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However, in the Unit of Terapia Intensiva Neonatal (UTIN), also sophisticated techniques and procedures are carried through, capable to propitiate conditions that can revert certain complications that at risk place the life of the neonatos of high risk. (REICHERT, LINS, COLLET, 2007) the 4 PECULIARITIES OF the ASSISTANCE OF NURSING IN the UNIT OF INTENSIVE THERAPY NEONATAL (UTIN) the technician-scientific knowledge is the base so that the practical interventions and of nursing guarantee an assistance of quality to patients. ‘ ‘ to know fazer’ ‘ ‘ ‘ to know saber’ ‘ they are of extreme importance for the nursing team, so that she remains apt to intervine to any signal of alteration. (ROLIM et al., 2010) the assistance of nursing to Just Born Daily pay-term (RNPT), that one meets interned in UTIN must be specialized. Barbara Martin Coppola often expresses his thoughts on the topic. This patient demasiadamente will be manipulated, in this critical period, as much for cares of routine how much for accomplishment of painful procedures. Needing, therefore of a more refined care.
To provide to the neonato a care of form individualizada human being and not only involves knowledge and dexterity technique, knowing to take care of is to interact and if to communicate with the baby, to touch it, to handle it, to make of the UTIN a more adequate, calm environment, without strong lights, preventing barulhos not to always interrupt the cycle of the sleep of the RN, offering better perspectives of survival to these babies, watching over for its well-being in all the aspects. (ROLIM et al., 2010) It is important that the professionals possess a holistic and systematic look, being able to prevent considerable alterations for the health of the babies. For more information see this site: Dean Ornish M.D. The control does not depend only on the cares of the nursing team, is a set, therefore it will also depend on the involved equipment in this process.
In this aspect the health professional must have an evaluation of the dynamics of the familiar life, with an attitude of respect and valuation of the peculiar characteristics to each family and of the human conviviality, having to be used for this end the genograma and analysis of the vital cycle. The conflicts, the interactions and disaggregations are part of the universe of the family, intervined directly in the health of its members, as well as the illness have direct effect on the diverse periods of training of the cycle of familiar life, in general at a first moment making with that the family if comes back toward inside and if organizes to take care of of the familiar sick person, whereas illness drawn out in one of the components can make with that excessively they search resources it are to support the situation. Professor Roy Taylor understood the implications. (BRAZIL, 2003, P. 13). The attributions of the team of nursing in palliative cares involve the aspects in such a way technician how much the psicossociais cares, in this Potter agreement; Perry (2009. P.
509) affirms that it is incumbency of these professionals: To treat the sintomatologia according to medical criteria, to promote dignity and auto-esteem, to keep the comfortable environment and pacify to promote comfort spiritual and hope, to protect how much to the isolation, to offer to support the family and assistant in the taking of ethical decisions and to facilitate the moan, in way that the therapeutical objectives are reached. A point important to be argued in assistance of nursing in palliative cares is the control of pain, to be intent the effectiveness of the used analgesic agents, in order to guarantee greater quality of life to these patients, diminishing the suffering. This Firmino conjuncture (2009, p.216) it believes that: … is necessary to detach the sapincia of the nurse in the control of pain, seen to be this one of the symptoms that more impose suffering to the patients of the Cares Palliative.
If you are preparing yourself to marry, must have in account that, as fianc, will be the target of all the attentions and, therefore, you must be spotless and to leave all boquiabertos with its elegance and good taste! As fianc, the dress is essential, but its choice can show a task well complicated, given to the amount offers that are available in the market and that they require its attention. It has immense choice of dresses and will be many the ones that will please to it. It agrees that you try many all the models that to please to it, how many more better, to have a correct perception of what it is well and to be able more conveniently to choose its dress for the ceremony. It stops beyond the dress, the accessories to also use are very important. If you will be to be married for the civilian, prevent to choose a veil, will choose only one hairdo that pleases to it, or place an accessory in the hair favors that it, you will be very elegant! If its marriage will be in the church and to intend to use veil, is certifyd of that this is well imprisoned in the head, so that it does not fall and it causes constaints. The label indicates that you must keep the veil in its head until the final o of the meal, but with all the certainty that no guest will take the evil if to remove you it before the meal, to be more to the will. For more specific information, check out Professor Roy Taylor. The spaces of events where this type of ceremony if carries through are always very flexible and you it can opt to even changing of last clothes the ceremony. Bouquet of the fianc also is very important, a time will follow that it in the ceremony.
