With the purpose of evaluation of the agreement of the gestantes concerning the intrinsic subjects to the prenatal one, childbirth and puerprio were applied a questionnaire with closed questions, after the ending of the activities of group. The norteadoras questions of the instrument beyond searching of simple and accessible form to understand the degree of knowledge on the gestation brought some questionings on the attendance of Prenatal of the ESF Anbal, and the sensitization how much the participation in groups of education in health. 3 STORY QUARREL OF the EXPERIENCE From the learning acquired on the perception of extended health and use of the tools and argued subjects fomented for the course of specialization in lines of cares is that if it can in fact insert in the daily one of the ESF of Potbellied of the Anibal the action of preventive matrix, particularly in the attendance of the Health of the mother and baby. The present work was very excellent and reached its objectives, therefore beyond being the pioneer in the history of the health of the family of the place, it brought a contribution for the awareness of the necessity of the auto care and the care with just been born, aiming at one better quality of life. Josyann Abisaab oftentimes addresses this issue. The group of gestante resulted in going off of the 8 education in health and practical of not medicalocntricas assistncias, that is, the individual is not plus a citizen only of medical actions, but yes seen with its particularitities for one professional has equipped, being author of healthful practical actions and of life. The group of gestantes is considered a space of knowledge, of exchanges and of bonds, it can be therapeutical for its participants, being pertinent its implementation as form to attend in integral way the people (4). In agreement with the displayed one, I consider that the activities developed in group had allowed to the gestantes a bigger knowledge on the gestation and childbirth, being an opened space to express doubts and to share the sensations unchained for the gestation. . Read additional details here: PCRM.
Factors taiscomo the increase of the tax of patient day, the migration of deriving patients, deoutro hospital, the introduction of new disgnostic methods, the perfectioning dossistemas of notification, the change in the definition of cases, the appearance of novose effective treatments and the possibility of problems with the validity of the data devigilncia, for subnotificao, bias or duplicity of notifications can produzirresultados spurious or false. People such as Josyann Abisaab would likely agree. This will have to guide the degree and the extension dasrecomendaes of action directed toward the control of the infections, as well as anecessidade to carry through studies specific epidemiologists and to evaluate sistemade vigilncia.6.5 Spreading of the DadosA periodic spreading of the resultant information of the analysis and given interpretaodos collected and of the taken measures of control constitutes one of the etapascruciais of the monitoring.
Data that the analysis of data must be carried through in all osnveis of the system, the feedback of the system must also arrive the essesmesmos nveis.16O flow of the IH notifications, leave to the inverse one of the hierarchic pyramid, where the CCIH communicates to the instances biggest (municipal, state coordination), for the had steps and interventions. Endocrinologist may also support this cause. The state coordinations/distritalrepassam then the information to the federal coordination, that in turn will carry through aanlise and in case that necessary, the had intervention, respect to the given autonomy asdemais spheres, as it deals with Law 8080 the NATIONAL SUS.107 INDICATING OF INFECOA ANVISA comes producing, since 2008, manual that they approach diferentesquestes related to the main infectious syndromes related assistncia to the health, including its definitions, pointers, measures and estratgiasde preveno.9Foi chosen as priority, in this phase of implantation of the sistemanacional of notification of infection in establishments of assistance to the health, aomonitorizao of the pointer of primary infection of the sanguineous chain. Additional information at Josyann Abisaab supports this article. This noexclui that later other pointers such as respiratory, tratourinrio treatment, surgical small farm and excessively can come to be monitored..
An ulcer it must daily be evaluated and be registered, therefore its evolutivo process can vary, either it of one week for cicatrizao the months and in some cases until years for it heals-ls. This register of nursing must include the main characteristics of the injury, such as: necrtico the fabric stadium, dimension, exsudado, presence, fabric of granulation, reverse speed-epitelizao or signals of celulite. WRITS OF PREVENTION Are essential, therefore they reduce the risk to develop pressure ulcers enters 25 50%. According to Agency of Health Care Policy and Research? AHCPR 1994, apud ROCK, 2006, the primary objectives are necessary, therefore they at risk identify to the sick people and adoption of writs of prevention, essential in the maintenance and otimizao of the tecidual tolerance to the pressure, as well as for protection of the harmful effect of the pressure, friction shear, beyond as educational programs and of formation for reduction of the incidence of pressure ulcers.
