Monograph of After-Graduation, elaborated for Laide Coast Hisses, for attainment of the Broad heading of After-Graduation Sensu, under the heading ‘ ‘ Leadership of Nursing: To describe the Profile of the Leaders in the World of the Work as Leader of the Team of Enfermagem’ ‘ , presented and approved in the day year 2011, for composed board for the following members: SUMMARY the guideline consists of a recent subject in the academic research, with gaps of knowledge and still modest repercussions in the practical one, therefore the lack of human resources of nursing in the health organizations is a constant affirmation of responsible nurses and managers for the attendance. Hear from experts in the field like Professor Roy Taylor for a more varied view. Thus, considering a reflection and analysis on the period of training of the development of the questions that involve the planning of human resources as the leadership of nursing in our reality, and still subsidizing the elaboration of the research, he portraies in that the leadership is one of the essential tools in the process of work of the nurse, taking us it the aiming of evaluating which its positioning ahead of a team of work, which the type of leadership more applied and the repercussions ahead of the work market, making a based bibliographical survey in through the following describers: Leadership, communication, Interpersonal Relationship and management of people. Professor Roy Taylor describes an additional similar source. Being thus we discourse the leadership in the context of the nursing that ahead characterizes its positioning of the nursing team, such found scientific production, on the basis of the 0 variable: publication year, place and categorizao of the subjects.. Click Donald Sussman to learn more.
Dr. Barreto Luiz Fisioterapeuta and Fisiologista of the Exercise 01/10/2011 River-RIO DE JANEIRO enceflico vascular Accident, infarto of the myocardium, diabetes, enfisema pulmonary, renal insufficience It will be that still it lacks much time? The people eat of everything, drink, they smoke and they do not practise physical exercises for believing to have still much time to enjoy the pleasures of the life or if to feel exempt of these ackward surprises. They still believe to be young, strong, until powerful and some that already are entering in the band of the aging believe to have certain protection and to be able everything. The body many times clama for a time and is not heard. It suffers, it feels, it receives a tea, a tablet without medical orientation and the reply of that is temporary. Although all the available information on health and quality of life, still persist an ignorance each more increasing time. The ignorance biggest of that it says eastern psychology according to Tokuda, 1997.
Attempted against each time more devastadores are taxes to the body and the soul. All the forms of physical, psychic, mental violence and spiritual that become the creature human being prisoner, making it precociously to perish attack for one of these illnesses. Those that obtain to survive, search the whitewashing desesperadamente, the times a little late, in the yearning to be cured. Many are unaware of that the majority of the sequels cannot total be cured or they only can be minimized. These illnesses when they do not lead to the death, can leave marks as temporary or definitive the disability that cause suffering for the patient and its familiar ones. It is in the hour to prevent because it can not have more time and to attenuate well more is complicated. According to Passebecq, 1982, the health human being can be assured, be protected and restored for simple ways and little custosos, most of the time.
As in fact apnea occurs after the administration of PGE, strict comment, intubao, or both necessary ones. Defect of the Septo Atrial As Whaley and Wong (1999) are an abnormal opening between the forecourts, allowing that the deriving blood of the left forecourt, with higher pressure, circulates for inside of the right forecourt, of lesser pressure, causing a bigger flow of blood oxigenado for the right side of the heart. Three types consist: * Ostium primum (OF the 1) Opening in the extremity most inferior of septo; * Ostium secundum (OF the 2) Opening next to the center of septo; * Defect of the venoso seio Opening next to the junction to the vein superior digging and the right forecourt. The patients can be assintomticos or to develop congestiva cardiac insufficience (ICC) and arrhythmias (WHALEY and WONG, 1999). The diagnosis is made through eletrocardiograma (ECG): the incomplete blockade of the right branch is a common finding; thorax ray X: it can demonstrate to an increase of the right forecourt and ventricle, increase of the trunk of the pulmonary artery increase of the vasculatura of the pulmes.