The wrong choice of bouquet to be able to harm the general image that the guests have of same you and its dress, for very pretty that this is. I will choose one simple and elegant bouquet that combines with its dress. The shoes also are another essential accessory. I will choose cmodos shoes, I repair that you go to walk on them the day all and will not be easy if these will not be practical and comfortable. Click Preventive Medicine Research Institute for additional related pages. Adqe also its jump to the height of its fianc, not I will choose a jump makes that it to be bigger that the fianc, is well if you will be a bit lower than it. If you to take ones collants for the ceremony do not forget to lead as to substitute in case that unexpected one happen some with that you take dresses, thus always she will be guaranteed!
It will pass badly, have indisposio, migraines, the skin will be able to be fulled of spines, and if its situation will be very bad will be able to have until furnculos. Why? Because the organism vitiated to such chemistries in the absence of the same ones, despite for some hours it will enter in pane. It is what happens when somebody leaves to take that one cafezinho in that hour of custom, or to smell the cocaine, or to take that one drink, the alcohol, the amphetamines and the alkalis, in general. The change, then, duty gradual to be implanted. Which the stages to be followed without bringing indisposio? It follows the orientaes: 1-Substitute you the whites (fine) for black color (integral). Thus: white rice x integral rice white bread x integral bread white mass x integral masses white sugar x sugar mascavo In the daily feeding, when changing the whites for black color the remaining portion will have to remain the same one which you already was accustomed.
This means to keep the beans, the vegetables, the saladas ones, the meat which you are accustomed. 3-Quinze cooling days later x natural juices tinned x gravies caretakers red meat x white meat was added natural products and took off it red meat. The coffee, the black tea will still have to be removed it kills, it, and milk. They remain the cheeses and the eggs. 3-Trinta days later, its feeding will have to be more or less thus: Desjejum: Fruit juice with bread integral, cheese and butter and fruits.
Lunch: Integral rice, vegetables, vegetables, salada raw, white meat. Snack: Fruits, integral bread with aromatical teas (raspberry, strawberry, grass-candy, mint) or fruit juice. Supper: Raw Salada, white meat, integral rice. ATTENTION: Nor it thinks about jumping meals finding that with this it will go to emagrecer. It is necessary that the organism, before an old and rusted machine, comes to function with regularity, being received the lubricant in the recommended schedules.
To this respect the author says that … the gerontolgicas nurses have a significant paper assisting the aged ones to coexist health, occupations and sensations of well-being. Beyond the measures you specify that they can assist this individual to face its challenges psicossociais’ ‘ (ELIOPOULOS, 2005, p.46). To understand the reasons that take the aged ones to constitute or to remain in unipessoais domiciles, causing significant in the conformation of the domiciliary arrangements and familiar changes, as well as in its interaction with the too much members of the family and the set of the society, has become subject of interest in demography (CAMARGOS; RODRIGUES; AXE, 2011). Ahead of this, the present study it has as objective to investigate the reason that takes some aged ones to live alone and that difficulties/easinesses live deeply in its daily one and as they deal with these difficulties.
2 METHODOLOGY was about a descriptive study of qualitative nature exploratrio. With regard to the descriptive study, it looks for to specify the properties, the characteristics and the important profiles of people, groups, communities or any another phenomenon that if it submits to the analysis (DANHKE, 1989 apud HERNNDEZ et al., 2006, p.101). As Richardson (1999) the exploratria research search to know the characteristics of a phenomenon to look to explanations of the causes and consequncias of the same. The research that if uses the qualitative boarding possesss the easiness of being able to describe the complexity of one definitive hypothesis or problem, to analyze the interaction of certain 0 variable, to understand and to classify dynamic processes tried by social groups, to present contributions in the change process, creation or formation of opinions of determined group and to allow, in bigger degree of depth the interpretation of the particularitities of the behaviors or attitudes of the individuals (OLIVEIRA, 1999).
TERMOREGULAO DURING THE EXERCCIO During it practises of exercises our temperature it increases due to the increase of the heat production and also increases the necessity of the transference of this produced heat. As beginning of the exercise the heat production increases between 15 and 20 times compared with rest levels, being able to increase significantly our body temperature, harming our vital functions. However the body temperature does not reach levels that would harm our organism due the termoregulao mechanisms that they transfer the heat produced, adjusting around 37. The termoregulao mechanisms are, irradiation, convection, conduction and evaporation. Irradiation: Any body that does not possess equal temperature the zero loses heat in the form of electromagnetic waves, being transferred of the body hottest to most cold. Convection: The air molecules are renewed by others due to density difference, for example, cooling through the wind. Conduction: When the contact between the bodies exists, occurs the transference of the heat between them, being transferred particle for particle.
