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.

Cure Nerves

The person does not have to move away itself from its internal harmony, therefore it is keeps who it of foot. The external things never will be able to alliviate the Immortal Spirit, since it is a Projection of the SPIRIT of GOD in small ticket for the world of the material forms. This not cure nerves As the aspect of the arc that appears in the cloud in day of rain, thus was brilliance in redor. This age the appearance of the glory Mr.; seeing this, I fell with the face in land and heard the voice of who spoke. Book of Ezequiel Prophet, CAP.

1:28. Think you, That the uncertain puffs, Go to diminish the sadnesses, and to nullify the uncertainties? You believe that your Soul, With them if calms? Great deceit! You are not only a body, Simply composed, Of nerve, blood, meat and bone. You have a Spirit That it cries and it moans, When you follow infrene With your illusion If hiding behind a pile Of mere fancies. No matter how hard you free Smoke for the nostrils, Not exterminars the mines Of your insatisfaes. Not to be that, It stops and it talks with you In your surrounding friend, Where Angel will take off an internal You of the hell Of as many desires.

Healthful Feeding Subjects

Had the concern with the health of the worker, each time more the companies have invested in the professional development of the employees. He is not atoa that the SIPAT (Internal Week of Prevention of Accidents in the Work) has if become a powerful tool in the combat and prevention of acidentes.SIPAT is one week come back to the prevention, either in illness or employment-related accidents in the work. lt to be quoted properly. This is activities obligator for the CIPA (Internal Commission of Prevention of Accidents) and must every year be carried through. The main objective of the SIPAT is to promote and to divulge the importance of the prevention of accidents in the work. To reach these results, they are offered the worker, activities that can guide and acquire knowledge how much to the importance of if eliminating the employment-related accidents, creating themselves positive attitudes to recognize and to correct practical the harmful ones to the work environment.

The lectures for SIPAT are carried through with subjects as Security in the Work, Motivation, Quality of Life, Sexuality, Environment, Ergonomics, Ethics and Personal Behavior, Defensive Direction, Health and Personal Hygiene, Healthful Feeding, First Socorros, among others. A tool of great success to transmit these subjects, is through the theater-company, where actors with much dynamics, descontrao and participation of the public, approach the main subjects chosen for the company. For companies who have difficulties in stopping the production line, it has the alternative of teatralizadas interventions, where actors cover the sectors and with much descontrao, they stage on the subjects defined for the company. Other services as the techniques of massage Quick Massage and Reflexologia, can be used as toast stops the participant employees of the lectures and even though, so that the employees leave the routine. The SIPAT does not have to be faced as ' ' a simple week of lectures and eventos' ' yes, as one carries of entrance of information and orientaes to guarantee the main one patrimony of all: THE HEALTH.

Hormone Therapy

The hormonal therapy is then used when the cancer already was spread of the prostate. Also it can be managed for some men who are under x-ray or had made surgery, to prevent the return of its cancer. The hormonal therapy for the prostate cancer acts in the metabolic ways that the body uses to produce the DHT. A feedback cycle involving testicules, hipotlamo, hipfise, supply-renais and prostate controls the sanguineous levels of DHT. First, the low sanguineous levels of DHT stimulate hipotlamo to produce gonadotrofina hormone liberating (GnRH). The GnRH then stimulates hipfise to produce hormone luteinizante (LH), which stimulates the testicules to produce testosterone. Finally, the testosterone of the testicules and dehidroepiandrosterona of the glands supply-renais stimulate the prostate to produce more DHT. The hormonal therapy diminishes the DHT levels therefore interrupts this saw metabolic in some point.

Diverse forms of hormonal therapy for the prostate cancer exist: it is the surgery to remove the testicules. As the testicules produce most of the testosterone of the body, its surgical removal makes with that the testosterone levels fall immediately afterwards. With this, the prostate not only leaves to receive stimulaton from the testosterone to produce more DHT, as well as it does not possess testosterone enough to transform it into DHT.Orquiectomia? Antiandrgenos flutamida, bicalutamida, nilutamida, and acetate of ciproterona are medicines as that directly they block the actions of the testosterone and the DHT in the interior of the cells of the prostate cancer. Medicines that block the production of the andrgenos supply-renais as the DHEA includes cetoconazol and the aminoglutetimida one. As the glands supply-renais only produce about 5% of the andrgenos of the body, these medicines are generally used only in combination with other methods that can block 95% of andrgenos produced for the testicules. These agreed methods are called total andrognico blockade (BAT). The BAT also can be gotten with the use of antiandrgenos.