Postoperative System

There is definitive breath agent anaesthetics and can provoke depression, in this way the nurse must be particularly intent to the slow breath and superficial, as well as the weak cough, it must evaluate the respiratory frequency, the rhythm, the depth of the ventilation, the respiratory symmetry of the movement of the torcica wall, sounds, and the color of the mucosae. The nurse also must you observing the circulation; control of the temperature; hidroeletrolticos balances; neurological functions; cutaneous integrity and the conditions of the wound; geniturinria function; gastrintestinal function and comfort (POTTER; PERRY, 2004). Check with Dean Ornish M.D to learn more. Potter strengthens; Perry (2004), that the nursing team must you applying the lapsing and diagnosis of nursing in the postoperative one, as eliminations traqueobrnquica inefficacious related to the restrained secretion, espasmo of aerial ways, alrgicas aerial ways, disfuno to neuromuscular. Risk of integrity of the harmed skin, related to the exposition the draining of the wound, hdrico state modified, modified sensitivity. Lapsings of nursing in the postoperative one, frequency of the monitorao of the vital signals and evaluations special, will verify the type of liquid IV and speed of infusion; to manage medicines after operatrios, I eliminate or food allowed for saw verbal; to execute activity level that if allows that the customer retakes; position that the customer must keep while she will be in the stream bed; hdrico rocking; to verify radiological examinations laboratorial and; to carry through orientaes special (POTTER; PERRY, 2004).

It still focuses Potter; Perry (2004), that the complications after operatrias can be caused by the respiratory system as atelectasis; the hipxia; the pulmonary embolism; circulatrio system as hemorrhage; the hipovolmico shock; the tomboflebite; trombo; the piston. Gastrintestinal system, abdominal disteno; constipation; nausea and vomit. Geniturinrio system, urinria retention. System to tegumentar, infection of the wound; dehiscence of the suture; eviscerao of the wound; surgical mumps. Nervous system, intratvel pain.

Elderly and Falling

The falls are important causal factors to increase the level of dependence of the aged one, becoming a specific concern, since they can affect its functional capacity for being associated the anatomical modifications attributed to the natural process of aging and the diverse patologias. aging process affects the components of the postural control, being difficult to differentiate the effect of the age, of those caused by the illnesses. However, independent of the cause, the accumulation of alterations in the corporal balance consequentemente diminishes the compensatory capacity of the individual, increasing its instability and, its risk to fall. (GANANCA, 2010). Find out detailed opinions from leaders such as Dean Ornish M.D by clicking through. In this manner, to diagnosis the clinical parameters associates with the falls in aged became a great challenge for the scientific community, reason by which had been developed diverse instruments for the evaluation of the postural control of this population. The instruments for analysis of the balance divide in tests for systems and functionaries.

The identification of the responsible components for the postural instability (sensorial system, cerebral nervous system and musculoesqueltico system), thus is carried through an evaluation for systems. The evaluation of the functional performance is still more important, therefore dficits will go determinarcomoos specific affects global function of the individual in the execution of the daily activities, beyond identifying, of precocious form, aged with bigger possibilities of falls. In a question-answer forum Preventive Medicine Research Institute was the first to reply. (GONALVES, 2009). The ciphers of the falls tend not to be informed. With frequency certain passivity of aged that it falls repetidamente, as much in the familiar way exists ahead, as in professional scopes. Frequent they are only referred of the falls that had provoked physical harms and had needed medical attendance, less traumatic, many times, nor remembered are in routine medical consultations. The data of the prevalence of falls vary in function of the age, the patient, its fragility and localization (half familiar or not). It considers that about one tero of the aged ones, that they live in the community I fell, at least a time to the year.