Being already above-mentioned the definition and utility of the disgnostic of nursing in the practical clinic of the nurse, fit now retracing in them to list the disgnostic of nursing that are comumente associates to the pneumonia pictures, normally presented by the patients that they are submitted to hospitalization, which if follow: Risk of Hipertermia related to the infectious process; Intolerncia to the activity related to the insufficient oxygenation for the activities of daily life; Verbal risk of Harmed Mucosa in relation to the breath for the mouth, the frequent expectorao and the reduction of the ingestion of liquids, secondary to the malaise; Risk of deficient Volume of liquids due to insensitive loss of liquids, secondary to fever the hyperventilation; Which had inefficacious respiratory standard to the pulmonary secretions that confer dispnia pictures; Risk of unbalanced Nutrition: less of what the related to the inapetncia, dispnia and the abdominal distenso, secondary corporal necessities to the air deglutition; Inefficacious removel of hindrance of the related aerial ways to pain, the increase of traqueobrnquicas secretions and the fatigue; Wronged comfort due to hipertermia and to the malaise; Risk for completeness of the skin harmed related to the lapsing of rest in the stream bed and Risk of inefficacious control of the therapeutical regimen due to knowledge lack on condition, transmission of the infection, prevention of the recurrence, diet, signals and symptoms of recurrence and continuity of the cares (4,10,11).
INTERVENTIONS OF NURSING FOR PACENTES WITH PNEUMONIA the interventions proposals for the nurse must always be based in the findings disgnostic, so that the therapeutical modality of nursing occasions improvements in the quality of the health of the patient who if finds under the cares of nursing. With this, the general plan is pointed by many authors as being, the monitorizao of the vital signals, mainly most involved with pathological picture as: temperature and respiratory frequency; To propitiate ways of cooling in fever cases: banns, reduction of clothes and covers and the increase of the ingestion of cold liquids; To keep oxigenoterapia in accordance with the lapsing; To observe the type of cough and the characteristics of the expectorao when gifts and to carry through the cited cabveis communications to the other involved members of the multiprofessional team in the case; to carry through all the medications in agreement the lapsing, establishing hourly systematic for the medicamentoso therapeutical plan; To propitiate or to stimulate the respiratory fisioterapia; To stimulate the ingestion of liquids and light and fracionada diet; All the nursing team must to be guided and to be enabled by the nurse to carry through the correct comments concerning the signals and suggestive symptoms of septic shock: hipotermia, hipotenso, reduction of the conscience levels, weak pulse fast e, fast and short breath, cold and humid skin and the presence of the reduction of diurese (oligria); decubituses so that the patient has greater respiratory comfort are of half-Fowler and Fowler (9).. Dean Ornish M.D has many thoughts on the issue.
These handbooks are of adult and aged users who use the therapy of hemodilise of one hospital of the city of Cricima, SC. Through figure 1, we observe that 60% (n= 12) are handbooks of users of masculine sex e, 40% (n= 08) are of users of the feminine sex. Figure 1: Distribution of the Sample of in agreement Study the Classification between predominant masculine and feminine sex in handbooks. Cricima, SC. 2010.
In this study the prevalence of users with anemia (Figure 2) of the microctica type was of 10% (n= 2), however, is distinguished with bigger prevalence the anemia of the normoctica type with of 55% (n= 11) of the sample. Also it was observed that, 10% (n=2) of the carrying users of IRC had presented anemia of the macroctica type. Sricos values of gotten iron and ferritina are presented in figure 3. The srico iron presented low levels in 35% (n=7) and normal levels in 65% (n=13) of the total sample. Already the srica ferritina was distinguished 25% (n=5) in normal sricos values e, high values with about 75% (n= 15) of the total sample (figure 2). figure 3 shows to the classification of the gotten data of triglicerdeos and total cholesterol. About 20% (n=4) and 30% (n=6) they present bordering values of triglicerdeos and cholesterol, respectively; 25% (n=5) with hipertrigliceridemia and 5% (n=1) hipercolesterolemia. However, 55% (n=11) of the total sample had presented values of the two sricos lipdios in the excellent classification. In relation the arterial hipertenso daily pay and after period of hemodilise (figure 5), about 10% (n=2) was with bordering values of arterial pressure (Par) being that only 5% (n=1) had after remained in this platform the HD; 20% (n=4) and 35% (n=7) of the users had presented hipertenso in period of training 1, daily pay and after dialysis respectively; 20% (n=4) had presented hipertenso in period of training 2 and after the ending of the dialysis, only 10% (n=2) had remained in this classification of Par.