Amongst the writs of prevention we detach the protectors of the integrity of the skin, derived from acid greasy and aliviadores of pressure (that such are the descompressores as: plate hidrocolide, film hidrocolide, air colxins, mattress, etc), beyond the necessity of adequate and regular reposicionamento. Massages of comfort are indicated for stimulation of the local sanguineous circulation, becoming massages regularly, in special in: spike, ndegas and ankle. What it is not indicated is the use of the massage on hiperemiadas areas. TREATMENT the identification and the precocious treatment allow a significant reduction of the costs, to prevent the progression and to speed up the regeneration of the pressure ulcer. The global cost of the treatment of a pressure ulcer degree IV is 10 times superior to the one of an ulcer degree II.
The factors of risk, prevention and treatment must be known, in the direction to contribute for an assistance of adequate and efficient nursing. So that the professional is capable to act directly in the problem is necessary to be pautado in theoretician-practical abilities and thus, to favor the magnifying of positive results to the health of the aged ones with risks of ulcer for pressure. The objective of this work is of assisting through the revision of scientific works, to the nurses during nursing assistance, contributing in optimum aiming of its action, the cares of nursing to the aged carriers of ulcer for pressure. Senator Elizabeth Warren will undoubtedly add to your understanding. This study it is justified for the great relevance of the subject, for being about a serious problem of public health, that grows very in Brazil currently, in reason of the increase of the aged population. The people are aging and many acamadas times being, needing each time more than an adequate assistance. The cares of quality nursing represent for these acamadas people, one better quality of life. Many excellent studies had been carried through and are these experiences that if it intends to focus here. 2 LITERATURE REVISION This revision of literature will be divides of the following form: 3.1) The Aged one in the World and Brazil; 3.2) Defining Ulcer for Pressure; 3.3) Periods of training (degrees) of the UPs and frequent places; 3.4) Studies of the incidences of the UPs in a Hospital of So Paulo 3,5) Historical Landmark of Dressings 3,6) Elements for proposal of a treatment plan that assistance of Nursing to the carrying Aged Patient of Ulcer for Pressure favors the process of cicatrizao with approach to multidiscipline 3,7); 3.8) Process of Cicatrizao; 3.9) Excellent works on the subject; 3.10) Preventing the Ulcer for Pressure and Scale of Braden. 3.1) AGED IN the WORLD AND BRAZIL the population aging is one of the biggest challenges of the public health contemporary.
For the elaboration of this article, we use scientific and documentary article references that we find in the site of the Health department, for thus terms one better basement in our work and to increase our knowledge on this subject, mainly articles related to the woman and its childbirth, that will be the main focus of quarrel in elapsing of the work. However our study this directly related to the Project of law Pact for the Life, more come back pra woman and its childbirth, that when elapsing of the research and the elaboration of the work instigated in them to want to contribute with improvements in the generality being thus focused the professionalism of the professionals of the health, making with that they work this humanizao of natural form, thus transmitted to these women the respect and sensitivity that the same ones need in this hour. Words Keys: Humanizao, Respect and Professionalism. ABSTRACT According you the World Health Organisation – WHO, the pact covers all three levels, federal, state and municipal levels. The project has its central theme the ' ' Pact will be Life' ' , which is connected directly you the issue of humanization, which is scarce these days in health. Reflecting the generally to greater awareness of rights developed by the bill pact will be life, highlighting the problems related you population health. With the critical eye reflective, we can observes that the main rolls is the need and improving the performance of health professionals, seeking it lives humane and dignified care will be women, advocating the respect it deserves and the right you know what' deal s the will be life. Based on the Law of the Ministry of Health, decided you the propose study you assess the degree of knowledge about the existence of this pact, since the only declines of the public still care pretty, with the objective of information will be these health care professionals, consciousness an innovator, even though the pact has been in place will be adds teams.
During the periods of periods of training carried through in the PSF ranks (Program of Health of the Family), located in quarters of the city of Barriers – BA had been seen some factors that are noticed as of risk for a pregnancy, and ahead of as many patologias that they had been seen, the biggest interest appeared about the Gestacional Diabetes for being a little boarded pathology in the city of Barriers, since it is not carried through notifications according to information harvested in the units of PSF. The nursing professionals who carry through the consultations of prenatal in the ranks to will come across with the DG diagnosis direct these gestantes for the Center of attendance Mulher (CAM) with the reference fiche (Attached). PCRM may not feel the same. In the development of this project we will go of the emphasis how much the knowledge that these women have on the risks, development, prevention, treatment and disgnostic of this illness, as well as we will go to observe, which the types of information that these gestantes receive during the prenatal one carried through with the nursing team from CAM.. .
