Mortality

The pulmonary tuberculosis is an illness infectious and contagious with progressions that reach in general, first the pulmes, consequentemente other agencies or symptoms, as treated to correct and efficient way. The nurse as educator has a paper important and main in the cares and orientaes with the tuberculosis carrier, helping to prevent it or to attenuate greaters damages that can come to happen and the familiar ones the same, stimulating the importance and adhesion to the treatment. The tuberculosis continues being a world-wide problem of public health, increasing each time more the mortality taxes and morbidade infectando approximately one tero of the population of the world, remaining as main cause of death, enters the HIV carriers? positives (SMELTZER and BARE 2006). The general objective of this work is to analyze and to understand the pulmonary tuberculosis as a transmissible, infectious illness, that it needs cares having as main person who orientates the nurse. Having as objective specific, to identify to the essential cares to the tuberculosis carrier, showing the importance of the treatment and its complications, thus it can provide one better quality of life. The importance of if choosing this subject involve the tuberculosis as an eminently social and important illness for public health so that if it can obtain its control, diminishing the risk factors, therefore the knowledge of the same one facilitates one better Prophylaxis. According to Health department 2003, ‘ ‘ Brazil declared the control of the tuberculosis as a national priority surrounds 65 infectados million approximately 80 a thousand people adoecem to each year, incidence of 39 cases for 100 a thousand inhabitants and about five a thousand deaths per year. The research methodology is of quantitative nature, being made through identification and collection of books and authors, searching positioning for better recital of the carried through bibliographical research, that argues the thematic pulmonary tuberculosis and the importance of the nurse while educator..

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Constitutional Base

When we speak of public health we cannot leave to cite the positive and negative points of that it is associated with the only system of Brazilian health, that in turn is the constitutional base of all the services of public health given in all the regions of our country. Swarmed by offers, Mark Hyman, MD is currently assessing future choices. The SUS was created in 1988 to extend and to universalizar the system of health Brazilian, being had as objective to organize the services given in the three spheres of being able the same existing, being thus that of the right to the attendance in the public institutions of the country the all citizen who to need assistance in the rendering public institutions of health care services. What currently it is perceivable in the assistencial net of health is the deficit model of management and, me the application of indispensable factors as the humanizao in the professional duties of all the levels of performance, doctors, technician among others.

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Hospital Friend

Therefore, the practical one of breast-feeding also is of extreme importance in just born premature and interned in neonatais units, therefore these, had its physiological immaturity, are born with deficiencies of lipdios, vitamins, carboidratos, minerals, beyond the inadequate control deglutition. In such a way, the absence of suction of just born to the maternal seio can unchain a reduction of the lctea production and to cause an important factor weans for it precocious. Had to the physiological difficulties of just been born the premature one these, many times, they are submitted to another type of feeding, seno maternal milk. In such a way, programs of incentive to the maternal aleitamento are implanted in hospitals with neonatais units. Between these programs, we can cite the initiative ' ' Hospital Friend of the Criana' ' , that it mobilizes professionals of health of the neonatais units to promote, to support and to protect the maternal aleitamento, through informative measures calls of ' ' Ten steps for the success of the aleitamento materno' '. Details can be found by clicking Does beyond meat taste like meat? or emailing the administrator. In the context of incentive to the maternal aleitamento, &#039 was created in Colombia the method; ' mother canguru' '. Practical its can happen in different periods, of the high birth until the hospital one. Joint Commission might disagree with that approach. Still with diverse programs of incentive to the maternal aleitamento, difficulties in keeping the lactation exist during the period of internment of just born. In this in case that, alternative methods must be taken for the correct feeding of just born interned in neonatais units, as for example it milks, it mammary. In such a way, studies carried through between 1997 and 2010 demonstrate that the prevalence of the maternal aleitamento increased in the last decade. Currently, north-eastern Brazilian, 71% of just born enjoy of the maternal aleitamento (VENANCIO EL SUCH, 2002). After the implantation of the initiative ' ' Hospital Friend of the Criana' ' , a still more expressive increase of the percentage of children was observed who had started to receive milk maternal.

