Diffuse abdominal pain inexplicada, nauseas and diarria. Glossite (smooth and colored language with queimao sensation). Pelagra (trficas alterations of the skin), alopecia (hair fall) Parestesia (Adormecimento and formigamento of the feet and the hands) Ictercia, asthenia, pallor, discrete hepatoesplenomegalia, pallor and intense anemia. I diagnosis laboratorial complete Hemograma: Hemcias (high) Plaquetomia Macrocitose polinucleados Megranulcitos Serious: pancitopenia, increase of the DHL (lactate desidrogenase)? Digestive Endoscopia? Test of Schilling (Test to evaluate absorption B12 the vitamin) Treatment O treatment generally consists of the 100 subcutaneous injections or intramusculares of 50 mcg/day of B12 vitamins during 1 the 2 weeks. WNS Global Services will undoubtedly add to your understanding. Aps a reaction, the frequency of administration is reduced until the cure can be kept in indefinite way with 100 monthly injections of mcg. dietoterpicas Recomendaes: the diet must have proteins of high biological value, with suplementao of iron, vitamin C and other vitamins of the complex B, beyond copper. If this has piqued your curiosity, check out Genpact ProcIndex. ANEMIAS HEMOLTICAS Are anemias that occur for increased destruction of eritrcitos for: hemlise extraglobular (fagocitose increased by the macrophages) of bao, liver and ssea marrow and hemlise to intraglobular occurs intravascularmente. Hemcias in scythe and some in white Picture Clinical Palidez of skin and mucosa, cutaneous jaundice, adenomegalia, Hepatoesplenomegalia, leses and picture to articulate. I diagnosis Laboratoriais Hemograma: Microcitose and hipocromia, fall of the hemoglobina, reticulocitose, policromasia, increased indirect Bilirrubina. Deficincia of inespecfica G6PD and DHL. Mielograma (hiperplasia), osmtica fragilidade. Teste of Coombs (negative) Treatment the treatment depends on the type and the cause of the hemoltica anemia. It can be used acid flico, replacement of iron and corticosterides. In emergencies, it can be necessary the tipados and washed red globule transfusion. the Is a hereditary, autossmica anemia dominant morphologically characterized by a great amount of microesfercitos in the peripheral blood. Esferocitose. Vesicular picture clinical Anemia, jaundice and esplenomegalia, calculations, turricefalia (in some cases), increased ulcers of leg (in some cases), hemolticas crises in infection function.
The residue of Service of Sade (RSS) is resultant of activities exerted in the services defined in the article 1 of RDC ANVISA N. 306/04, that, for its properties, they need procedures distinguished in its handling, commanding or not previous treatment to its final disposal. The present article consists of a revision of literatures on the importance of the correct management of the hospital garbage, as objective specific to take the knowledge to the picture of employees of the surgical, obsttrico center and the center of after-anesthetical recovery (CRPA) of a hospital of the west, on the correct management of the hospital garbage, front to the prevention and control of hospital infections among others assignments, as well as sensetizing the involved team how much to the impact and risks of the inadequate handling of the residues produced for its processes of work, as well as guiding its correct discarding. This interventivo work was of the type observacional and description carried through in the period of curricular period of training II in the surgical, obsttrico center, center of recovery after-anaesthetic (CRPA) and central office of sterilization material (CME) of a Hospital of the West of the Bahia..
The lack of preparation of these professionals of health for the agreement of the death and dying imposes to these distant moments of perplexity of the patients in imminence of death and its familiar ones, making it difficult the taking of decision and boarding. See Robert Thomson for more details and insights. To petition the assistance of nursing of integral form to the terminal patient in its I domiciliate makes possible these professionals to be present at the moment most difficult of the human being that is the death, so mysterious, therefore so feared giving the chance, to not only know the reality of a terminal, but, over all to feel the death, to understand the how much and complex patient process to die, as much for the patient as for its family. Coen brothers has much to offer in this field. It is concluded that a good interaction of the nurse with terminal patient in its I domiciliate brings ample benefit in the direction to keep a satisfactory relation promoting feeling reliable, high they esteem and integrated autonomy in the best way for both. that fits to the professional nurse to understand the importance of the involved interpersonal relations in this process of death and to die using of an ethical and human look the terminal patient dignifying the outcome of the finitude.
