Archive for April, 2012

SERIOUSLY ILL PATIENT

Monday, April 9th, 2012

Claude Pear tree Da Silva RESUMOUnidades de Intensive Terapia are hospital sectors that provide to treatment the patients with more complex picture. The nurse is the professional of the area of the health that passes greater time monitoring the patient in the UTIs. The present work had as objective to identify the perception of the nurses of UTIs of three hospitals of the city of Golden, with superior professional time to one year, front to the seriously ill patient. The applied methodology had qualitative approach of the descriptive type. Muscular dystrophy pursues this goal as well. It was used technique of the desestruturada interview and from the transcription of the data for it analyzes used the Speech of Sujeito Coletivo (DSC).

It analyzes of the data demonstrated it that the perception of the nurse is of a fragilizado patient, defenseless, that it needs well-taken care of greaters, well-taken care of this of form humanizada. Word-keys: Therapy, Paciente and Cuidado.ABSTRACTIntensive care units ploughs hospital sectors that provide treatment you patients with lives complex situation. Professional The nurse is the of the area that spend lives teams monitoring the patient in the ICU. Muscular dystrophy: the source for more info. This study aimed you identify the perceptions of nurses in ICUs of three hospitals in the City of Golden, with professional teams lives than one to year, compared you the seriously ill patient. The methodology had descriptive qualitative approach. We used the technique of the unstructured interview and from the transcript dates will be of analysis used the Collective Subject Discourse (CSD). The analysis of dates showed that needs lives care, this care in humane way. Keymords: Therapy, Patient and Care IntroduoAs Units of Intensive Therapy has as purpose to give attendance to the patients in serious state, who need complex and specialized cares, given for a multiprofessional team, in which if it finds a professional nurse inserted.

Transmissible Chronic Illnesses

Saturday, April 7th, 2012

In Brazil, in accordance with the Vigitel the 2007 (System of Monitoramento de Fatores de Risco and Proteo for Not Transmissible Chronic Illnesses), average occurrence of diabetes in the adult population (above of 18 years) is of 5,2%, what it represents 6.399.187 of people who had confirmed to be carriers of the illness, however the prevalence increases with the age: diabetes reaches 18.6% of the population with superior age the 65 years. Acting as nursing technique, the author observed that the diabetic patients nor always follow the peculiar orientaes its illness, and that many times, the professionals of the health, forget that, exactly without injury this patient possesss a foot, that needs special attention, these two factors, joined, consequently increases the risks of complications and of peripheral neuropatias, called diabetic foot, where the foot of the diabetic patient is acometido by deficiency in the sanguineous circulation and consequent necrosis, needing, in some cases, of surgical amputation, mutilating the patient and bringing the same, changes still more radicals in its life. To work with diabetic patients made with that the perception of the author, increased ahead of the high index of patients who do not adopt the measures necessary to prevent complications in its feet, refuse or abandon the treatment, exactly being guided how much to the importance of the attention and the care with the feet. However, many professionals of the health, do not examine the feet of its patients adequately and they do not guide them on the importance of the auto-examination, leave to pass unobserved, symptoms and signals, that easily would be discovered with an evaluation of the feet, practise this, that would prevent greaters upheavals for the patient, and minor cost for public agencies. Observing the patients who follow the treatment correctly and that they pass periodically for the evaluation of the feet, the author perceived that these adhere with bigger easiness to the treatment and possess a quality of better life, this occurs, for the received orientation, making with that they know its pathology more good, with this is capable to coexist the illness more good, beyond precociously identifying possible alterations in its feet.

Fibromialgia

Friday, April 6th, 2012

(22-28) The importance of one has equipped to multidiscipline (doctor? reumatologista-, physiotherapist, psychologist and occupational therapist) are in the maintenance and permanence of the profits in the therapies in the long run. (22-28) The effectiveness in the program of integrated treatment considered consists of the instruction of techniques of auto-aid, cognitivo-mannering, relaxation and basic information on persistent and chronic pain. (22-28) Therefore, this type of intervention generates a positive impact on the behavior, it estresse, and psychological of the fibromilgicos. It is important also, to give informative assistance the familiar ones. (22-28) However, each time must be stimulated more to the patient routines ' ' normais' ' , as to exercise themselves, to pray, to talk with the friends, to meditar, to sleep, to ingest vitamins and to practise some hobbie, instead of committing abuse in what it says respect the medicines. (22-28) Medicines not hormonais the antiinflammatory analgesics and have been used with frequency in the treatment of the Fibromialgia since it does not have evidences of tecidual inflammation.

(29-30) The antidepressants also are an important weapon in what the improvement in the quality of life says respect. (29-30) Only that the isolated medicamentoso treatment is not enough in the control of the sintomatologia of the Fibromialgia and in the improvement of the aspects of the life and in the AVD' S. Therefore, is important to associate therapies. (29-30) The antidepressant use in the treatment of the fibromialgia it is sufficiently common, but many times appear doubts on its use and which would be its action. Many patients find odd to use antidepressants, therefore depression carriers do not consider themselves. many times are certain, but only partially? many patients with fibromialgia are not depressed, but exactly in these, the antidepressants can be useful. (29-30) This appears for the fact of that some doctors still consider the fibromialgia as a masked depression, and, passes this idea for the patient.

