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Guanabara Koogan Cancer

With regard to the high one of the SRPA, the nurse must on the basis of evaluate the aptitude for high the stability of the vital signals (…). Many equip of SRPA use a system of prop up objective that acute to determine when the customers can be set free. It props up it of aldrete, or it props up of recovery after anaesthetic. When the customer is apt to receive high from the SRPA, the nurse must communicate if with the unit of nursing, to report the vital signals, the type of surgery and carried through anesthesia, sanguineous loss level of consciences, general physical conditions and presence of lines IV or drains (POTTER; PERRY, 2004). FINAL CONSIDERAES It knows if that the main cause of the breast cancer is the visceral malignant neoplasia and is one of main causes of death for breast cancer, including its factors as: genetics, ambient, cultural such factors are involved in its development. In this article it intended if to call the attention for the importance the cares of nursing in the recovery of the postoperative and psychological patient when submitted to the surgery of the breast cancer. Visit Cleveland Clinic for more clarity on the issue.

It looked if to emphasize on the context of the beginning of the cancer, definition, causes, complications, education in health, as well as emphasis in the elaboration of the cares of nursing, lapsing and disgnostic. The actions and the lapsings will have to happen for all the nursing team, a time that are integrant part in the process of recovery after – surgical of the patient. Therefore it can evidence that it is of basic importance for the nursing, to contribute in the promotion of the recovery of the patient with breast cancer, putting in practical the plan of care through use I think of it, of the nursing process, making possible one better aiming of the nursing assistance, guaranteeing the care of quality. It still looked if to establish the lapsings and disgnostic of nursing, that help the nurses to give to it directly with the customer, to plan the assistance, optimizing the time and guaranteeing the quality in the attendance. BIBLIOGRAPHICAL REFERENCES PORT, Celmo Celeno. Medical Semiologia. 5 Edition.

Rio De Janeiro: Publishing company Guanabara Koogan, 2005. SON, Brazilian Geraldo. Bogliolo/Pathology. 6 Edition. Rio De Janeiro: Guam publishing company

Nursing Philosophy

The physical environment, the material and technological resources are important, to put not more significant of what the essence human being. Dean Ornish M.D spoke with conviction. This yes will lead the thought and the actions of the nursing team, mainly of the nurse, becoming it capable to criticize and to construct to a reality more human being and less aggressive and hostile for the people who need attendance. Credit: Beyond debating the thematic a respect of the care in the nursing, to extend the vision of the nursing team on the humanizado care, aiming at an improvement in the attendance to the patients attended in this unit of health.

The Treatment

With regard to sricos levels, in the SOP, the LH one meets increased. Normally one meets, in comparison to the FSH, equal values, 2:1 or until 2,5:1. The increase of the andrognios, the prolactina can also occur. In relation the genetics, the occurrence of SOP in women of the same family meets in some studies, indicates that a genetic susceptibility for the syndrome exists. In patients with SOP, 50 87% of its parentas of first degree will present some associated symptom (LEGRO, 1995). The patients with SOP present predisposition to the development of diabetes mellitus type II, including the cardiovascular obesidade and problems associates. Preventive Medicine Research Institute might disagree with that approach. These women who possess the syndrome that engravidam presents greater risk of spontaneous abortion. This if must the necessity induce the ovulao.

The treatment of the SOP depends on the symptoms of the patient, of the probable etiopatognico mechanism, the motivation and the objectives. (HALBE, 2000). For that they do not want to engravidar, is used contraceptive verbal agreed (STEEL). In relation to the hirsutismo factors, the best ones resulted are gotten with the STEEL association and antiandrogncica drug of peripheral action as acetate of ciproterona, the espironolactona, flutamida or the finasterida one. The improvement if of after the six months of treatment (FREITAS, 2006). in the treatment of infertility in case of SOP, the loss of weight is the natural treatment to reestablish the ovulao.

The used medication more is the citrate of clomifeno (CC). This has low cost, easy dosage, minimum adverse effect and positive result if treating to gestation. However the treatment in must extend the six cycles more than. Also the metformina can be used. This, in turn, is biguanida of verbal use that increases peripheral sensitivity to the insulina, inhibits the heptica glucose production and diminishes the intestinal glucose absorption. When used in patients with SOP, it reduces the sricos levels of insulina and, consequently, of testosterone, restoring the ovulatria function and the menstrual cycle (SANTANA; FERRIANE; S, 2008).

