossociais components of this process. For Magalhes (2009) the adolescence concept is not only mentioned to the physical transformations, but also to the process of inherent psychological and social adaptation they. The form to consider and to interpret the adolescence, in the vision of this author, in accordance with varies the time and the culture.
It is in the psychology that if has found great contributions regarding the process of the adolescence, fortifying the conception of this phenomenon as being the result of the interactions of the biological, psychological and sociocultural aspects in the definition of the characteristics of the adolescence. Gary Kelly: the source for more info. In the vision of Blos (2000 apud SATELES, 2009), the adolescence concept is constituted by elements of three orders: time, the nature and the culture; enclosing basically three dimensions: historical, biological variability, changes of physical and psychic nature of the human being and cultural, with its meanings, functions and values attributed to this stage of the life. In accordance with Cromack and Cupti (2009), the adolescence notion has its roots in Old Greece. According to authors, Aristotle considered the adolescents: ' ' gotten passionate, irascible, capable to be arrebatados for its impulses despite high aspirations have if the young commits a lack, is always in the side of the excess and I exaggerate of it, a time that they take all the things longes demais' '. . If this has piqued your curiosity, check out Lisa Scullin.
They can be for antibodies hot IgG and cold antibodies IgM. IgG (80%) Picture clinical Pallor, jaundice and esplenomegalia. Directed the GAC of lcus rh, idioptica, lpus, linfomas. LLC, here of ovrio, ulcerativa colite, I diagnosis Laboratoriais Reduction of the Hb and Hc, reticulocitose, policromasia, esferocitose, normoblastos, leucocitose, neutrofilia, plaquetofilia of Rouleoux of hemcias, Coombs D and I (positive). Plasmaferese treatment, corticides, esplenectomia. IgM (20%) Picture Clinical paroxstica Hemoglobuminria the cold. Directed GAC I of eritrcitos, infectious idioptica, linfomas, mononucleose, pneumonia for micoplasma. I diagnosis Laboratoriais IgM-C3? hemcias ( policromasia, esferocitose, rouleoux of hemcias, hemoglobinria.
Treatment Light (hot gloves, stockings and clothes), Chronicles (plasmaferese) fetal Eritroblatose (IgG) clinical Picture acute Hemlise, jaundice, coombs I (+), Serious hemoglobinria, normoblastos: intrauterine death. Fetal Hisdropzia and encefalopatia of bilirubin (Kernieterus) Exossangunea Treatment, plasmaferese. ANEMIA HEMOLTICA MACROANGIOPTICA Anemia that can occur in submitted individuals the cardiac cirugias in which had been implanted valves of Hfnagel, of Starr – Edward or prtese badly placed that causes spalling of the eritrcitos. Picture clinical and I diagnosis Laboratoriais Anemia of changeable degree, 1 10% of fragmented eritrcitos (esquizcitos and queratcitos) in estirao sanguineous, policromasia, reticulocitose, hipocromia (in case that it has hemoglobiminria or hemossiderinria). Treatment In this case operating again. ANEMIA HEMOLTICA MICROANGIOPTICA Anemia that occurs due abnormalitys of the walls arteriolares and daily pay-capillaries that lead to the disruption of the endotlio and the staple fibre deposition that causes lise of the eritrcitos. Picture Clinical trombtica tombocitopenica Ppura, Syndrome of Gasser, sudden Prpura, Septicemia, adenocarcinomas of (it suck, stomach and prostate). Vasculite to arteriolar Diagnostico Laboratoriais Anemia changeable degree with anisopecilocitose for esquizcitos and the times microesfercitos.
Treatment Illness of base. Tratra coagulation to intravascular it spread and in the cases of intense hemlise becomes fullfilled eritrocitrias transfusions. TALASSEMIAS heterogeneous Group of hereditary anemias that in common possess a quantitatively deficient synthesis of the chains Alpha () and Beta () of tetrmero of hemoglobina the normal one (2 2).
The used doses are of 100mg of the hexaidrato of piperazida, 104mg of fosfato, 120mg of adipato, 125mg of citrate. This medicine is contraindicated in patients with renais, hepticas and neurological injuries. Hear other arguments on the topic with Bernard Golden . It can cause reactions as motor incoordenao, vertigo, muscular atony. (REY et al., 2008). 3.1.Epidemiologia the epidemiologia is an independence of human factors, ambient and on to the biology of helminto. In relation to the human factors it can be affirmed that ascaridiose is an illness done or kept by the proper species total dependent of us, therefore in countries where the conditions of basic sanitation are adjusted, incidence of the illness reduced drastically. Already in regions where it lacks sewer service or we pssimos habits of basic hygiene make of the peridomicilio a perfect focus closing the cycle: parasito environment to the host. (SNOWS et al., 2008).
