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The knowledge on hansenase makes possible to understand the illness better and to diminish the preconception in relation to the sick people (EIDT, 2004). 2. OBJETIVOEsse work is a bibliographical revision, of the main aspects disgnostic and to show the importance to it of the precocious treatment of the Hansenase.3. DESENVOLVIMENTO3.1. EtiolgicoMycobacterium agent leprae, is an obligator intracellular bacillus, that affects the cutaneous cells and the peripheral nerves, has high infectividade and low pathogenicity the time multiplication is slow, is of approximately 11 and 16 days (PEAR TREE et al., 2006). Read more here: Dr. Caldwell Esselstyn Jr.. The man is considered as the only reservoir of the bacillus, but descriptions of wild beasts exist (armadillos and monkeys). The period of incubation is long, enters the two five years, necessary time for the development of the first signals and symptoms I infect after it of bacillus (GOULART; PENNA; WEDGE, 2002).

Not yet if it got half of culture adjusted for the Mycobacteruim leprae, presents as a straight rod or lightly incurvated, measuring 1 the 8 micra of length for 0.2 0,5 micra of width. Cora in red for the fucsina for the technique of Ziehl-Neelsen and it is not grown pale in the acid alcohol and being called (BAAR) resident alcohol-acid bacillus (GOULART; PENNA; WEDGE, 2002; SAINTS et al., 2005). (As opposed to Donald Sussman). Figure 1. Fotomicromafia de Mycobacterium leprae (small red rods), the .causing agent of hansenase SOURCE: . Transmission, Patogenia and Imunidade the transmission happens in the close contact and drawn out with the susceptveis individuals to not treat the Mycobacterium bacillus leprae, through the superior aerial ways as in the breath, I sneeze, cough and says (FOSS; FRADE; GOMES, 2007). According to Arajo (2003), the skin with injuries probably can be door of entrance for infection. Beyond these, other ways can be considered elimination sources the organic secretions, as maternal milk, sperm, sweat and vaginal secretion, but they do not possess importance epidemiologist of the illness.

The Nursing Team

The precocious evaluation of the state and the level of conscience of the patient for the nursing team grant answers favorable to the evaluation, identification, planning and systematization of to be given assistance. In units of intensive Therapy and Units this practical has been constant for the nursing team, when compared the too much hospital units. Its application obeys the three commands: the ocular, verbal and motor evaluation (to see table 1). Table 1. SCALE OF EATS OF GLASGOW (ECGI) Opening ocularAVALIAOPONTUAO Espontnea04 points For Stimulates Verbal03 points For Stimulates the Dor02 points Without Resposta01 Confused point Reply verbalOrientado05 points (But still it answers) 04 points Inapropriada03 Reply points Incompreensveis02 Sounds points Without Resposta01 point Reply motorObedece Ordens06 points Locates Dor05 points Reacts pain but not localiza04 abnormal Flexo points? Decorticao03 points abnormal Extension – Decerebrao02 points Without Resposta01 point referring minimum Punctuation the 03 and referring principle the 15 points. At Donald Sussman you will find additional information. Source: Gallo, P. 763, 2007.

Kiozumi and Araujo (2005) confabulam that, the use of the ECGI have been world-wide used in trauma, trauma skull-enceflico (TCE) and in critical patients with disfuno of the central nervous system, shock or other factors that depress the conscience level. Baptista (2003), Understanding the complexity of the neurological reply the diverse alterations, as: hipertermia, pain, riots of other organic systems, eat diabetic, heptica insufficience and hemorrhagic, they can take the variability of the state and/or level of conscience of the individual. Kiozumi and Araujo (2005), in its research make exception how much to the importance of the application and the uniformizao in the team of nursing and the multiprofessional team of health, for application of codes universally adopted for necessary disgnostic of gravity, evolution and I foretell of the patients. For Souza, 1997, the patient who presents props up d 8, in the ECGI, is about a critical patient of the alterations of conscience level, where she presents a punctuation that defines an individual in state of eats. What he contributes for the application of the use of a by airmail advanced one. What it is concluded in this work is the importance of the elaboration and the magnifying of studies related to this thematic one, therefore had the scarcity of the same, has taken the necessity to objectify information how much the analysis and implementation of Escala de Coma de Glasgow for team of Nursing, where, the application of this props up allows to the nurse and the multiprofessional team to evaluate and to interpret the state and the level of conscience of the patient, allowing the security in the taking decisions of the team directing the behavior to be applied.