Hospital Psychology

Hospital psychology: performance and transmission of the psychologist in the General Hospital Isabella Kahn Rasp Brazil has been one of the first countries to invest in the field of Hospital Psychology and the Health. In this new area of the knowledge, the hospital psychologists if have worried in developing specific theories and techniques to give attention to the hospitalized people. In the category of pupil of the graduation of psychology and curious for the area of the psychoanalysis, I was to look for in a famous particular hospital of Belo Horizonte, a new to look under the processes that involve illness, internment and treatment, and also in the complex and delicate relation between patient, family and team to multidiscipline. Dr. Caldwell Esselstyn Jr. may find it difficult to be quoted properly. In the hospital that I will call Hospital &#039 here; ' X' ' , very I was well received by a great team of psychologists and engaged psychoanalysts who had always been very dedicate and in the transmission of the psychoanalysis. For this, two coordinators of the clinic of psychology of the place, weekly keep a group of study of Lacaniana psychoanalysis, folloied of clinical supervision and groups of studies in referring subjects Psychology and Health. Exactly being pupil of a course of graduation of Psychology in Rio De Janeiro, I had the chance to unite my theoretical knowledge exactly the practical clinic, making plantes and comments in the CTI of this hospital. The CTI is a sector of the hospital in which the routine of cares intense and is carried through by a team to multidiscipline (doctors, nursing, physiotherapists, psychologists etc). It is also a space where the domain of the speech of science and the technological advances has as effect the elimination of the subjectivity, space where the patient-citizen is submitted the invasive procedures as extreme monitorao, daily examinations, controlled medication, bath and feeding. An environment not only of serious illnesses with risk of death, but also of fight for the life.

So Paulo State University

6.CONCLUSO Concludes that amebase is considered an important problem of morbi-mortality in public health, since numerous cases can be of invasive forms. , Studies epidemiologists thus using more sensible methodologies for the diagnosis of the infection for histolytica E. become necessary in order to investigate and to prevent serious cases of the illness and its secondary complications. More it is essential that the prophylactic measures are adopted, therefore this constitutes an essential factor of control and prevention of enteroparasitoses. 7.REFERNCIAS CERQUEIRA, ME; AMARAL, TM; MORALES, AET. Medicine, education and art: innovating in the combat enteroparasitoses and infantile malnutrition.

State university of Santa Cruz. Department of sciences of the health. 2004. WEDGE. the S. Patogenia of amebase. Thesis (Titular Professor).

College of Medicine of the Federal University of Minas Gerais. Belo Horizonte. GOLDEN, MACIEL, ACA I. Occurrence of Entamoeba histolytica/Entamoeba to dispar in ambulatoriais patients of Recife, FOOT. Magazine Brazilian Society of Tropical Medicine, vol.39, in the,4, Uberaba July/August 2006. BLACKSMITH, DAYANA S. VIEIRA, GIOVANE OLIVEIRA. Frequency of enteroparasitoses in the population taken care of for the laboratory of clinical analyses. Health & Environment in Magazine, Duke of Caxias, v.1, n.2, p.70-75, July December 2006. LION, RAYMOND NONATO QUEIROZ. Infectious and Parasitic illnesses. Cejup: UEPA: Institute Evandro Chagas, 1997. MASCARINI, LM. A historical boarding of the trajectory of the parasitology. Rio De Janeiro: Notebook of Public health, v. 8, N. 3, P. 814. 2003. MASCARINI, LUCIENE LAURA. Helmintase in children institutionalized in day-care centers in the city of Botucatu. Department of Parasitology, Institute of Biocincias, So Paulo State University. Vol. 36 (2): 149-158. May/August 2007. HUNTER. . THE CARLOS. et al. Secular trend of the intestinais parasatisms. Magazine Public Health 2000. SNOWS, DP et al. Parasitology Human being. 11 ed. So Paulo: Atheneu. 2005. OMS/OPAS/UNESCO? World-wide Organizacin woollen Salud/Organizacion woollen Panamerica Salud/Organizacin of Joined Naciones wools for There Educacion, There Science y There Culture. Consultation with experts in amibiasis, Ciudad of Mexico, v.18, p.13-14, 1997. REY, L. Bases of the medical parasitology. 2 ed. Rio De Janeiro: Guanabara Koogan. 2002. WORLD HEALTH ORGANIZATION? WHO. Geneva: Report WHO, apud BRAZIL, Health department. 2005. National plan of monitoring and control of enteroparasitoses. Brasilia: Secretariat of Monitoring in Health. 1997.