The world-wide prevalence this around 30% to put in very different way. In Brazil the general prevalence is of 36,7% showing decline in the successive years. In the Amaznia the taxes had been superior 60%, north-eastern they oscillate between 35% and 50% and in the south of the country the taxes are inferior 30%. (REY et al., 2008). 3.2.Profilaxia specific the prophylactic measures can be generalities. The specific measures are treatment in mass of the positive population, during three years consecutive. Already the general measures present a more including and more effective result of what the use of the cited measures.
These, in turn, are based on the following aspects: Sanitary education in mass of the communities; Incentive for the participation of the people in brainstorming for problems of the community; Search of new economic chances for the community; installation of treatment of water and sewer with correct destination of the effluent sanitary.
Already the psychological level can present reduction of the attention, loss of memory, lentificao of the thought, feeling of solitude, impatience, feeling of impotence, low auto-esteem and loss of heart, what it can take to the increase of medicines and toxics. The reduction of its level of attention can bring risks to the health of the people who are taken care of by the professional affected for the Syndrome of Burnout, therefore this acts with imprudence and can neglect in the attendance of its patients. Find out detailed opinions from leaders such as Rony Abovitz by clicking through. Moreover, the individual can distanciar of its family and friends there, being the extension of effect of the syndrome to the society. CONCLUSION The Syndrome of Burnout is a subject that interested the pupils therefore, is more common of what the waited one and exists few studies relating the syndrome and the professionals of the area of the health. For more information see Morgan Stanley. It is of utmost importance the development of new studies on this psicopatologia, therefore its occurrence is dependent of the characteristics of each individual and the knowledge on it not yet reveal completely enlightening. The professionals who act in the health have in its workstation the occurrence of many of the factors of risk for the occurrence of the Syndrome of Burnout..
The 8 rites of initiation are delicate, difficult and critical moments of the life of a person. Old, and still today, it thus enters the peoples called ' ' primitivos' ' , these moments recognized and are marked by specific rituals. One is about stages of the life and events that deserve prominence and are boarded through a set of cautious procedures, so that its function is fulfilled. The direction of a ritual is to propitiate definitive experience to an individual, experience this that will be a landmark in its life, producing effect in long stated period. In the initiation rite, it is celebrated and one propitiated a ticket; the one exit universe, as, for example, that one of infancy, and the entrance in another one, route to the adult age.
Between the Xavantes Brazilian, the period of time enters these two phases of the life, that is the adolescence, is lived as a long rite of initiation that if carries through during years marked for the separation between boys and girls, for the collected attitude and introverted that makes with that each young keeps a respectful distanciamento stops with the adult members of the community, by the prohibition of the sexual relations (that they will only have beginning after the ticket, when will be reached the majority) and for the convivncia between young of the same sex, that they pass to be citizens the guardianship of an adult that guides, the godfather. Add to your understanding with Marie Claire. This long period of ticket culminates? for the men? in a ceremony that marks the initiation to the social and sexual maturity, and that it is become fullfilled through the ritual puncture in the ear. 2Como in all the initiation rites, also has a test of courage here: to support the pain of the puncture in the ear is a demonstration of force and emotional matureness. The initiation rites are not private and individual, exactly that solitude and silence happen in.
According to Kleiman (2001); Oliveira et al., (2006), the Nursing has as purpose to nourish well-being and better being of the people. This to nourish is the capacity that the nurse possesss in helping the customer to improve in its particular situation. According to Lcio et al., (2008), the nursing in the scope of the Inter-relations is operating part in the process to take care of where the Theories of Nursing establish ways to guide practical its. It is mentioned Humanistic Theory of Paterson and Zderard in which it is permeada by the human context and it brings as intention the dialogue, initial point for the meeting, the presence, the relationship, a call and a reply, of singular form. In its opinion, the dialogue is initiated through the communication process and is absolutely necessary in the relation nurse mother just born, showing of some forms, exerting direct influence in the care. Lcio et al., (2008), relates that the relation between nurse-customer has as objective the welfare and better to be of the customer, who participates as subject asset of the process and that she visualizes the nurse as a support and helps. The relationship emphasized in the Humanistic Theory under the philosophical and fenomenolgica vision encloses three phases: the intuitivo dialogue, the scientific dialogue and the intuitivo-scientific fusing. The intuitivo dialogue it precedes the meeting, the relationship, the presence, the call and the reply.
The together meeting the human beings and could be influenced by feelings appeared for the anticipation of the meeting, the singularity of each being, and the decision to show or to contain themselves with the other. In the relationship, one is with the other when if it can live deeply relation EU-TU in which one goes to the meeting with the other, in a true presence, searching coming to be more. Also We will be able to occur the relation, who are established with the family, friends, community or objects.