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' ' … Chevy Chases opinions are not widely known. Is in project to initiate a time to the month ' ' (A.C.O.). ' ' Not. The cases are directed for the CAPS' ' (E.L.B.). One perceives that some did not develop no related activity the mental health in its customers, and tried to compensate with directed actions other programs as hipertenso and diabetes – HIPERDIA.
Being that, they ran away total from the main focus and if they said to be unprepared to play such function. Some until had demonstrated interest in this area and that they were with good will in playing pertinent actions the mental health. Projects existed that would favor the promotion of the mental health of the people. But, on the other hand, the majority if said unsatisfied for not having any type of incentive to act in the area, among the difficulties, is distinguished it lack of qualification of the team and the guiding of all carrying users of mental upheavals to the specialized job, the CAPS. Ahead of the questioning on which the difficulties that they had in carrying through activities of mental health in its communities, had been described replies that the precariousness of the sector demonstrated, mainly, related to the human resources, the lack of able people are a constant concern.
' ' Yes, we do not have trained RH (enabled) ' ' (W.L.F.V.). ' ' Yes, professional unpreparedness and some preconceptions … ' ' (N.A.M.R.). Other professionals declared that the lack of interest of the user in contributing for the process of reestablishment of the activities of daily life e, mainly, of the family in contributing with the treatment, still more made it difficult the application of promotions for well-being of the customer. Answers as the inexistence of a protocol to serve of base for an assistance of quality, or same the inefficiency of the current lines of direction in vigor, had been also displayed as concern points, as well as, the dissatisfaction for the fact of, not to know to deal with these types of patients, also judging the academic formation as factor for this picture.
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To guarantee that all these nutrients are gifts in the daily diet, FDA (Food and Drug Administration – agency of the government of U.S.A. that controls the production and commercialization of remedies and foods), praises the consumption of the following daily portions of foods that composes the Alimentary Pyramid: Group of Breads, Cereals, Rice and Masses: 6 – 11 portions per day; Grupo of Vegetables: 3? 5 portions per day; Grupo of the Fruits: 2? 4 portions per day; Grupo of the Laticnios: 2? 3 portions per day; Grupo of the Meats, Ovos and Leguminosas: 2? 3 portions per day; Grupo of Fats, Oils and Sugars: sporadical use. The alimentary pyramid separates energy, regulating, construction foods in and energy extras. These foods must be consumed in sequence decreasing, that is, must consume in bigger amount the energy ones, followed of the regulators, the constructors and finally the energy extras, of limited consumption. We can then observe in the base of the pyramid, the rich foods in carboidratos (energy), followed for the ingestion of fruits and main vegetables sources of vitamins and minerals (regulating), above we have foods protein sources (constructors), and finally the fats and the sugars (energy extras), that they must have a sufficiently restricted ingestion. 5.O value of the Diet the beneficial effect of the consumption of a diet with low glicmico index would consist in the long run of the reduction of the peak after-prandial of insulina and glucose, promoting lesser pancretica overload, whose bankruptcy could direct be originated by a toxic effect caused for the hiperglicemia. Moreover, it is suggested that the adverse effect of a diet with raised glicmico index would be related to the increment in the concentration after-prandial delayed of acid greasy free, producing bigger resistance to the insulina. This mechanism would be unchained by the hipersecreo of contraregulatrios hormones, such as cortisol, glucagon and hormone of the growth, in result of the reacional hipoglicemia promoted by a diet of raised glicmico index.
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The complications of this therapy are many and can in such a way be local as sistmicas, the places occur more frequently, more are less serious, already the sistmicas are rare and when occured they can be devastadoras, therefore, the sistmicas complications must be perceived immediately and must be made use of immediate intervention. It is precocious detention can previnir damages as extensive extravasation and necrosis. Between the local complications we can have flebite, infiltration, hematoma and extravasation, while in the sistmicas we have: septicemia, pulmonary gaseous pulmonary embolism and, edema, shock of speed. The flebite is defined as inflammation of the layer next to the vein, allowing adhesion of plaquetas. Continue to learn more with: Mark Hyman, MD. In the flebite we have as signals and symptoms controlled pain in the place of puno, edema, increase of local heat, eritema and speed of slow infusion (PHILLIPS, 2001) the formation of the flebite can be affected by introduction technique, for condition of the patient, condition of the vein, type of medication and its pH, inefficacious filtration and bore, length and material of the catheter. The types of flebite are several that can be diagnosised, and these can be classified as mechanic, bacterial chemistry and.
