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. Emma Lasry can provide more clarity in the matter. 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.

Brinquedoteca Experience Story

Authors: RUFINO, Silmara Moreira Alves; SAINTS, Jssika Sousa, RICHETTO, Aline Maciel. Introduction. Story of experience carried through from the learning experience of the sixth semester of the course graduation in nursing, during clinical education in health of the child. Professor Roy Taylor is a great source of information. In transcorrer of the activities, it lived deeply if the importance of the brinquedoteca to take care of it of the child and its family during the hospitalization process, a time that this is a prepared space to stimulate the child to play. Hospitalization is a potentially traumatic experience for any person, being adult it or child. Decurrent the psychic and physical consequences can compromise the process of the development. In this context, if it brings playing while instrument of taking care of, capable to minimize this condition of the infantile life.

The trick does not have to be eliminated when the children adoecem or are hospitalized, therefore she is playing that the child obtains to more feel insurance in an surrounding stranger and with unknown people. When working with expressive modalities and inventiveness of its daily one, the child tries a process of organization of the Real and its creation, implying in the transformation of important meanings. Objective. To tell the experience of taking care of in a brinquedoteca during the period of training supervised in health of the child. Methodology. One is about a descriptive study, in which if it looks for to tell the experience of pupils of graduation in nursing during clinical education in health of the child, who happened in a municipal hospital, located in the zone east of the city of So Paulo.

Throughout this experience we could interact with the child by means of games, tricks, theater and wheels of reading, observing other forms to take care of. It is distinguished that the space also is used by the companions, that had used to advantage the moment to interact with the children, having alliviated the tension and anxiety. Final Resultados and Consideraes. One perceived that the importance of the brinquedoteca in the hospital is basic not alone for the child and its family, but also for the professionals of the health, in special for the nursing team, therefore when the children participate of the activities in the place, they remain calm and calm, if forgetting it process the illness and better reacting to the treatment, becoming efficient the offered procedures. Through this experience, the brinquedoteca can be given an individual care, of more intent form and human being, centered in the child and family knowing better its necessities and be perceived as an important space for performance of the nursing. Reference: Schmitz SM, Piccoli M, Comes CS. The use of the therapeutical toy in the visit daily pay-operatria of nursing to the child. Electronic magazine of Nursing Internet. 2003 cited in 2009 fev.26; 5 (2): 14-23. Available in: 1 Learning of the Course of Graduation in Nursing of the College Marcelina Saint Unit of Itaquera Education. 2 Nurse. Master in Peditrica Nursing for the School of Nursing of the University of So Paulo (EEUSP). Specialist in Educao and Formaoem Health. Professor of disciplines of Health of the Child and the Adolescent in the College Marcelina Saint Unit of Ensino Itaquera (FASM). Member of the Nucleus of Education, Searches and Extension in Health of the Neonato, the Child and Adolescente (NEPESC).

Quality Care

Prenative It is believed that care is one of effective strategies in reducing maternal mortality rates. Objective: you evaluate the nursing care in the antenatal high-risk pregnant women with hypertensive disorders of pregnancy. Methods: the study was conducted from literature review, focusing on the qualitative approach, the pursuit of material occurred through the databases BVS; LILACS and SciELO. Result: the disturbances of gestational hypertension has been the major pregnancy complications, which lead you high rates of fetal morbidity and maternal mortality, accounting will be around maternal 25% of deaths. Conclusion: the quality of health care provided you women in to their pregnancy-puerperium period will depend on comprehensive care and education performed by health professionals, having need of the professional nurse acting in the prenative care, be able you provide adequate assistance you women affected by hypertensive disease in pregnancy, thereby focusing on prevention, promotion and rehabilitation of health of pregnant women in to their pregnancy cycle. Keywords: hypertension, pregnancy, eclampsia, daily pay-eclampsia and risk, preChristmas care. Introduction the pregnancy is a period of deep changes in the feminine body, involving all the systems, that if they physiological modify to the new condition, that has its beginning in the first week and if it draws out until the end of the pregnancy.

Although the gestation is a biological event, for some women it represents a situation of high risk that threat its health (3,7). The gestation is defined as a natural process, that occurs for the most part of the cases without intercorrncias. Although this fact, exists a small parcel of the gestantes that, for having specific characteristics or suffering some I aggravate, they present greaters probabilities of favorable gestacional evolution, as much for the embryo how much for the mother. This parcel constitutes the group called ' ' gestantes of high risco' ' (6). Studies disclose that 10 20% of the responsible pregnant can be considered of high risk and for 50% of fetal mortality in anteparto, the gestations of high risk can compromise concepto, development and the growth in the direction to all influence the gestacional process lived deeply by the woman (8).