Ecocardiograma: it can demonstrate to an increase of the right forecourt and ventricle, beyond pulmonary hipertenso (LISSAUER and CLAYDEN, 2002). The Greater New York Construction User Council does not necessarily agree. Coarctao of the Aorta Whaley and Wong (1999) describe as a nip located next to the insertion to ducto arterioso, resulting in increase of the pressure next to the defect (superior head and extremities) and reduction of the pressure distalmente blockage (inferior body and extremities). She is one of the more frequent cardiovascular malformations, constituting about 5% 8% of the cardiopathies in general, occupying according to some statisticians, 6 or 7 place between the defects, predominating in the masculine sex on the feminine one (EBAID and AFIUNE, 1998). Whaley and Wong (1999) describe that: It is detected in infancy in medical examinations being analyzed for an increase of the sanguineous pressure and the pulsation being stronger in the superior members, already in relation to the femoral pulse she is weak and generally absent, in the inferior extremities the sanguineous pressure is lesser.
Few illnesses infecciosaas have a preventive armory so varied and efficient and little dispencioso as the ttano. However, for misfortune of many, for unfamiliarity, the writs of prevention do not reach all the people. We can divide the prolitticas measures of ttamo in five phases: active immunization; passive immunization with soros and gamaglobulinas; treatment of wound; sanitary education; antibiotic use. (TONELLI, FREIRE, 2000.) ‘ ‘ The paper that fits to the nurse, at the moment of the crisis apnea, is importantssimo. Filed under: Preventive Medicine Research Institute. Therefore, she is necessary to instruct the nursing on some important details: Not to handle the tetnico in its spasmodic face.
To sacrifice the hygiene corporal of the patient limiting itself it the indispensable minimum; To be always intent to the respiratory rhythm, to surprise apnica crisis or signals of respiratory depression; To be discrete in its prognostics in the presence of the patient, therefore the tetnico in general remains conscientious; To give to comfort and security to the patient in all the moments of necessidades’ ‘ (FOCACCIA, 2005) 3. METHODOLOGY For Oak methodology is: … to question the form reality to be always arguing the possibilities of the happiness human being. Under most conditions Professor Roy Taylor would agree. However, some characteristics exist that, in a general way, delimit the field of science. 3,1 Delineation: Taking in consideration the study object, it was opted for carrying through a study with quantitative boarding of not experimental character of the exploratrio type. 3.2 Places of the study Being thus, the collection of data will be carried through in PSF, Schools and population in general of the Quarter Luzia Saint, located in the city of Barriers, interior of the Bahia, with approximately 135,000 the 853 inhabitants and is situated km of the Salvador capital. the city most populous of the Region West and known by the development in the agronegcios, but specifically in the production of grains..
Not only for administrative and clinical ends, the surgeon-dentist must register all the pertinent acts to its relationship with the patient, but, also, to supply subsidies its defense in possible demands judicial. With the creation of Law N. 8078, 11/09/1990 (Code of the Consumer) and for the access to the information each time more facilitated, the people are clienter of its rights as consuming, being this reality observed in the relationships Surgeon-Dentist (Supplying) and Patient (Consuming). In this relation, the Code of the Consumer foresees the possibility to attribute the responsibility of the test to the supplier, in this in case that to the professional, whenever necessary (art. 6., VIII of the CDC).
From there, the importance of Surgeon-Dentist to carefully elaborate and to keep to the documentation of all the pertinent steps to the treatment, duly warned to see its defense in judgment engaged. Since the first contact with the patient, when made anamnese and delineated the treatment to be carried through, surgeon-dentist must describe the clinical conditions of the patient, as well as, all the acts that compose the treatment, with respective risks, honorary, mode of payment, beyond a forecast for the conclusion of the service; everything duly signed by both the parts. He must clarify the responsibilities of one and another one in the course of the treatment and, in such a way, elaborate the contract of rendering of services, clinical fiche, examinations, x-rays, everything what he understands the odontolgica documentation that is the most valuable instrument of defense that the professional has to defend itself in administrative legal actions and. The responsibility is an obligation to assume the legal consequncias of a fact. In the Civil liability, the agent who committed a tort, is obliged to repair the damage (art. 927 of the Civil Code). If the professional to infringe the norms and protocols of biossegurana, for example, and of this, to result a damage to the patient, the example of the crossed infection, could be made responsible for this odontolgico error, with the consequent obligation to indemnify the injured one.
