Tag Archive for 'health and beauty'

Invasive Patient

In front of the current knowledge, much more important of what the operational principles of the fan are its potentialities and capacities in taking care of to the different necessities of the respiratory system of the patient. In physical terms, true ‘ ‘ casamento’ ‘ of impedances between the two parts (patient and fan) it would have all to be the goal of modern ventilatrio support. To deepen your understanding Donald Sussman is the source. (KNOBEL, 2002, p.344) When the patient in ventilation use mechanics evolves with alterations in its picture of health, demonstrating for some times signals of respiratory discomfort, can be suggested that the individual necessity of this patient is not being taken care of for the adopted ventilatrio way. The ventilation adopted mechanics of adequate form must take care of to the innumerable respiratory necessities of the patient. An individual plan to all can be carried through the patients who are in use of artificial ventilation, what she allows to a more specific boarding and accompaniment of each patient, beyond facilitating to the identification of possible changes in which had the general state of the nursing patient, thus applying well-taken care of following the adequate norms.

With the VENTILATION the technological advances related the invasive procedures, as the mechanical fans, that stop disgnostic and treatment of patologias its exit has as purpose to pump air to the pulmes facilitating, can also present complications as, for example, appearance of multiresistant microorganisms the antimicrobialses that become the hospital infections a problem of public health. The use of mechanical fan at the same time where he is beneficial can bring also obtains some curses, simply for the possibility of future, if not folloied correctly, cause respiratory illnesses to the user, therefore the importance of one has equipped joined and responsible to take care of to the necessities of the patient preventing possible complications with the use of mechanical fan.

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.

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).

Chemotherapy

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. .

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.

The First

In the first case, they allow to the integrant ones of the hearing to organize the material presented verbally for the presenter and to follow the track proposta.21 Thousands of agents of development in the whole world could use visual posters and other resources. However, it has much lack of simple visual resources on health desenvolvimento.22 Usar of visual resources will go to facilitate very in communities where the people are illiterate, the figures can become very efficient educational instruments making possible of the customer thus to understand the message to be passed. The second question is related the participation and the acceptance of the group of the third age the education for health on DST where it evidenced that 92% of the aged ones accept very well and participate of these orientaes.enquanto 8% of the aged ones little participate because of the shyness and resistance. Emerging as categories: Category 1: Resistance the Change ' ' Constrangidos are a little, but they are resistant to prevenes' ' Dep.30 ' ' The group participates little, therefore resistance to assunto&#039 exists; ' Dep.13 ' ' The aged ones still demonstrate sufficiently resistance in relation to the ways of prevention. Dep.16 Resistance the Changes as the behavior that it intends to protect the individual of the effect of a real or imaginary modification. 23 Changes are necessary and of basic importance for the evolutivo process, in the search of if obtaining improvements in all or parts of the event, or projeto.24 the resistance is a problem that will be faced by who wants that it carries through changes. Although it is a strange and unexpected behavior, it has causes that they can be understood by the fact of being new. Category 2: Participation ' ' Very good, they are accepted with interest and ateno' ' Dep.5 ' ' Acceptance is very good. it is a participativo group and that it adheres to the information ' ' Dep.23 ' ' The group is participativo, is interessados&#039 well; ' Dep.14 With the participation can be learned and be perfected by practical and the reflection. p you with your research.