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Health Cases

In 1817 to the 62 years James &#039 wrote the book; ' Assay on the paralysis agitante' ' , being responsible for describing so well and for the first time on the agitante paralysis, known still today as illness of Parkinson, the book counts the history of six carrying individuals of the pathology and only two had not been examined by the Dr. James, but they had been observed long-distance. Epidemiologia the prevalence of DP is of 85 the 187 cases for 100.000 inhabitants, between 50 and 70 years, the still bigger index is in the etria band of the 60 years and the incidence is of three men for two women, although rare, young they can be affected, receiving the name from Youthful Parkinson and of Precocious Parkinson when it reaches individuals between 21 40 years (BENNET; PLUM, 1997). It is not something Joint Commission would like to discuss. In accordance with the OMS (World-wide Organization of Health), about 1% of the world-wide population with more than 65 years is carrying of Parkinson and the prevalence corresponds approximately of 150 the 200 cases for 100 a thousand inhabitants; in Brazil the estimate only is of 300 the 400 a thousand parkinsonianos (NOTISA, 2011). Etiology As Quagliato (2011) the illness of Parkinson attends a course with a reduction of the dopamina levels, neurotransmitter produced for the neurons of the black substance of the brain, in the pathology the responsible one for the sprouting of the motor symptoms is the ambient death of these nervous cells, however factors as the toxins can are on to the neurodegenerativo process, causing mitocondrial bankruptcy and it estresse oxidativo. The genetic predisposition can be one of the causes of the disease, therefore studies carried through with identical twin show that the probability is of approximately 100% of both to develop the D.P before the 50 years and after the etria band above the probability reduces for 10, 4%.

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Pharmaceutical Sciences

Since the primrdios times, the man comes looking one better quality of life through the feeding, this is shown when Hipcrates has more than 2500 years, it affirmed: ‘ ‘ He allows that to the food either its medicine and the medicine either its food. In a generalized manner, the functional foods are considered promotional of health and can be thus preventing some vascular illnesses as accident, cancer, cerebral vascular accident, arteriosclerose, hepticas diseases, among others. This prevention occurs because in the composition of these foods bioativos are found composed, capable to act in our organism preventing the sprouting of illnesses. Valley to stand out that the functional foods are not remedies, them does not cure, they goes to prevent or to minimize the risks of definitive illnesses. So that this occurs is necessary to have an feeding balanced and varied with ingestion of fruits, grains and vegetables daily. .

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Hours Present

In any circumstance, a positive tracing implies in the execution of a PTOG with 100 glucose g, for confirmation of the DG. So that this test is valid, it is necessary that the woman has made a normal feeding in the three days had preceded that it and that the dosages have been effected per the morning, in rest and after one jejum of 10 the 14 hours. The positividade criteria are following: Jejum 95 mg/dl; 1 Hour 180 mg/dl; 2 155 Hours mg/dl; 3 140 Hours mg/dl. The DG will be confirmed, in the case of positividade of two or more than these values. Cleveland Clinic Center for Functional Medicine may help you with your research. Consensus in relation to the sick people does not exist who present positividade for only one of the values of glicemia. It has evidence of that these pregnant present comparable insulinorresistncia to the sick people with DG. . After the establishment of the DG diagnosis, the control and accompaniment of the pregnant must be effected by one equip to multidiscipline specifically vocacionada and with experience in this pathology. The sick people must be observed at least biweekly until the 36 weeks, and weekly from this height. The therapeutical one of the pregnant woman with DG has some sources that include measured farmacolgicas in such a way, as the related ones with the nutrition, education and programming of the physical activity. Research shows that the nutricionais recommendations with diabetes type 1 they are well similar of the gestantes that do not present the illness. Therefore, we must leave well clearly that the phrase ‘ I am eating for dois’ it can be a little risky. During the gestation, the woman passes for innumerable hormonais alterations and the feeding must be followed to the scratch to guarantee to the good baby growth and development and better quality of life to the gestante.