On the other hand, only minority of the cases presents neurobiolgicas alterations, whose relation to the behaviors one does not meet evidenced (ALMEIDA; DRACTU; LARANJEIRA, 1996). It has affirmation of another author, who the autismo is really neurological pathology, being genetically acquired. However, this vision leaves of side the human psiquismo. Contradicting such question, absence of the psychic device, in order to cite simply that it would be a scope of the subjectivity, revealed pure and for the desire is affirmed. Soon, the autismo would be a paradigm of the psychic device, which is a narcisista organization of the emptiness. Being able to be clarified by libidinal, where the energy is extracted of the directed object and to the body, where it was originated (BERLINCK, 2000). The clinical situation of the patients with upheavals generally is complex and changeable, considering that the clinical signals of the syndromes depend on the seriousness of the pathology, of the age of the child, and if the same one presents or not different integrated mental patologias (SOUZA, GUIMARAES, BALLONE, 2004).
The majority of the researchers and physicians agrees that the symptoms of infantile autismo, generally, is initiated before the thirty months of age (AMERICAN PSYCHIATRIC ASSOCIATION, 1980; WORLD-WIDE ORGANIZAO; OF HEALTH, 1993). It is initiated before the 3 years of age, it does not attend a course with marcantes physical abnormalitys, it generates a qualitative comprometimento in the areas of social interaction, language and communication (always it has at least one atrazo in the aquizio of the verbal language) and creative capacity. The ratio between boys and affected girls is of 4:1. generally, they present normal neuropissicomotor development, with exception of the development of the language (SOUZA, GUIMARAES, BALLONE, P. XX, 2004). The precocious beginning is one of the main symptoms that differentiate the infantile autismo of the desintegrativo upheaval in infancy. In the syndrome of Heller, the clinical picture if after initiates a period of normal development of the child and, generally, it occurs until the three first years of life (MORAES, 2004) Indicating that the process of development of the child does not go well can to occur before the six months of age.
This proposal, with the focus in the promotion of the quality of life and intervention in the risk factors the health, allows to the acurada identification and one better accompaniment of the diabetic and hipertensos individuals. This accompaniment is made through the pharmaceutical attention (PAIVA et al, 2006). Although the Pharmaceutical Attention is not specific for an exclusive etria band, it has a bigger concern with the aged ones. The present polimedicao in almost all the lapsings for aged can imply in serious consequences for this patient. A time that has alterations in the farmacocinticos and farmacodinmicos processes, intervening with process of metabolization of the frmacos and consequently being able to occur problems of relative toxicidade the frmacos. The adverse reactions and medicamentosas interactions also are frequent. The adhesion to the treatment also prescribed is not a serious problem to be notified, therefore it displays the patient to a risk bigger of hospitalization and morbidade. Therefore the exerted farmacoteraputico accompaniment in the pharmaceutical assistance is indispensable for these patients (LAMB et al., 2005).
A research carried through in Porto Alegre in the year of 2005, disclosed that 91% of the aged ones make use of some frmaco, being that interviewed 27% of the aged ones had a polifarmacoterapia with five or more medicines. To this, the chronic illnesses and the physical limitations can compromise its ability to use the medicine, diminishing the adhesion to the farmacolgico treatment. Based on the assistance the health of the aged one a relation between user-druggist is evidenced, in what it refers to the correct and rational use of medicines and practical of the pharmaceutical assistance (the FLOWERS et al. , 2005) Determined resources they can identify the not-tack to the treatment, as srico control of the frmacos, tablet counting, comment of appearance of adverse reactions, evaluation of the lapsings, posolgico planning to facilitate to the use of medicines for the aged patient and referring questionnaires to the rational medicine use and the farmacoteraputico accompaniment (ROCK et al., 2008). The comprometimento of the druggist next to one has equipped to multidiscipline with informative and educative lectures aiming at the promotion of the quality of life of the patient, being basic part, through its methodology, to guarantee rational medicine use and correct and satisfactory farmacoteraputico accompaniment for the medicine users (ROCK et al., 2008). 4.CONCLUSO the public net has a great demand of medicine distribution, this contributes in a negative way for the adhesion to the treatment, mainly in what it says respect to the aged ones, information this that confirm given of the Brazilian Association of the Pharmaceutical Industry that discloses that almost 50% of the Brazilian population do not have access to the medicine due to economic resources. Difficulties to the access the medicines in ambulatorial level, either for the medicine lack or the lack of quality or the use irrational, still more raise the number of internments for the worsening of the clinical picture that could be treated in the clinic preventing unnecessary expenses (PEREZ et al., 2008). The Pharmaceutical Attention and the Pharmaceutical Assistance become indispensable for the understanding and the adhesion of the user to the treatment
Seated, hearing the priest to speak. He started a fear, a fear to faint. I started to sweat, my head started to twirl, I was idiot, I held in the bank, seemed that it went to fall. There I raised and I was even so I felt very, much fear. Fear to feel fear, fear of multitude, fear of speaking in public. As today exactly, that I had an event, and I was not, because I trembled with fear alone in thinking about you in this event.