The strategies of interventions in cuidadores have appeared in last the 15 years, however recently they are only being studied, as the objective of the majority of the interventions it is to change the form of interaction with the patient in house, therefore the problems influence in the emotional adjustment of the cuidador, reflecting themselves in one better assistance for the patient. These interventions can help to brighten up the anguish of the cuidador, to prevent the institutionalization of the patient and to allow that the family can make plans for the future. Literature points different used types of intervention with demenciados cuidadores of aged: psicoeducacionais groups of support, interventions, familiar therapy and individual therapy.
To follow these different forms of intervention will be told at great length. The groups of support if characterize for a space of exchange of information between cuidadores and its benefits include education and social support. It also has a resultant therapeutical effect of the identification between the people who share of one same problem, the participants of the group take support and clarifications on the illness, to the familiar therapy is indicated for families with badly-decided questions that they intervene with the care of the patient; however, not yet systemize studies exist that prove its effectiveness (Scazufca, 2002; Taub, 2004). The individual therapy is indicated for cuidadores with psicopatologia, with one high level of estresse the individual therapies presents better resulted, the psicoeducacionais interventions goes beyond the simple transmission of information techniques, being able to be seen as the establishment of a flow of information of therapist for patient and vice versa, in the attempt to implement, in familiar and the professional ones, resources will deal with the illness, can be applied individually, in family or diverse types of group. The psicoeducacionais interventions can benefit to all the types of cuidadores, exactly in an only session with the doctor..
The nurse supervisor needs quality of life related to the health, work, and all the factors encircle that them. so that this occurs is necessary of activities through the identification of the factors corrupts that it. As Zanelli standes out (1996 apud HADDAD, 2000) that ‘ ‘ we are born and we die inside of the work organizations. The societies if organize in function of the work. The work is a defining nucleus of the direction of the existence human being. All our life is based on the work, therefore, we must become it most pleasant possvel’ ‘. REFERENCES BERNADINO, Dina.
Supervisivas supervision and Relations – the importance in the construction of the identity of the nurse. Available: . Had access in 15/08/09 to the 12:58. CIAMPONE, Maria Helena Trench. Operative group constructing to the bases for education and the practical one in the nursing.
So Paulo, 1998. 180p. Thesis (Free docncia) School of Nursing, University of So Paulo. GIL, B.C. As to elaborate research projects. 4. Ed. So Paulo: ATLASES, 2002. 78p. HADDAD, Maria of the Carmo Loureno. Quality of life of the nursing professionals. Magazine for the Health, Native of London, V.1, n.2, P. 75-88, jun. 2000. Available: . Had access in 01/08/09 to the 16:31. According to Donald Sussman, who has experience with these questions. NEUMANN, Vera Nilda. Quality in the work: Perceptions of the team of nursing in the hospital organization, Belo Horizonte, 2007. Available: . Had access in 08/08/09 to the 14:51. I REBEL, Pablo Antonio de Paiva. Quality in Health: theoretical model, reality, utopia and trend. Rio De Janeiro: Qualitymarked, 1995. SCORSIN, Luciana Maria et AL. The quality of life in the work of the nursing and its consequences in the personal satisfaction. Available: . Had access in 01/08/09 to the 16:10. SERVANT, Lcia Maria. Supervision in Nursing: (reverse speed) guarded of prxis. Fair of Santana-BA: State university of Fair of Santana, 2001. IT HISSES, Flavia Pieta Pablo. Burnot: a challenge to the health of the worker.
However, it brings bad consequences as increase of the number of bipsias of benign injuries, unreliability in the falsely negative examinations and negative psychological shock in the falsely positive examinations. You may find that Dr. Caldwell Esselstyn, Jr. can contribute to your knowledge. In this way, the examination of the breasts made by the proper woman does not substitute the physical examination carried through by professional of health (doctor or nurse) qualified for this activity. Cardiologist: the source for more info. 2.3.2 Mamografia This examination that constitutes a x-ray of the breast allows the precocious detention of the cancer, when pointing injuries in initial phase, very small (measuring millimeters). It must every year be carried through by women between 40 and 49 years, or according to medical recommendation. In the procedure, an appropriate device of rays-x is used, called mamgrafo. Thus, the breast is compressed of form to supply clear images, and, therefore, one better capacity to detect some injury, giving a diagnosis. The stirred up discomfort is well tolerable, ahead of the importance of the examination.