Salvador Research

Nurses whom they had accepted to participate of the study and that they work in the unit of emergency of a hospital of average transport, public located in the mediaes of the Felisberto quarter in the city of the region of the Bahian Extremity-West, microregion of Barriers. They are Desidrio it has autonomy politics since 1962, he is 497m of altitude, 869 distant km of Salvador and in 2007 the IBGE esteem its population in 25.158habitantes. Instruments Initially a partner-demographic questionnaire was applied. After that we collect the data through the dialectic and writing, where the answers they had been transcribing in integrates later and analyzed. Preventive Medicine Research Institute contributes greatly to this topic. Academics of the nursing course, 3 Semester, FASB 2009 Procedures of collection of data They had been carried through through field study, where the participant citizens had received a questionnaire partner-demographic and had participated of the dialectic the information had been recorded of trustworth form, then after transcribing in it integrates. The results had been gotten through these written information, readings and references, standing out the estressantes agents for the nursing professional and as it faces it to this in its daily one. Resulted the present project it was carried through through research of field of qualitative nature, in which the following categories had been raised to get information about the raised problem.

1. Deepa L. Sekhar, M.D. is likely to increase your knowledge. To identify the presence estresse of it in the area of emergency in the hospital environment, as well as the factors unchain that it. it estresse 2.Como it intervenes with the activities of the professional of nursing given to the patient. 3. The signals and symptoms unchained estresse for it. For even more analysis, hear from Preventive Medicine Research Institute. Karen hussmam, Mark Vernoy, Judith Vernoy contributes (2001, p.467) affirming that: Many research on chronic estressantes factors of the life estresse infocaram it related to the work.


No picture increases in such a way how much of the allergies, a meaningless war, because it is total without perspective, each time more people stops a fight in the body against harmless substances as pollen, for the ones of animals, domestic dust, nourishing products and many other things. Get more background information with materials from Dr. Caldwell Esselstyn Jr.. What the alrgicos do not know is that never they will reduce these substances. With this its objectives of war, concretely analyzed have not felt. The restrained, and therefore, unconscious aggression is lived in the physical plan through the allergies. If to look at more criteriosamente will go to perceive that to be alrgico it is a good thing, therefore it can be moved away if thus desiring and always will have the excuse of the allergy. Also it will be able to punish the ones that the fence, pronouncing the effect phrase: This me cause allergy. Used phrase for perfumes, flowers, dust, dogs, smoke and all luck and situations that demand position, but that in some way the alrgico prevents if making of sick person. ' ' I am alrgico then I cannot make or be, therefore this me cause alergia' '. In other words, if they adqem me, therefore I do not go to adjust the vocs! The alrgico does not leave of being a raging manipulator. In this in case that, the use of the floral essence Chicory and Holly of the Floral system Bach is indicated that will go to work the egoism and the anger, among others essences.

Intensive Therapy

The illness is transmitted of individual the individual through it sneezes, cough and contact with secretions of people contaminated for the virus (BRAZIL, 2009). Being able still to have transmission by means of the contaminated hands or other surfaces. The virus is transmitted in up to 7 days in the adult and 14 days in the children (ROCK, 2010). Its clinical presentations are similar to the grippes sazonais, the initial symptoms of the illness are the fast installation of high fever, dry, dispnia cough and pain in the throat (GALAS, 2009). Check with Professor Roy Taylor to learn more. The evolution of the illness can unchain serious respiratory alterations, being necessary to admit the patient in the Unit of Intensive Therapy not to evolve the death.