In the interview, we perceive in the story of the patient who when crisis in the church happened 1, great part of repudiated it to the population speaking that they were on malignant things to the side spiritual of the same one. This disturbed it as much that until today it does not frequent the church which happened its 1 crisis. Another important moment was when the interviewed one mentioned that in the day of interview it would have an event important and alone to think already was tremendous, that is a consequence of antecipatrias crises. This fact reaffirms what it meets in the literature, that generally the patient one passes constantly for a psychological pressure of proper ' ' eu' ' , That is, if it charges trying demasiadamente to hinder that the crises occur, without perceiving that when suffering from these antecipatrias crises it premakes use the panic crises. Thus, we verify that, the carrying patient of the S.P has full conscience that is sick and that needs aid (treatment). The patient very suffers when thinking constantly on its way to act, mainly after the crises, however she does not obtain to control the symptoms. As some stories in literature the panic crises are indescritveis and perhaps the worse one of the psychic and organic experiences that somebody can try. This posthumous suffering is what it is called of ' ' depression after-crise' ' according to some scholars in the subject.
In some institutions we observe the persistence and the capacity of the work of the nurse and as most of the time its orientation was vital at the beginning of the prenatal one through the NANDA diagnosis, with this method that in them called the attention will search more on the subject of the gestacional hipertenso. With the scientific knowledge it can thus prevent bigger complications in the attendance of the nursing consultations also notices that although all effort of the nurses, still needs an attendance more systemize and integral, that points with respect to the physical aspects, psychological and social of these gestantes hipertensa to the risks presented for this pathology, that generally occurs in gestacional period. The nurses have essential participation as base for the attendance, collaborate in taking care of, where these can help these gestantes with gestacional hipertenso, they supply orientaes and contributing to also program Education and Health in the communities, cliente that the nursing inside has important paper of the health services, thus favoring the promotion and the maintenance of the health. In accordance with the Health department (2000): The pregnancy in Brazil still is considered a problem of public health and in other countries also had the lack of familiar planning. Problematizao: Of that it forms the nurse can be acting to provide better conditions of life for the carrying customer of the gestacional hipertenso in the prenatal one? The nurse through the prevention will have to guide the gestante on its pathology and as to collaborate with the treatment. The nurse is a professional more adjusted to work the question of the adhesion of the patient to the treatment antihypertensive, which had to the characteristics of its work, that it searchs to approach the individual of global form, including and continuous. It has that to stand out the envolvement of the nurse (a) with this customer and its familiar ones.
In this way, the assistencial plan results of the analysis of the nursing diagnosis, examining itself the problems of nursing, the affected necessities and the degree of dependence, where the cares developed during the nursing process are individualizados for each in case that, that is, in accordance with the patient or exactly in accordance with the extension where if it finds the pathology in the organism, them if bases on a model of general attention, that for times serves of reference for the nurse during the elaboration process and implementation of cares properly said (12). Being understood not only as a way to make, however as a way to think the practical assistencial, it is observed that the use of the nursing process involves three interrelated areas of cognition: the reasoning and disgnostic judgment; the reasoning and therapeutical judgment and the reasoning and ethical judgment (13).
Perceive it importance of the application of the process of daily nursing as practical of the nurse in the hospital care to the patients acometidos for pneumonia, standing out the agility of the assistance of given nursing, as well as a more scientific optics for the therapeutical behaviors of nursing propitiating a significance for the clinical picture of the patient. Being thus, we can arrive at the conclusion that the nursing process is as a metodolgico instrument of that we launch hand in such a way to favor the care, how much to manage the conditions necessary so that this occurs (14). that stops such facts being materialize if they make necessary good anamnese and physical examination directed for the evaluation of the respiratory function of the patient with pneumonia, in order to collect trustworthy subsidies for the correct identification of the nursing problems, as well as of the colaborativos problems, for the posterior identification of the nursing disgnostic that can be gifts in the clinical case which the nurse and its team are propitiating assistance.