The flebite mechanics can occur for the introduction of a great catheter in a small vein, inadequate setting that inside allows mobilization of this catheter of the vein, movement of the catheter during the medicamentosa infusion and also access in joints. In the chemical flebite inapropriadamente it inapropriadamente occurs for the introduction of medications or irritating solutions, diluted medications, very fast infusion, and presence of small particles in the infundida solution. Already in the bacterial flebite the main sources of infections are infections in the insertion and contamination of the infusion. The factors that contribute for this contamination are imperfection in the aseptic technique of puno, fail in the detention of breakings in the integrity of devices IV and fail in the manipulation of form to contaminate the device of the puno.
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In another study carried through with one it shows with 45 patients presenting IRC carrying through hemodilise has four months more than, about 44,4% they were patient hipertensos and 22.2% possuam hipertenso associated with diabetes19. The arterial hipertenso is common in patients with IRC, not only before starting the therapy of hemodilise, but also during the maintenance of the same one. About 85% of the chronic nefropatas they are hipertensos6,22. The sistmica arterial hipertenso in such a way can be the cause as the consequence of the IRC and constitutes a continuous factor of the renal injury, having to be rigorously controlled 4. For some authors as Zadeh et al (2003) the hipercolesterolemia and the arterial hipertenso, beyond other factors of risks of cardiovascular illnesses and mortality for the population in general, seems to be characteristic protectors and associates to a greater supervened in submitted patients the dialysis. However, the etiology of this inverse association enters the conventional factors of risk and clinical results in the users in dialysis not yet are clear and need more prospectivos and published studies. The paper of the nutritionist in relation to the dietoterpica intervention must beyond acting in the control of the symptoms and the hidroeletrolticos riots, as well as in the illnesses correlatas that these users present throughout the dialtico period. Joint Commissions opinions are not widely known.
intervention must have as objective the attainment of adequate a nutricional state, keeping the examinations biochemists in the adjusted parameters, being necessary the frequent nutricional accompaniment of these individuals to verify the evolution of the nutricional picture. REFERENCES 1. AVESANI, C.M.; KAMIMURA, M. the CUPPARI, L. renal Insufficience: acute and chronicle. In: VANNUCCHI, H.; MARCHINI, J.S. Nutricional attention: dietoterpica boarding in adults.
Rio De Janeiro: Guanabara Koogan, 2007. P. 124-150. 2. FERNANDES, G.V. ; CAVALCANTE, s.a. chronic renal Illness. In: FILGUEIRA, N.A. Behaviors in medical clinic. 4 ed. Rio De Janeiro: MEDSI, 2007, P.
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The no-trombtica occlusion will be able to occur as consequence of the crystallization in the interior of the lumen of incompatible medicines or parenteral nutrition. The incorrect maintenance of the PICC contributes for the occlusion of the device, mainly when added to the long length and the small diameter of the catheter. (JESUS, SECOLI, 2008) According to Light (2008), for the maintenance of the catheter, an used protocol is the accomplishment of the salinization, before and after the ending of medicamentosa infusion, must be managed solution physiological 0.9% and when the device will not be in continuous use, the administration of anticoagulating solution must itself be carried through. It is important that before managing this solution, the previous solution must be inhaled and rejected and the catheter washed with physiological solution. The conservation of the catheter requires of the team the adjusted manipulation, to prevent future complications and to establish the biggest permanence of the catheter during the treatment. Connect with other leaders such as Joint Commission here. The success of the maintenance of the PICC depends on the training of the nursing team.
(RABBIT, NAMBA, 2009) During the removal of the catheter difficulties, that can comumente be caused by flebites, infection, tack of fibrinas in catheter and for venoespasmos, being this one of the causes can occur most frequent. To facilitate the catheter withdrawal, one uses some procedures to assist in the success of the technique of withdrawal of the PICC, such as, to promote techniques relaxation, providing to the neonato a calm environment and to make use of compresses mornas to dilatar the veins, diminishing its resistance. This procedure must be carried through carefully and if the resistance to persist, will need a radiological evaluation. (JESUS, SECOLI, 2008) 8,2 LOCAL COMPLICATIONS the flebite occurs due the mechanical, chemical or infectious factors, that cause the inflammation of the endoteliais cells of the venosa wall. The flebite mechanics occurs due to a trauma during the insertion, removal or movement of device PICC in the interior of the vase, is evidenced of 48 the 72 hours after the removed insertion or. .
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In this study about 15 users they had monthly presented values of hemoglobina below of the value of reference stipulated for the responsible laboratory for the accomplishment of the examination that is, below of 12,8 g/dL. Consequently, 75% of the users with values of hemoglobina in decline had intervened drastically with the total average, being that the same one presented inferior value (10,89 g/dL) what is recommended. In a Canadian multicntrico study involving 446 patients with IRC in hemodilise, the prevalence of anemia was around 90% when considered anmicos patients with lesser hemoglobina that 13 g/dL11. In a Brazilian multicntrico study the prevalence of anemia was of 39% in patients with IRC, considering anemia as concentration of lesser hemoglobina that 11g/dL. However, as some of these patients already were being treated with replacement to iron and eritropoetina, the prevalence of anemia still would be maior9.