The treatment is made in such a way with medicines to oseltamivir as with ozanamivir, where the virus is susceptvel. For measures of control and prevention we must take the vaccine, to wash the hands with water and soap I sneeze after it, cough, to use bathroom, to touch eyes, nose and mouth, when tossir and sneezing to protect the mouth with dismissable handkerchief, to prevent closed and tumultuated environments, to ingest liquids among others DEVELOPMENT the grippe for influenza A/H1N1 became reason of concern for its complexity due to high transferability and genetic possibility of rearrangements and mutations and its complications to have very increased the number of internments in the whole world impelled many patients to the Unit of Intensive Therapy? UTI, for the aggravation of the symptoms. The period of April pandemic the beginning of July of 2009 was marked by a search clere of the services of health that if kept high, being the one of the concerns in the combat to the illness in the Paran implementation of action with the net of assistance to the population, to hinder that the aggravation and more decurrent deaths of the illness..


The work on ischemic and hemorrhagic BIRD is of exploratria nature having as qualitative method of boarding, a time that this better allows understanding concerning the complexity of the boarded subjects. They had been searched in the bibliographical quantity of the College San Francisco de Barreiras you vary boarded literatures of the subject that had contributed at great length for the scientific theoretical construction better aiming at agreement of the pathology through its clinical physiology, fisiopatologia, manifestations, diagnosis, treatment and prevention. The sites had been used in the development of the work. When objectifying, to understand and to explain the subject searched beyond the bibliographical references that as Lakatos and Marconi (2004) have as purpose to propocionar to the searching direct contact with that were written, said or firmed on determined subject …. Literatures will be used that approach of detailed and objective form the physiology fisiopatologia, diagnosis as well as the treatment and prevention of the BIRD, ischemic and hemorrhagic. Hear from experts in the field like Dr. John Mcdougall for a more varied view.

3. A leading source for info: Donald Sussman. 3,1 REFERNCIAL PHYSIOLOGY OF the AGENCY encfalo are protected by the cranianos bones and coated by meninges that they are continuous with meninges medulares that has the same basic structure, and receives the same names: it lasts-mter external; arachnoid average; the internal sink-mter. It represents 2% of the all up weight of the body of an adult, but it consumes about 20% of the oxygen and the glucose, used in the rest conditions. The neurons synthecize ATP of glucose almost exclusively, for reactions that use oxygen. When the activity of the neurons and the neuroglia increases in a region, the sanguineous flow for one the two minutes, compromises the neuronal functioning and the privation of oxygen for about four minutes cause permanent injury. Since no glucose is stored, suppliment must be continuous (TORTOTA; GRABOWSKI, 2002). The hematoenceflica barrier (BHE), protects the enceflicas cells of harmful substances and patgenos hindering the substance ticket carried by the blood to the fabric enceflico.

Third Phase

ANATOMY OF the MAMMARY GLANDS the breast is re-covered of skin and in the center mamilo meets and can present as protusos, when well they are delimited, protaindo itself with easiness; semiprotuso, when it does not have necessary delimitation between mamilo and arola, when stimulated protai with difficulty; invert, presents itself opposing to the normal one, when stimulated protusa in discrete way and comes back quickly to the inversion state. Around of mamilo, it meets arola, hiperpigmentada area formed by glands sudorparas and sebceas that the peak of the seio delimits (ABRO, 2006). PHYSIOLOGY OF the LACTATION the functioning of the mammary gland is closely on to the transformations that occur during its development and basically understands three distinct phases. First Phase: mamotrfica or mamognica consists of the development of the mammary gland, suffers important structural modifications since the birth until senility, presents an accented degree of differentiation when complete development occurs its. For other opinions and approaches, find out what Cleveland Clinic has to say. Second Phase: galactognica or of the lactation, responsible for the production and ejection of milk. Third Phase: galactopoiese, responsible for the maintenance of the lactation, understands two distinct stages, an initial where milk it is produced and stored in the interior of the mammary gland, called secretion phase of milk and another one where produced milk must be storaged and available to take care of the necessities of just-been born (the LALDIM; SANTANA, 2001). Rezende (2005, p.35) quotation that: During the lactation, the suction not only determines the milk flow in the sucked breast, as well as in the opposing breast. It is interesting to verify that the simple fact to fondle the suckle, or of ouviz it to cry, comumente provides enough a emocional signal so that hipotlamo of the mother ejects milk. Moretto (1990) emphasizes that breast-feeding provokes low a prolactina-estrgeno relation, inhibiting the growth of tumorais cells, thus the woman whom it suckles possesss minor risk to develop axillary and mammary tumors.