Humanistic Nursing

to my dear brothers, relatives, friends and professors for the support and understanding. Tatiane Barros Da Silva ' ' I will open high rivers in naked and the sources in the way them valleys; I will become the desert in water dams and the dry land, in mananciais.' ' (Is 41:18) SUMMARY the fototerapia is the treatment indicated in the cases of neonatal jaundice. We have as objective to describe the perceptions of the mothers of children submitted to the fototerapia and to analyze them front to the theory of Humanistic Nursing. Qualitative study, exploratrio description, carried through in the Joint Lodging (AC) of the Regional Hospital of Gamma DF, with 10 purperas. The data had been collected in Maio/2009, by means of interview with 4 questions of research: As you mother, if feel when seeing its son under fototerapia; You were guided regarding the withdrawal of the ocular protector during breast-feeding; Because it must be removed and which the reason of its use during the fototerapia; Which are its bigger difficulties at the moment to carry through the cares with its baby? We conclude that the development of new actions with intention to improve the quality of the assistance is essential, including in our cares orientation and the communication between health team and mothers of just born under fototerapia. Word-key: Nursing, fototerapia, mother, just been born, jaundice, humanizao.

ABSTRACT The phototherapy is the treatment indicated in the you marry of neonatal jaundice. We have objective you describe the perceptions of the mothers whose children ploughs submitted you the phototherapy and you analyze them through the theory of humanistic nursing. Qualitative study, exploratory description, carried on in the Lodging (AC) of the Regional Hospital of Gamma DF, with 10 newly mothers. The dates were collected in May/2009. The following questions were asked you direct the research: How of it you feel when you see your sound to under phototherapy treatment? ; Were you guided regarding the withdrawal of the ocular protector during breast-feeding? Why should we removes it and what s the reason of its uses during the phototherapy? Which ploughs your difficulties when you take care of your baby? Essential We conclude that the development of new actions with the intention of improving the quality of the assistance is, including in our cares the orientation and the communication between the health team and the mothers of newly births to under phototherapy treatment.

Patients

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. Read more from DE Shaw women to gain a more clear picture of the situation. 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).

Sleeplessness

The sleeplessness is the upheaval of sleep most frequent in the population in general, being recognized for the OMS as a problem of health pblica1 had to the impact negativo to the physical and mental health, social activity, capacity for the work and quality of life of the individuals. Although this, this subject has not received the had attention from the professionals of the area of the proper health and insones, in the majority of the cases, does not look for professional aid qualificada.11 For Pafaro and Martino1 During it estresse the signals and symptoms that occur more frequently are of the physical level as: increase of sudorese, knot in the stomach, muscular, taquicardia tension, hipertenso, squeeze of the jaw and to creak of cold teeth, hiperatividade, hands and feet, nauseas. Picture 02 – Symptoms presented for the academics in last week SINTOMASTotal% 1Problemas with memria20 (48%) 2Mal-to be generalized, without cause especfica13 (31%) 3Formigamento of the extremities– 4Sensao of physical consuming constante31 (74%) 5Mudana of apetite19 (45%) 6Aparecimento of problems dermatolgicos9 (21%) 7Hipertenso arterial2 (5%) 8Cansao constante32 (76%) 9Gastrite, ulcer or stomachal indisposio very prolongada7 (17%) 10Tontura or sensation to be flutuando10 (24%) emotiva 11Sensibilidade excessiva14 (33%) 12Dvida how much itself prprio8 (19%) to 13Pensar constantly in one only assunto19 (45%) 14Irritabilidade excessiva19 (45%) 15Diminuio of libido6 (14%) Analyzing picture 02, in phase II, the symptom that if sobressaiu was constant fatigue, evidenced in 76% of the academics, followed for sensation of constant physical consuming, cited for 74% of the participants. Still in accordance with Pafaro and Martino In psychological terms, some symptoms can occur as: anxiety, tension, anguish, interpersonal sleeplessness, alienation, difficulties, doubts how much itself proper, extreme concern, inability to concentrate in other subjects that not related it to the estressor, difficulties to relax, tdio, anger, depression, emotiva hipersensibilidade. Picture 3 – Symptoms presented for the academics in last month SINTOMASTotal% 1Diarria freqente1 (2%) 2Dificuldades sexuais2 (5%) 3Insnia25 (60%) 4Nusea15 (36%) 5Tiques2 (5%) arterial 6Hipertenso continuada1 (2%) 7Problemas dermatological prolongados6 (14%) extreme 8Mudana of apetite13 (31%) 9Excesso of gases7 (17%) 10Tontura freqente5 (12%) 11lcera, colite or another one problema2 (5%) 12Enfarte– 13Impossibilidade to work– 14Pesadelos freqentes6 (14%) 15Sensao of incompetence in all reas3 (7%) 16Vontade to run away from tudo21 (50%) 17Apatia, depression or anger prolongada7 (17%) 18Cansao constant and excessivo26 (62%) to 19Pensar and to speak constantly in one only assunto12 (29%) frequent 20Irritabilidade without cause aparente15 (36%) 21Angstia, anxiety, fear diariamente22 (52%) 22Hipersensibilidade emotiva12 (29%) 23Perda of sense of humor16 (38%) Evaluating picture 03, on the symptoms presented for the academics in the last month, 60% presents sleeplessness, 62% presents constant and extreme fatigue, 52% had told anguish, anxiety and fear daily, and still the will was disclosed to run away from everything for 50% of the sample.