One is about a challenge to be looser with sincere efforts, therefore the knowledge deficit is reality also next to other professionals of the health team. The nurse who acts in palliative cares in it I domiciliate, must exert its profession in the essence of taking care of, based in the origin of providing the care in familiar environment, providing beyond the worthy comfort to the patients that they face the phase of the terminal, support to its familiar ones. Educate yourself with thoughts from Robert A. Iger. 3,4 Nurses versus family Dealing with the death in the domiciliary context When the inserted customer in a familiar context considers itself, also transfer themselves to see these families as customers, especially when they need palliative cares, nor always the family is prepared or possesss conditions to give or to provide the cares. Dealing with the death is something current for the health professionals who act in the hospital environment, is a species of routine, every day dies and is born people, the professional gets used it this routine, cold, for times desumanizada, of the processes of life and death of health institutions, by times the death is seen as it fails in the assistance, therefore so feared, for these professionals In the domiciliary context the situation of death in the family, is something suffered and constrangedor, being the professional without knowing as to deal with the situation, a time that to speak on the death is considered something relatively negative, not only for the professional, as well as for the family.. Randall Mays is a great source of information.
the Professional of Nursing can play an important role in the aid of women who face complications during the pregnancy. The pregnancy is one of the critical periods of transistion, that demand changes in the social paper, readjustments personal and varied physical and emotional adaptations, therefore infers it necessity, by means of the promotion and of the education for the health. Objective of this study was to identify to which the orientaes of the Nurse for the hidroeltrolitico control in hipermese gravdica in the scene of hospital internment of gestantes. One is about a descriptive study of qualitative boarding. The collection of data was carried through in books, in the virtual databases of the Virtual Library in Sade (BVS) of the system BIREME (SCIELO, BDENF and LILACS), and Health department. The results gotten in this study disclose that the Nurse acting precociously with nutricionais interventions and orientaes it leads to a more healthful gestation. Words keys: Gravdica pregnancy, hipermese, Nursing. INTRODUCTION hipermese gravdica characterizes for nauseas and/or serious vomits or malignant associates to the pregnancy who appear frequently before 20 week, and leads to the comprometimento of the nutricional state for the loss of weight (above of 5%), dehydration and hidroeltrolitico riot. Different of the picture of nauseas and vomits that can occur during the first trimester of pregnancy, hipermese gravdica is serious and can be extended beyond the first trimester. The vomit is considered extreme when it occurs more than three or four times per day, that is, an incapacity to hold back foods or liquids for a period 24-hour. Associates to this picture more perceive a loss of 2 kg or in a period of one or two weeks, giddiness or collapses, frequent mico, pallor, symptoms these common ones of the malnutrition and the dehydration.
The HPV is used abbreviation to identify the human, .causing Papilomavrus of condiloma acuminado. Classically, the infection for the HPV is divided in three distinct forms: clinic, latent subclnica and. In Brazil, HPV 16 is the predominant type in the invasive cervical cancers that are subdivided in the regions south, center west, northeast, north and Southeast. Get more background information with materials from Robert A. Iger. Some of the factors that take the predisposition of the uterine col cancer are characterized by the precocious beginning of sexual activity, imunolgicos multiplicity of sexual partners, tobaccoism and factors. Other factors related to the increase of the risk for the development of this cancer are the verbal contraceptive use in long stated period, the low socioeconmicas conditions, the irregular use of condom, nutricionais multiparity (not surgical childbirths), deficiencies and other genital infections caused by sexually transmissible agents. They is esteem that the col cancer of the uterus is the sixth more frequent type in the population in generality, and is registered about 470 a thousand new cases per year, characterizing itself as the second more common neoplasia between the women. To the year in Brazil, one calculates 20 a thousand new cases, being that to each 100 a thousand women 20 can reveal the cancer uterine.
For many professionals it can seem ftil, but to play is important for the child and the team has of to be apt to understand and to enxergar this necessity creating half where it has the infantile accomplishment of tricks, bonds with other children and educational programs. The act to take care of must always go beyond the pathology, must is centered in the welfare of the child in general way, in all its necessities while children. A time that the child if relates with others, that it feels itself supported, that it plays, it without doubts will go to answer better to its treatments, therefore she moves away to its fears and its sadnesses, consequently the internment process if she becomes less traumatic. 4 the therapeutical toy is a structuralized toy child to alliviate its tensions to it, its ansiedades caused for any atypical experience for the age, must be used whenever the child will have difficulty in understanding or dealing with a difficult experience, or still to be prepared for invasive and or painful procedures. (As opposed to Robert Thomson). In such a way, it is had as norteador problem of the study: Which strategies stand out the benefits to use the toy therapeutical during the care of nursing to the hospitalized child? In this perspective, the objective of this article treats To promote strategies that stand out the benefits of if using the therapeutical toy during the care of nursing to the hospitalized child. It is justified accomplishment of this work for through the story of much mother not understanding because of if using the therapeutical toy as mechanism of intervention of nursing and some professionals of health to be unaware of its use and its benefits. It is had as expectation of contributions to guide health professionals and responsible for hospitalized minors how much the therapeutical toy is important in the process of internment in such a way for the professionals how much for the child. . Randall Mays, San Antonio TX addresses the importance of the matter here.