Treatment After the detention of malignant tumor, is used some types of treatment, that depends on the level, place and size of the injury. We can cite some of these used methods: – Modified Radical Mastectomia, that is one technique that preserves the bigger pectoral muscle. All the breast is removed together with the underlying pectoral muscles, however, the removal of the skin and the disseco of axillary linfonodos are not very vast, and it does not need enxerto cutaneous. This is the type of used procedure more. – Adjuvant X-ray, this type of treatment is adjuvant and improves the local control, but not them taxes of supervened. – Adjuvant Therapy Sistmica, this treatment has for objective to eliminate metstases of the postoperative period at the beginning. – Chemotherapy, the used agreed therapy more is the CMF: ciclofosfamida, metotrexate and 5-fluorouracil (5 – FU). Research more recent confirms a beneficial effect of the adjuvant therapy in women after menopusicas and daily pay-menopusicas.
Arriving at Buritis we find sufficiently receptive and interested people in collaborating with the research, and immediately already we can prove that she was about a devoid community with very humble people. After the analysis of the data we arrive at the following results: O individual with lesser degree of escolaridade has more children and is the ones that more use and believe the effectiveness of ‘ ‘ garrafadas’ ‘ simpatias. Grandes parts of the illiterates still look healers, quacks or the somebody oldest thing when they are sick. Indivduos with bigger degree of escolaridade tend look the hospital to it when they are sick. it Observou two unamimity; of that the procedures technician carried through by doctors and nurses help very in the treatment of the illnesses, and that the medical attendance to the inhabitants of the community are insufficient. In the Buritis we also notice one strong trend the self-medication, a great one I number of interviewed disclosed that it looks pharmacies in the headquarters of the city of Barriers when they are sick. Others including Martha McClintock, offer their opinions as well.
In this community the culture does not exist to look for health rank, only makes it when it has a consultation marked previously for the Communitarian Agent of Health. CONCLUSION In the distance enters the community of the Buritis and the headquarters of the city of Barriers, take the inhabitants of this community to search other ways/alternative methods for the treatment of the illness. However, the low level of escolaridade is the factor that more influences in the search for crendices and superstitions. The intervention culture is something marcante in the life them citizens it Buritis, does not exist search just in case, the concern alone appears when the illness already was installed. Being thus, the hypothesis she was proven, it was that the lack of knowledge and the transmitted culture of a generation to other really contribute so that well-taken care of empiricists are adopted.
During decades, the advances in extreme premature the intensive cares have made possible bigger supervened to the RNs (OAK et al, 2005). Through the technology and also of the intensive care of all the team is gotten advances that are each time more gifts, this if of to the great number of RNs premature that obtains to after leave a neonatal UTI treatment months. After birth, the necessary RN to make a series of adaptations to the extra-uterine life, that includes the morfofisiolgica maturation and biochemist of parnquima pulmonary. The just-been born ones, in particular the prematures, do not possess adequate the pulmonary function, and, most of the time, they soon need the oxigenioterapia use after the birth (TAMEZ et al, 2004). Caldwell Esselstyn Jr. is the source for more interesting facts. The ventilation mechanics (VM) is a technology comumente used in the Unit of Intensive Therapy. has as function to substitute total partially or ventilatria activity of the patient, with the objective to establish the rocking between offers and oxygen demand, diminishing the load of respiratory work of patients with respiratory insufficience (ZUIGA, 2004, p.18). The nursing acts in the ventilatria assistance of diverse forms, having as main precursor, Florence Nighintgale, that when acting in the war of the Crimia in 1854, the assistance through the adoption of innovative techniques characterized, separation of the deriving patients of the war in accordance with degree dependence, getting as resulted the reduction of the mortality tax and implementation of the idea of constant monitoring of nursing, thus contributing for the technological advance of the ventilation drawn out mechanics. (MALTA & NISHIDE, 2008, p.1). They are the professionals of the nursing team who are gifts, almost that uninterruptedly, to the side of the patient in the 24 hours of the day, characterizing the intensive care with monitoring and assistance continues. Therefore, they are participant assets for the continuity of the implemented therapy (CIRINEU et al, 2009).