John Langdon Down

2-O carrying of the syndrome of Down – who is? In the year of 1866 the English doctor John Langdon Down described the Syndrome of Down, syndrome this that takes its name in its homage, where it affirmed that superior races to the others existed, being the mental deficiency characteristic of the races inferior, that presented physical characteristics similar to the inhabitants of the Monglia, being, therefore labelled of Mongolian children. These characteristics had been described for the doctor as: hair smooth and scarce chestnuts; flattened and wide face; located eyes on-line oblique line and small nose. In accordance with the World-wide Organization of Health, the number of people with Down, corresponds 10% of the inhabitants of the planet. The SD can happen in women of any etria band, however she has a bigger probability with the advance of the age, therefore women above of 35 years present greater frequency of errors in the distribution of the chromosomes, when compared with women below of this age. (Murahovschi, 2003). In the mothers with up to 30 years of age, the probability to have a son with this Syndrome of 1 (one) in 1000 (a thousand) is been born livings creature, increasing for approximately 1 (one) in 400 (four hundred) to 35 years and approximately 1 (one) in the 30 (thirty) after 45 years of age. Its average prevalence is esteem in 1 (one) to each 600 (six hundred) births, varying with the age materna as it was seen previously.

It presents peculiar and constant physical and mental characteristics, thus characterizing classic signals, being gifts in all the carriers of the SD. These are essential for the precocious diagnosis of the syndrome. ' ' Some children present a bigger number or lesser of signals without it can establish any relation enters the number of signals and the degree of development that child alcanar' '.

Helping the Elderly

Work of Conclusion of Course presented to the Pharmacy Course of the University Braz Cubas for attainment of the heading of Graduation in Pharmacy Industrial Qualification (Pharmaceutical Pharmacy with Generalista Character, under Orientation of the Prof. MSc Fernanda Maria Rodrigues). MOGI OF CROSSES 2011 EVALUATION Name of the author: Clemilson de Souza Blacksmith Landmarks Pablo R.

Nhan Heading and sub-heading: Pharmaceutical assistance for hipertensos aged patients. Nature: Work of Conclusion of Objective Course: Graduation in Pharmacy University Braz Cubas Date of the presentation: Evaluation of the orienting work Professor (a) (a) MSc: Fernanda Maria Rodrigues Institution: University Braz Cubas Signature: Professor (a) MSc supervisor: Fernanda Jdice Pinedo Institution: University Braz Cubas Signature Commission Judge of the Poster Professor (a) MSC or Dr: Institution: University Braz Cubas Signature Professor (a) MSC or Dr: Institution: University Braz Cubas Signature

But you strengthen you, and they do not faint your hands; because your workmanship has one rewards. II Cr 15:7 SUMMARY In Brazil the arterial hipertenso constitutes one of the problems of health of bigger prevalence in the present time, having high individual economic impact and for the health systems, mainly because the country has a numerous population of aged, that according to World-wide Organization of Sade (OMS) 65% of the aged ones is carrying of hipertenso being able to reach 80% in the case of the women. In general the aged ones are carrying of vary patologias what it requires a care and differentiated attention, must be traced an administration strategy who diminishes the risks of collateral effect medicamentosas interactions and rational medicine use. Currently the pharmaceutical attention if becomes indispensable in the dispensao of medicines, in the net of Basic Attention has been demanded each time more the presence of the druggist what the difference of the process of the pharmaceutical assistance in devoid communities makes all mainly, in the Program Health of the Family the pharmaceutical attention already and a reality at the moment of the dispensao of medicines.