Mycobacterium

Wednesday, April 4th, 2012

Convinced that the leprosy was produced for a microorganism it examined removed materials of cutaneous injuries of sick patients and observed in the cells cutaneous tubercles small corpsculos in rod form (BENCHIMOL, 2003). Through you analyze clinics, you can conclude that the illness presented the well definite causes, with strong indications for an illness of contagious infectum origin of slow evolution, intracellular bacterium that has the capacity of infectar cutaneous cells and peripheral nerves (GOMES, 2005). This bacillus had a historical importance, that through its discovery if the agent .causing of the illness knew (WOULD MAKE; MENEZES; SAINTS, 2008). The American society bacteriologist called as Mycobacterium bacillus leprae, also called bacillus of Hansen in homage the researcher (GOMES, 2005). In 1962 the practical one of obligatory isolation was only abolished officially in Brazil already in 1970, the country extinguished the use of the word ‘ ‘ lepra’ ‘ it substituted it to for ‘ ‘ Hansenase or bacillus of Hansen’ ‘ (EIDT, 2004; MARTELLI et al., 2002). The World-wide Organization of Sade (OMS), although the effort in promoting the eradication of the illness in the world up to 2005, in some countries including Brazil, that continues being a problem of public health with equal or bigger prevalence of 1 case for 10.000 inhabitants (MARTELLI et al., 2002; NEPHEW; MATHIAS, 2008).

Brazil is the responsible one for 87% of the cases in the American continent, and is as the country in absolute number in incidence, only losing only for India (MARTINS; CAPONI, 2010). The Hansenase can acomete all the etrias bands and both the sexos, being more common in adults, the transmission occur for the respiratory ways, and direct contact with sick individual (MARTELLI et al., 2002).

PID Life

Tuesday, April 3rd, 2012

Sanitary exhaustion, that possesss adequate physical environment to be installed a hospital stream bed and necessary equipment and that it provides access so that the team of the PID can make its visits. As exclusion it cited people with ventilation necessity mechanics, with use of continuous monitorizao, necessity of intensive nursing, necessity of complementary propedutica with potential demand of accomplishment of some disgnostic procedures in sequence with urgency; necessity of surgical treatment in urgency character; that they do not have identified continuous cuidador; patients in use of complex medication with potentially serious collateral effect, or of difficult administration (BRAZIL, 2003). 6. AGING According to Universal Barsa Encyclopedia (2007, P. 2,171), ' ' to age means to become old, to give aspect of old, to ripen and to gain experincia' '. This nothing more is that a irreversible process in which the people pass for some stages of the life: infancy, adolescence, adult life and oldness.

The aging for many means the ending of the life and for others the fight for the life of the knowledge, the wisdom, of the experience, however, is in the truth a normal and basic stage of the life of the man for which all will be able to pass while livings creature. The senescncia must be seen as a natural process and not as a fear that the majority possesss. To age is to place in practical a luggage acquired in the passage of the life, is to substitute the physical abilities for the knowledge. Currently already it has many studies on the aging, if it also speaks that today the aged ones are prepared more to be able to follow this new walked searching new challenges, to the return working, travelling, to make physical exercise, to be athlete, searching always the vitality through the force of will to age with joviality. Many aged ones search to carry through dreams that during all its life had not obtained due to be the lifting ones of the family.

Many Sleep Hours

Monday, April 2nd, 2012

A number of alias process does not exist that it defines what would be a good night of sleep. To think that each necessary person to sleep the same number of hours per day so is missed how much to find that each one needs to eat the same amount of foods every day. But on average, we can calculate that seven hours and stocking for night are a good amount of sleep. It is possible to affirm that of one hundred people, only one or two five hours of sleep for night will be felt well after, or despite a small part needs ten hours. Each necessary individual of an amount of sleep to feel itself well, and this comes of its genetic programming as well as the color of its skin, its hair or its weight. A way to find its amount necessary of sleep is to wake up every day in the same hour, without importing the hour where you were to sleep in the previous night. Five or six hours of sleep had not been enough for you if to feel well? It will be that adding one hour more, you if would feel with more energy? If to analyze with attention the language of our body and to search for answers that if relate with our hours of sleep, we will be able to arrive at a habit of adequate sleep.

Another skill to find resulted is making a daily one of sleep. During one week, it makes notations of that hours were if to lie down, that hours if raised, as was if feeling when lying down and how much time it delayed to catch in sleep. In the following night, it writes as you if it felt. When to complete the week, analyzes which was the day where you had more disposal and energy. It calculates the number of hours that you slept and stipulate this amount as the maximum of hours that you will have to sleep in the next week.

It follows the same methodology in the next week and you it will find its standard. To sleep less and to keep the body with the same energy are something impossible to happen. But it can be a time question. Team Colches Juliano