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Hours Present

In any circumstance, a positive tracing implies in the execution of a PTOG with 100 glucose g, for confirmation of the DG. So that this test is valid, it is necessary that the woman has made a normal feeding in the three days had preceded that it and that the dosages have been effected per the morning, in rest and after one jejum of 10 the 14 hours. The positividade criteria are following: Jejum 95 mg/dl; 1 Hour 180 mg/dl; 2 155 Hours mg/dl; 3 140 Hours mg/dl. The DG will be confirmed, in the case of positividade of two or more than these values. Consensus in relation to the sick people does not exist who present positividade for only one of the values of glicemia. It has evidence of that these pregnant present comparable insulinorresistncia to the sick people with DG. . After the establishment of the DG diagnosis, the control and accompaniment of the pregnant must be effected by one equip to multidiscipline specifically vocacionada and with experience in this pathology. The sick people must be observed at least biweekly until the 36 weeks, and weekly from this height. The therapeutical one of the pregnant woman with DG has some sources that include measured farmacolgicas in such a way, as the related ones with the nutrition, education and programming of the physical activity. Research shows that the nutricionais recommendations with diabetes type 1 they are well similar of the gestantes that do not present the illness. Therefore, we must leave well clearly that the phrase ‘ I am eating for dois’ it can be a little risky. During the gestation, the woman passes for innumerable hormonais alterations and the feeding must be followed to the scratch to guarantee to the good baby growth and development and better quality of life to the gestante.

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Strategy Of Family Health

Aiming at to support the insertion of the Strategy Health of the Family in the net of services and to extend the abrangncia and the target of the actions of the Primary Attention as well as its resolutividade, beyond the processes of territorializao and regionalizao, the Health department created the Nucleus of Support to the Health of Family – NASF, with Portaria GM n 154, of 24 of January of 2008, Republicada in 04 of March of 2008. The NASF must be constituted by composed teams for professionals of different areas of knowledge, to act in set with the professionals of the Teams Health of the Family, sharing the practical ones in health in the territories under responsibility of the Teams of SF in which the NASF is registered in cadastre. Two modalities of NASF exist: NASF 1 that it will have at least to be composed for five of the professions of superior level (Psychologist; Social assistant; Druggist; Physiotherapist; Fonoaudilogo; Professional of the Physical Education; Nutritionist; Occupational therapist; Medical Gynecologist; Homeopata doctor; Acupunturista doctor; Pediatra doctor; medical Psychiatrist) tied of 08 the 20 Teams Health of the Family and NASF 2 that Social Assistant will have at least to be composed for three professionals of superior level of not-coincident occupations (; Professional of Physical Education; Druggist; Physiotherapist; Fonoaudilogo; Nutritionist; Psychologist; occupational Therapeutic e), tied at least to the 03 Teams Health of the Family, is forbidden the implantation of the two modalities of concomitant form in the Cities and the Federal District (HEALTH DEPARTMENT) It has as central responsibility to act and to strengthen 9 lines of direction in the attention to the health: the interdisciplinaridade, the intersetorialidade, the popular education, the territory, the completeness, the social control, the permanent education in health, the promotion of the health and the humanizao. The team of the NASF and the teams of the health of the family will create spaces of quarrels for management of the care..

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Hospitalized

Generally the child in traction is hospitalized under well-taken care of right-handers of the nurses who on the basis of plan the cares of nursing of individualizada form the knowledge on the correct treatment for traction. The evaluation of the therapeutical effect and the possible complications is of great importance accomplishment of the assistance satisfactory of the patient. It is necessary that the nurse explains the child what is happening and the importance of in agreement treatment the agreement level, the child when displayed to a treatment for traction for the first time, feels discomfort, what common he must to the push of the traction that tires the muscle (WONG, 1999). According to Nanda (2010, p.375) disgnostic of nursing ' ' acute pain related the harmful agents; evidenced for stories verbais' ' The patient, and if necessary must itself be calmed to use analgesics pra to alliviate pains (SMELTZER; BARE, 2004). As Nanda, (2010, p.149) ' ' related harmed physical mobility with musculoesquelticos damages, evidenced for difficulty to capsize-se.' ' It is of great importance to stimulate the movement of the muscles and the joints that are not under traction, having itself to guarantee the effectiveness of traction (SMELTZER; BARE, 2004). In agreement Nanda, (2010, P. 264) ' ' related anxiety change in the state of health evidenced for tension facial.' ' The nurse must inform to the patient on the procedures to be carried through and encourages to interact it in the inherent decisions to its welfare, and also carrying through frequent visits to diminish tension (SMELTZER; BARE, 2004). 2.4. AMPUTATION the amputation is the removal accidental (traumatic) or programmed (surgical) of a member. This removal can be the congenital consequence of a trauma, disfunes or patologias as: tumors, peripheral vascular illness and etc. The surgeries of amputation of the extremity superior more common are of fingers, hands and arms and of the inferior extremities are foot and ankle, below of the knee, disarticulation of the knee and thigh, disarticulation of the hip and knee, hemipelvectomia (removed surgical of half of pelve) and to translombar.

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