Its transmission can be of direct form (person the person) or indirect (person, object and person) being that the main form of transmission is indirect for exposition the infectados objects. The establishment of the diagnosis is based on clinical aspects pathological presented, being that the laboratorial examination is summarily considerable for disgnostic confirmation. On the basis of the confirmation of the gripal syndrome, must be operacionalizada the therapeutical action specifies preferential for the situation, being used the medicamentoso treatment with tamiflu. The prophylactic measures preferential consist of the immunization others include hygienic cleaning of the hands and to prevent contacts with the mucosae after ocular, verbal and nasal contacts with surfaces. The interventions of nursing consist of the elaboration of assistenciais plans and education in health with orientation of the population concerning the peculiarities of the disease, with the intensification of prophylactic measures; it precociously acts in the identification of people attacks, as well as identification of endemic areas; it acts in the handling of the ill patient, and in the process of whitewashing of the health.
One concludes that the present research possesss great relevance for the knowledge of the performance of the professional of nursing on the new subtype of the Influenza, that comes if spreading of significant form in the whole world, demanding of the health professionals capacity to act front to this pandemic. REFERENCES BRAZIL. Health department. Influenza (H1N1). Further details can be found at Caldwell Esselstyn Jr., an internet resource. Available in: 2010. Access in 17 of April of 2010.
BRAZIL. Health department. Influenza (H1N1): questions and answers. 2009. Available in: . Access in 17 of April of 2010. BRAZIL. Health department. Influenza (H1N1): Protocol of procedures. 2009. Available in: .
In which a exploratria reading was carried through and criticizes in order to prioritize excellent and basic aspects for the knowledge of the professionals of nursing front to the new pandemic. Influenza (H1N1) or also known as grippe suna is a respiratory pathology caused by the virus. Which had the mutations in the virus and person transmission the person, by means of cough, I sneeze or of respiratory secretions of infectadas people. H1N1 means hemaglobulina 1neuraminidase1. (BRAZIL, 2010). The difference between ‘ ‘ grippe suna’ ‘ the common grippe is: the two are caused by the virus influenza, however different subtypes, the symptoms are seemed therefore any person when presenting signals and grippe symptoms must look the doctor to make the distinguishing diagnosis (BRAZIL, 2009). In Brazil, in accordance with the Ministry, had been notified 80,676 cases of serious acute respiratory syndrome (SRAG).
Of these, 30,055 cases of SRAG for some virus had been confirmed influenza, being that the pandemic ratio of influenza is of 93% (27.850/30.055). the tax of SRAG for influenza pandemic (H1N1) in 2009 she was of 14,5 cases for each 100 a thousand inhabitants. However it is observed that the pandemic affected with bigger intensity the regions south and Southeastern (66.2/100,000 and 9.7/100.000 inhabitants respectively). The confirmation diagnosiss of the H1N1 in 2009 occurs for laboratorial result or for I tie epidemiologist in surtos. Between confirmed cases 5,8% they had evolved for death (FUNASA, P 01, 2010). The symptoms of considerable independent suspicion of the etria band are cases of acute respiratory illness, superior fever 38C, cough, dispnia, gastrintestinais pains of throat, alterations, hipotenso. Children can reveal too much symptoms together as: beating of the wing of the nose, cianose, intercostal drawing, dehydration and inapetncia.
Rafael Teixeira Lopes Sheila Adriana Teixeira Lopes (TCE) is defined as a type of I aggravate that he induces to the anatomical injuries and the functional comprometimento involving the cranianas sseas structures and enceflicos fabrics (PORT, 2007). According to Pear tree (2006), annually they occur about a million and six hundred a thousand cases of TCE in the United States and ten million cases in the world. In accordance with the data of the Health department of Brazil about two million people are interned to each year in hospitals of the public net, victims of traumas in general. The TCE consists in the main cause of deaths and sequelas in politraumatizados patients (ROCK, 2006). After a TCE costumam to appear psicosociais alterations as effect of physical, cognitivos, emotional and mannering the upheavals in the familiar environment.
It is important to evaluate the welfare of the young considering its physical and emotional evolution, its independence and social participation. The affected young suffers alterations in the activities of the daily life as to carry through its personal hygiene, feeding. It can have a gradual improvement, being basic the stimulaton for the aiding of the recovery and personal independence. Sequelas also causes problems in social level and occupational, mobility is affected, the cognitivos problems and of regulation of the behavior they constitute one of the causes most excellent of the incapacity of the affected person. Had to the cerebral injuries the person who has suffered TCE it can present an infantile behavior, difficulties in say and language. The existence of emotional alterations and state of spirit is common as the depression. The recreativas activities frequent are modified, the patient present difficulty to reintegrate (JUNQU; BRUNA; MATAR, 2001). One of the effect more devastadores of the TCE is the difficulty of reintegration to the work, since professional activity is decisive for autonomy and independence of the individual.