Intensive Therapy

The work in Unit of Tratamento Intensivo (U.T.I) is complex and intense, having the nurse to be prepared for at any time, to take care of patients with important hemodinmicas alterations, which require specific knowledge and great ability to take decisions and to implement them in skillful time. In such a way, it can be assumed that the nurse plays important role in the scope of the Unit of Intensive Therapy. Had to its characteristics, they are units of high cost that demand continuous evaluation of the results so that they keep its survival. Thus, the challenge that if places is to conciliate high standards of assistance to a low cost, for what the quantitative one of nursing staff concurs, a time that the budget of this team constitutes 50% of the total costs in UTI (MIRANDA, 2003). Thus being, the adequacy of the human resources of nursing, according to necessities of the serious patients, and the evaluation of its effect in the results of the assistance constitutes subject of interest in UTIs (KURCGANT, 2006). In the context of the quality of the services of health of one it forms generality and of the UTIs, in particular, the nursing assumes role of prominence for constituting the biggest group of health professionals, as well as for keeping daily and uninterrupted contact with the patient, promoting the maintenance, recovery and whitewashing of the health by means of the care and, being able to influence in the judgment of the patients on the quality of the given services (IT HISSES, 2001). However, the installment of individualizado attendance, with technician-scientific ability, carried through by means of work integrated and cooperative, directed to the security of the patients, depends on some organizacionais factors, between them the quantitative one of the nursing staff (GAIDZINSKI, 1998). Revision of literature carried through since the decade of 70, concluded that the load of work of nursing in the UTIs is one of the main factors that contribute for the security of the patients (CARAYON, 2005).


In the case of rupture of varicosas veins, a serious bleed can occur, over all when they will be esofgicas. (MANUAL-MERCK, 1995). Diagnosis the diagnosis is carried through through the story of the symptoms and examinations of laboratory, as of blood, excrements and piss. Other examinations can be requested, as: cat scan computerized of abdome; extreme-sonografia abdominal; nuclear resonance of biliary ways and the region of the pncreas; also the bipsia of the fabric. (INCA).

Treatment The cure of the cancer of pncreas alone is possible when this will be detected in initial phase. In the passveis cases of surgery, the indicated treatment more is the resseco, depending on the period of training of the tumor. Dr. Caldwell Esselstyn Jr. insists that this is the case. In patients whose examinations already had shown metstases at a distance or are in precarious clinical state, indicated the immediate palliative treatment more is the rank of endo-prtese. (INCA). ) Surgery: The majority of the cancers occurs in the head of the pncreas.

Patients that they need surgical resseco the pancreatoduodenectomia (resseco of the distal region of the stomach, the vesicle, of coldoco, head of the pncreas, superior duodeno, and jejuno) or the total pancreatectomia is submitted (removed of the body and the tail of the pncreas and bao and a regional linfadenectomia). The complications include hemorrhage, trombose, infection, and gastric retention. b) Chemotherapy: The pancreticas cancerous cells are relatively resistant to the chemotherapy; 5-FU and mitomicina-C are the agents who get separately bigger reply, but currently come being used combinations with better answers. These include estreptozotocinas, mitomicina-C and 5-FU; 5-FU, doxorrubicina and mitomicina-C. c) X-ray: The x-ray use is restricted for its proximity with structures that restrict the dose, as kidneys, intestine, liver and spinal marrow. It estresse it caused for the illness generally can be alliviated by the participation in a group of support, where the members share experiences and problems in common.

Intensive Therapy

The pneumonia associated with the ventilation mechanics is considered important cause of sepse in the patient who presents respiratory insufficience, being able to be sufficiently difficult distinguiz it of other pathological conditions in the patient in ventilation mechanics. Due to high mortality of the pneumonia associated with the ventilation mechanics its diagnosis and treatment must be precocious, what it reduces the severity of the illness and improves its prognostic. (David, 2000 apud RASP; PACE; MEDEIROS; VIRGNIO, the 2007) pneumonia associated with the ventilation mechanics are a frequent infection in the Units of Intensive Therapy, and the suspicion of this it occurs when a patient under respiratory procedure develops new or a gradual one influenced pulmonary associate to the fever and purulenta traqueobrnquica secretion causing increase the period of hospitalization, the indices of morbimortalidade and with significant repercussion in the costs. The team to multidiscipline operating in unit of necessary intensive therapy to be intent for the factors of risk of the pneumonia associated with the ventilation mechanics, being able in such a way, to carry through the therapeutical introduction of adequate that it makes possible resulted better physicians. As David (2001 apud RASP; PACE; MEDEIROS; VIRGNIO, 2007), the pneumonia associated with the ventilation mechanics is consequence of the lack of balance between mechanisms of defense of the individual and the microbiano agent, had to the size of it I inoculate or virulence of the microorganism. The nursing team must have constant concern how much to the factors that increase the settling of bacteria in patients in the ventilation use mechanics, in order to diminish the risks of infections to the user of this. The responsible multiprofessional team for a unit of intensive therapy must watch over for the integrity of its patients, knowing that these if find in an advanced degree of dependence and vulnerability, mainly when this patient if it finds connected to a ventilation system mechanics, becoming them still more susceptveis the respiratory infections as the pneumonia, that can still more aggravate the picture of health of this patient, what it makes it difficult its treatment and it draws out its recovery. .