Levels of srico iron had presented low e, for the most part of the adequate sample. The iron is an important component of the hemoglobina and other cells and enzymes, playing an important paper in the transport of O2 and cellular breath 12. A low level of srico iron is a preditor of bad prognostic, that is, greater probability of mortality internments in submitted patients the HD13. During the period of infections and inflammatory states the storage of iron in the organism can be normal, but its use for eritropoiese is compromised (deficiency of functional iron) 14. Already the srica ferritina, was presented for the most part with normal values e, high of the sample. The ferritina reflects the level of cellular supply of iron being that, its test is used in the diagnosis and pursuing of ferroprivas anemias and hemocromatose, having been that this test is used in patients with IRC to monitor the reserves of iron 15,16. The anemia in the chronic illness is common that the ferritina level if presents normal the high one in patient nefropatas 14,17.
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The discords between the official position of the Church and science if give only in theological questions that involve atesmo and the negation of the infalibilidade of the Holy Writs and the revelation. In the truth, as much science as the Christian philosophy had always had as common bedding the Aristotelian philosophy. But was Toms de Aquino the theologian who affirmed that faith and reason can be conciliated, being the reason a way to understand the faith. A time presented some conceptions related to the catolicismo, now let us break for brief related explanations the Esprita doctrine, codified for Allan kardec. 2.2 The Espiritismo the first registers of the Esprita Doctrine had appeared in 1857, however, the espritas phenomena, if had become common in the Europe, mainly in France, the calls ' ' tables girantes' ' or ' ' tables falantes' ' , attributed to the magnetism of the Fox sisters? in the United States. Professor Hippolyte Leon Denizart Rivail, pseudonym of Allan Kardec, (1804? 1869) were born in the city of Lion, France. Son of old family whom if he distinguished in the magistracy and the law was educated in the School of Pestalozzi, in Iverdum, Switzerland.
Bachelor in letters, studied medicine, specialized itself in calculations, Arithmetic, biology and astronomy, created practical schools of pedagogia and published some didactic workmanships. It dominated six languages: Frenchman, German, English, Italian, Greek Latin (KARDEC, 2000). Of family catholic, but student in a protestant country, the intolerncia acts that suffered it despertaram the interest for a religious reform that led to the unification of the beliefs. Kardec worked, then, with astronomer Camille Flammarion and the writer Leon Denis. The doctor Conan Doyle, the creator of Sherlock Holmes, he was one of that had given to continuity its research and studies. He still edited the Esprita Magazine, congregated in 12 volumes, that served to it of laboratory.
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As for the benefits that these strategies are bringing or can bring to the patients, 100% of the interviewed ones if they show favorable, that is, to the measure whom if humaniza more easy if the relationship of the familiar and patient becomes professionals with, thus generating more comfort and tranquillity, getting a visible improvement in the clinical picture of this user. Saints, et al. (apud Reckelberg, 2006, p.6) it affirms that the familiar ones have a basic paper in the internment of the patient in if treating to the environment of intensive therapy, this participation becomes still more excellent in the recovery process. The relation between familiar professionals and is a qualitative measure and promotes resulted favorable, becoming the familiar contact between health team, patients and humanizado, generating satisfaction and trustworthiness for both the parts. Being the nursing technician the person next to the customer the interrelacionamento becomes of extreme importance, therefore the nip of the relations occurs an effective exchange of information causing and providing acolhedor and safe environment, as evidenced in 100% of the interviews. Bolela & Jeric relembra that the family must be understood as important ally of the team, being able to act as a resource by means of which the patient can reaffirm e, many times, to recoup its importance in the treatment, of form to invest in its possibilities of recovery. In this context, family is understood as a social unit next hardwired to the patient through the love, being able or not to have legal bows or of consanguinity, as she states Saints et al.
(apud Bolela & Jeric, 2006, p.4). This result follows in the table to follow. ANALYSIS OF the RESULTS Questions abordadasNmero of Answers absolute entrevistadosFavorveis Answers Favorable n % n absoluto% As you see the strategies of humanizao used 10990%110% in its workstation? In what professional mentions itself to the exercise of its activity 1010100%00%, as if of its relation with the familiar ones of the interned patients, wants they are visiting or accompanying? That types of benefits can bring or 1010100%00% are bringing to the patients these strategies of humanizao? That importance you see in the relation: 1010100%00% Team of Patient health//Family? CONCLUSION the true human care cousin for the ethics, while element booster of personal and professional actions and interventions, constituting the base of the humanizao process.