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
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The importance given to the environment as probable .causing factor of the TEA she is small between the scientists, although the existing treatments most effective currently this upheaval to involve the manipulation of ambient contingencies. Sundberg (2004) seems to support itself more in the hypothesis of that the autismo is multicaused by interactions between genetic 0 variable, biological and ambient. However, for some analysts of the behavior (Drash & Tudor, 2004; Ferster, 1961; Malott, the 2004) TEA would be better described as an upheaval that is shaped by contingencies of verbal behaviors whose beginning if would give, in general way, during the first year of life. These authors formulate its theories concerning the etiology of the TEA based on the hypothesis of that this upheaval if develops entirely under the action of specific and completely identifiable contingencies of reinforcing. Ferster (1961) standed out that the disruptive behaviors of an individual with TEA can be kept by the effect in its parents or cuidadores, because they function as aversivo stimulaton that can be discontinued case the cuidador it it supplies a stiffener one. still, it observed that these aversivos behaviors, with passing of the time, probably will be fortified by continuous reinforcing and will predominate on other appropriate behaviors for the age where the child if finds. Following the same line of thought, Drash and Tudor (2004) they base its mannering theory of the TEA in six paradigms of contingencies that would explain the sprouting of the characteristic behaviors of this upheaval: 1) Reinforcing of the verbal behavior of aversivo vocal control, such as to cry or to cry out, or other behaviors of avoidance that can be incompatible with the acquisition of appropriate verbal behaviors for the age; 2) Reinforcing of the verbal behavior of gesticulatrio control and other forms of not-vocal mandos; 3) Anticipation of necessities of the child and consequence reinforcing of a not-responsive repertoire that hinders the reinforcement of vocal and not-vocal mandos; 4) Extinguishing of verbal behaviors; 5) Interaction between factors organic, or vain organic, and mannering factors; 6) Not-suppression of disruptive behaviors and insufficience in establishing instrucional control verbal initial.