Occupational Therapy

Landmarks historical of the Occupational Therapy. The Occupation that you give of the antiquity was used as measured of care and assistance the sick people, had in ' ' training of hbitos' ' in 1917 of Eleonor Clarke Slagle a first technique does not medicate, for first education and assistance in Occupational Therapy. Keep up on the field with thought-provoking pieces from Dean Ornish M.D. Classic civilizations as the Egyptians and Greeks used the occupation as treatment form. Hipcrates and Galeno (Parents of Medicine) recommended exercises in gymnasia as half of recovery of illnesses. 1789 French Revolution, that was one of two great historical landmarks for the Occupational Therapy. End of century XVIII and beginning of century XIX, the occupation wide started to be accepted as metal treatment sick, having as main name the Dr. Philipp Pinel (Current philosophical? Humanismo)? With the positivismo and the sprouting of the hospital medicine the decline of the use of the occupations starts as treatment form.

(current organicista)? Half of century XIX result of the Industrial Revolution initiated the surgical use of the quimioterpicos and processes, and in this the mental institutions start to be great experimental laboratories and abuses were committed in function of the inquiry. Beginning of century XX, comes the reemergencia of the ideas of the moral treatment ally the emergency of the new theory of the psicobiologia of Adolf Meyer. For Meyer the occupation was conceived as the factor of possibility of a dynamic and human balance since the man has ways to exist, to think and to act that they get excited constantly. 1906 Hermon Simon gave beginning to the active treatment, opposition to the treatment in the stream bed, it believed that the absolute rest abolished the mental activity. In 1908, everything starts with a course of 6 weeks in occupation and curativa recreation given by Grahan Taylor for hospital attendants.

Where Eleonor Clarke Slagle if exactly formed in this course in July of 1911. In December of 1914, in a meeting of hospital workers the architect George Edward Barton suggested the name of the profession ' ' THERAPY OCUPACIONAL' '. The therapy starts to be qualified part occupation, and not it occupation for the therapy. In 1915, Eleonor Clarke Slage organized the first professionalizing course for occupational therapy. In 1915 Willian Rush Dunton it makes the first complete manual of instructions of occupational therapy. 1917 ' ' training of hbitos' ' of Eleonor Clarke Slage and a first technique does not medicate, for first education and assistance in occupational therapy. Eleonor Clarke Slagle was one of the founders of the first regular school of occupational therapy.

Surgical Center

Today, the professional who defends the moral principle of the biotica is considered sick mental, moved away from the service and disabled to exert its function; while this another autodenomina category that if ' ' antitico' ' it works freely feeding medieval vices: ' ' false truth, injustice and corrupo' ' that it is without a doubt the main factor that premakes use the illnesses in the Brazilian population. As representative of the health in the country, I cannot remain without action front the following picture; of a side the universities forming professional to execute its activities with ethics, technique and scientific knowledge, of the other, companies who seem to ignore the laws of the professional exercise, while in the center the classroom advice (federal and state) remain inert and anmicos front to this problem that is next to a conflict, (ethical x? antiethics and tiantico). Reasonable solution for the problem: unit of the Group of Apoio Tcnico Mediador (GATEM) in the capitals and the act of contract of a professional technician with heading of Mediador Cientfico Preventivo (MCP) in all public company or private who gives public service in the country; GATEM & MCP are two of the four indispensable segments that the PROJECT forms PRESS. But as to bind a extra-hospital with the course of specialization in nursing in center surgical project, being that, the university demands a subject of interest of the sector so that is accepted as project and either possible to defend the idea. The surgical center is located inside of the hospital and receives patient from all the sectors intra-hospital; the intra-hospital function receives the patients from the extra-hospital function that encloses the population of the city and region; the city receives people from the country and the country receives people from the world. The lack of human resources is today one of the main problems of the nurse in surgical center.