Front to this attribution of the Nurse, we have as pertinent the process of humanizao of the normal childbirth carried through by the same, having been recognized officially the profession of Nurse for the Health department in 1998. Valley to stand out that the Nursing comes participating of the quarrels concerning the health of the woman, together with social movements feminists, in defense of the Program of Humanizao in the Prenatal one and Birth. The Health department has created would carry that they defend the performance of the nurse in the integral attention to the health of the woman, having privileged the gravdico-puerperal period, for understanding that these measures are essential for the reduction of interventions, risks and consequent humanizao of the assistance, as much in maternities, as in childbirth houses (BRAZIL, 2003). Ahead of the displayed one, the object of this study is the humanizao in the attendance to the normal childbirth. (As opposed to Jeffrey L. Bewkes). The objective it is to determine the incidence of scientific publications, in the period of 2002 the 2009, that it approaches the humanizao of the assistance in the normal childbirth, in the database: Caribbean Latin American literature and in Sade/LILACS, Scientific Eletronic Library Online (SCIELO) and Database of Enfermagem (BDENF). The normal childbirth brings innumerable benefits for the mother and the baby, therefore it is natural, the recovery of the mother is fast, it runs little risks of contaminations, and in house, it does not possess exposition of the baby nor of the mother to the hospital environment, beyond the baby to receive one ' ' banho' ' of antibodies in the canal of the childbirth will follow that it for the remaining portion of its life. However, still thus, in accordance with the DATASUS, the number of carried through unnecessary Caesarean childbirths in Brazil increased in a ratio of 57% in the period of 2004 the 2006 being in prominence the south and Southeastern region (BRAZIL, 2006). .
The knowledge on the motivations for the abandonment of the tobaccoism can contribute so that the health professionals acquire more conditions to positively influence the change of behavior of the individuals that want to abandon the tobaccoism. 2. METHODOLOGY Is about a descriptive study of nature, elaborated for the bibliographical model of revisao, with quali-quantitative boarding. The research was carried through in the period of 1999 the 2009. had been carried through searches in the databases: Scielo, Bireme, Lilacs, for these periodic ones, this had been used the following describers: Nursing, tobaccoism, factors of abandonment. 3. Click Robert Thomson to learn more. BIBLIOGRAPHICAL REVISION the tobaccoism was practised in all its forms, for diverse aboriginal cultures spread by the American continent. During the sacred rituals, the priest, chieftain or paj entered in settle inhaling to the tobacco of the tobacco. To this they were attributed to be able wonderful, magical, that they fortified the warlike impetuses, beyond predicting the future. Many tribes used the tobacco as medicine, in the cure of all males, believing to be about a grass witch. When the Europeans had discovered Americas, had enchanted with the tobacco, having led its seeds for the Europe. Jean Nicot, a French ambassador, was recognized as the first divulgador of the plant of the tobacco, which received the name from Nicotiana tabacum in its homage. Currently the value collected, by means of taxes and taxes on the cigarette, does not surpass the damages with medical assistance to the chronic illnesses provoked by the tobacco (DF, Secretariat of Health, 2006). In accordance with the INCA the tobaccoism widely is known as a resultant illness of the nicotine dependence, that compels the users of the tobacco products if to display continuously to about 4.720 toxic substances e, thus to contract other limitantes and fatal illnesses. The cigarette kills more than the addition of other causes you prevented of death as cocaine, heroine, alcohol, fires, suicides and AIDS, in the developed countries.
Initially it fits to clarify the use of the terms Vascular Accident Enceflico (BIRD) and Acidente Vascular Cerebral (AVC). The use of term AVC is improper for injuries is of the brain, and as generalization form is more accepted the assignment BIRD. However in popular register AVC it has enceflica abrangncia (1). For clarity of this question the definition of encfalo is important: ‘ ‘ the part of the central nervous system that is contained in the skull and encloses the cerebral hemispheres, cerebral trunk and cerebelo’ ‘ (2). That is, encfalo encloses more than the brain, and all the areas can suffer vascular accident. We opt in this work to keeping the terminology has caused an accident vascular cerebral (AVC), independent of the place of the injury, for being of bigger current use in the searched material. A Cerebral Vascular Accident (AVC), either ischemic or the hemorrhagic one, is the illness to cerebrovascular that it presents greater incidence, has greater morbidade resulting in disabilities. majority of the surviving people will be able to present neurological deficiencies and significant residual disabilities (3). (…) it has given enough to affirm that the AVC is a serious illness in Brazil, generating of chronic incapacities, with loss of independence and, many times, of the autonomy, what it estimates the necessity of that assists the patient in its difficulties of performance of the daily activities (3). Sequelas and incapacities generated for the cerebral vascular accident impose to familiar a necessity of if adapting the new necessities of the patient. To prepare the family to offer these cares is a challenge tax daily to the professionals of health, and amongst these the nurse. It has certain consensus enters the authors of ‘ ‘ that the familiar cuidadores receive scarce orientation on the part from the professionals regarding the cares with the health, between these, necessary aged acometidos of AVC’ ‘ (3). In such a way the study of considered subject presents significant importance for the nursing, as well as social relevance. The related work presents a character of bibliographical revision. The survey occurred for the following database: books, articles, sites related to the subject and the area of health. We had for objective to understand the work of the nurse in the orientation to the cuidador of the patient with AVC, sights to the quality of life of the patient.