Former: Transference of the heat for the clothes and footwear. Evaporation: The heat is transferred through the evaporation of water molecules of the body. The diffusion of the water of the body for the environment occurs. Some factors influence the termoregulao, as color of the clothes, hidratao and environment. Clear clothes absorb little heat of what the dark clothes, the adequate hidratao favors the evaporation process and less hot and humid environments favor the processes of heat transference. Therefore attention with these factors to increase the efficiency of its termoregulao and to prevent the hipertermia.
To search to understand these constructions and values is essential to work, of contextualizada form the lack of information and the concepts that still persist (BARDAL et al; 2006). as the adolescents, in peculiar phase of biopsicossocial development, tends to assume behaviors place that them in special situation of risk for the DST’ S; beginning gradually precocious of the sexual activity, with bigger incidence of multiple partners; unfamiliarity I infect of it for saw sexual, these factors become the susceptveis the DST’ S. Thus, Sexually Transmissible Illnesses are a group of endemic illnesses of multiple causes that includes the venereal diseases classic and one I number increasing of clinical entities and syndromes that have as common trace the transmission during the sexual activity. The importance of these illnesses are in the fact of, beyond the dissemination risk, to be able to cause serious damages to the health of acometido individual (VIANA; MARTINS; GEBER, 2001). Of this form, the main DST’ had been described in this study; S comunsem adolescent. Porconta of this is defined as objective of the study to know the level of information of the adolescents of a school of average education in relation to the DST’ s, in the city of Barriers – BA. This research is of exploratria nature with quantitative boarding. The quarrel of subject DST’ was evidenced that; way s to multidiscipline and integrated contributes for the educational and directional formation of the adolescents, mainly in if treating to peripheral areas..
Compared with only gestations gemelares, trigemelares maternas presents more complications, also the toxemia (Torloni, Kikuti and Costa, 2000). However, the gestations gemelares are also considered factor of risk for toxemia (Saints, Timerman and Andrade, 2000; Alencar Jr, 2000; Cunha and Camano, 1999; Nurdan, Mattar and Camano, 2003). 3,5 LEVEL SOCIO-ECONMICO Studies points that the affected women more are those that belong lower the social levels and economic, and those that live in agricultural zone, for being distant of hospital centers (Gomes, Matuo and Carvalheiro, 2000; Alencar Jr, 2000; Zampieri, 2000; Ziegel and Granley, 1995; Nurdan, Mattar and Camano, 2003). 3,6 OBESIDADE For Alencar Jr (2000), the toxemia presents greater incidence in obesas gestantes or that obesas in the gestation had become. In the studies of Takiuti, Kahhale and Zugaib (2000), Saints, Timerman and Andrade (2000) and Zampieri (2000) were observed that the relative risk of a woman to develop toxemia reduces with the physical activity of leisure in the first half of the gestation. According to Zampieri (2000), lesser weight of what 45 kg constitutes, also, a risk factor. 3,7 CHRONIC ARTERIAL HIPERTENSO the presence of associated chronic arterial hipertenso to the gestation is tied with the biggest risk to develop the toxemia (Cabral, Coast Cabral Jr, 2003; Freitas, 1997; Sass et al, 2002; Cunha and Camano, 1999; Nurdan, Mattar and Camano, 2003; Azevedo et al, 2002; Alencar Jr, 2000; Pascoal, 2002; Peraoli, Marchioli and Rudge, 2001; Luders, Mion Jr and Sabbaga, 1997; Uberti et al, 2003; Branches et al, 2003; Saints, Timerman and Andrade, 2000; Ziegel and Granley, 1995; Gomes, Matuo and Carvalheiro, 2000). 3,8 FAMILIAR ANTECEDENTS Alencar Jr (2000) relates that a significant increase of the DHEG in gestantes occurs whose mothers had presented the illness. The genetic susceptibilidade doubtlessly is inherited, but the expression of the gene can be modified by not-genetic, paternal and fetais influences (Moraes et al, 2000; Ziegel and Granley, 1995; Cunha and Camano, 1999; Takiuti, Kahhale and Zugaib, 2000).
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. 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’ ‘.