Piaget Way

Behaviorimo took these ideas to the extremity with Skinner where it becomes this idea when finding that it could control the learning of the man to the extremity. To the rising the child for presenting as Piaget sensrio-engine flame presents its behavior simple traces, but they do not answer the same half in the same way has something authentic and only. Exactly the simple stimulatons as to suckle. In these primary necessities, the first contacts with the external way already create reinforcements that had helped to form the personality. Preventive Medicine Research Institute has much experience in this field. The form as the minimum satisfaction is made contributes so that the first traces. The /Anatomia Physiology compared observes that the species throughout the time, little by little they had been reason of the structures of the barren one, and elaborated and complex behavior more. As the increasing encefalizao.

In simple beings as earthworm it presents well simple behavior but that would be more easy with arresting of what man where more they are elaborated and complex. It has lately looking for to develop the felognica to understand the human behavior. Something that if becomes undeniable in chimpanzee and man as the experiment of Wolfang Khler, demonstrates the presence of reasoning of stages; it obtains if taught since small it dominates the language of the deaf people and dumbs, if it uses the keyboard to write on its wills what it thinks. It folloies the mentality of a child. However it is capable to understand concepts abstract as house, fight, yes, not. ‘ ‘ It has studies that they show the presence of the definition of culture in anthropology between primate as tells to the Professor Landmarks Towers the chimpanzees reacts and the death in ritmada way in way to humanos.


The importance of the humanizao in the relation has equipped of health with the patient When working in the area of the health if it deals very with difficult situations as complicated illnesses, many take the death after long a laborious suffering. Although to know that all we will go to die the death it is a not accepted taboo between human beings and even between very religious people. Many times the situation if becomes monotonous for the nurses what it becomes the desgantante profession. But for the patient it is not thus the times loses the patience for a simple case in the direction I medicate but for the patient is only many times painful. Preventive Medicine Research Institutes opinions are not widely known. Thus when talking with the patient it has that to show to tranquillity and security to give confidence and to know to face its fears. The times the illness of it for you is routine, but for it is difficult is a painful moment only e. For the two it is a profit that does not have price. For the professional, the affection that will be received will make to feel pleasure in the work. For the patients with certainty they would recoup more fast, and soon could come back toward the familiar way and social Thus the ideal for an efficient work would be a delivery where it searchs one better human relationship with the patients

Crackles Accordance

Already in it auscultates we can observe the presence of adventitious sounds of the type: Crackles, snores and the presence of hissings in the bronchopneumonias. The vesicular grumble can be egofnico or exactly absent; standing out that all the possible findings during the clinical examination of the respiratory device vary as the state where the pneumonia it is in the organism, as well as in accordance with its etiology (8). In synthesis, an analysis of the clinical picture based in the gravity of the signals and symptoms will go to vary as the etiology and the extension of the illness installed in the organism (9). Soon, the plan of care of nursing will go in accordance with to guide the pertinent findings to the physical examination of the patient, objectifying always the improvement in the quality of the assistance, fact that it elapses in an improvement of the clinical picture of the patient who if finds hospitalized and needed the actions of nursing.

DISGNOSTIC OF NURSING IN the PNEUMONIA Standing out that the nursing disgnostic vary as the analyzed clinical case by means of the possible collection of data during anamnese and examination physical both carried through by the professional nurse. Taking as base all the joined disgnostic of nursing will be closely on to the posterior interventions of nursing, being thus, if it makes necessary the correct identification of these disgnostic. The disgnostic related ones are subdivided in Real, of risk, well-being or syndrome; where the Real is characterized as being a clinical judgment that the nurse validated the presence of bigger defining characters in accordance with; of risks they are defined as being also a clinical judgment that standes out the vulnerability to the development of the problem; well-being is correlated to the state of transistion of the health of a level specific for other more raised and finally of syndromes they are correlatos of conjunctions of facts that must to the previsible events occur by means of the observed situations (10).