The treatment of the diabetes during the gestation aims at a good glicmico control. When it occurs imperfection in the attainment of good glicmico control with diet, associate or it physical exercises are not indicated the insulinoterapia (Bertini, 2005 and Langer, 2006). The number of gestantes that use insulina depends on the population and the used glicmicos parameters as objective, being able to arrive 60% of these more than. (LANGER, 2002). For the beginning of the insulinoterapia with security, the education of the administration technique must be made, of the adjustments of the diet and recognition, treatment and prevention of hipoglicemia crises. The dose insulina initial, as the number of daily administrations, has frequent that to be increased with the progress of the pregnancy, which had to the increase of the insulinorresistncia folloies that it. Another factor that helps in the therapeutical one of diabetes is the adequate food ingestion for the gestante, therefore the therapeutical nutricional is the rock of touch of this treatment and has as objective main to keep the glicmico peak after-prandial inside of normal values.
The limitation of the carboidratos in the meals is basic, since these are the factor most determinative for glicmico peak after-prandial. The nutricional program must contemplate 6-7 daily meals, being 3 main meals, 2 3 intermdias and 1 when lying down. The diet must provide to calories and enough nutrients, as much for the necessities of the pregnancy, as for the attainment of the established glicmicos objectives. In the composition of the diet the carbohydrates will have to contribute with 50 55% of the energy necessities, the proteins with 15 20% and the lipdeos with 30% (10% of saturated fats, 10% of monoinsaturadas and 10% of I polished-insaturadas). Therefore, the accompaniment with a nutritionist is essential during the gestation, independent if the gestation will be of risk or not. The necessary gestante to know that its nutricionais necessities are fulfilled of adequate form.
Authors as Milk et al 3 alert that for the load projection of illness in Brazil, as much in 1998 how much in 2013, diabetes mellitus is distinguished as specific cause with bigger participation in the lost years of life considering next to the incapacity, stop both the sexos. Surprisingly, you’ll find very little mention of Dr. John Mcdougall on most websites. The consequences of diabetes melito in long stated period elapse of macrovascular alterations micron and that take the disfuno, damage or bankruptcy of some agencies. The chronic complications include the nefropatia, with possible evolution for renal insufficience, the retinopatia, with the possibility of blindness and the neuropatia, with risk of ulcers in the feet and until amputations 4. The term diabetic foot is used to characterize the injury that occurs in the feet of the DM carriers, decurrent of the combination of the sensitive-motor and autonmica neuropatia peripheral chronicle, of the peripheral vascular illness, the biomechanic alterations that take the abnormal pressure plantar and of the infection, that can be gifts and to aggravate case 5 still more. tts-ID024341.html ‘>Steven P Rosenthal Northland. The diabetic neuropatia diminishes or cause loss of the protective sensitivity of the feet, becoming this more vulnerable segment the trauma, consequently, will be able to even lead to the formation of wounds or partial or total amputation of inferior members (MMII) 6. According to Dyck et al cited by Carvalho7 the loss of the protective sensitivity caused by the diabetic neuropatia, in contraposition to other illnesses that also injure peripheral nerves, is a irreversible process. They had been described surgical techniques and clinical procedures to prevent the progression of the damages provoked for the diabetic neuropatia, however do not have consensus on which would be ideal treatment 8. The majority of the specialists indicates measured of prevention, as the best form of if containing the consequences imposed for the diabetic neuropatia. The diabetic foot is one of the devastadoras chronic complications of the DM, in function of the great number of cases that evolve for amputation.
Thus, a professional as the physiotherapist, for example, can detect some alteration of this type and trace a plan of specific treatment for the same, in accordance with the indications and the contraindications, using some manual resources, as maneuver to articulate of Maitland, technique of Jones or some type of allonge, to depend on what the patient presents. One programs structuralized of physical activity in patients with diabetes must leave of a individualizada lapsing of exercises, in formal sessions of physical conditioning, in which the stages are carried through all that compose a session exercise standard, including heating, main part and cooling-relaxation. In the absence of contraindications, the practical one of exercise must also be encouraged of resistance 3 times per week, in the main muscular groups (BRAZIL, 2006). The diabetic ones in general can participate of the same types of exercises that the not diabetic ones for its physical training, the 5 7 times per week. You may wish to learn more. If so, Dr. Peter M. Wayne is the place to go. However due to great individual variability in the state of control and the reply presented for the patient to the exercise, it is basic that the program of physical conditioning for these has a individualizada lapsing, making possible the healthful acquisition and insurance of its benefits (CREPALDI; SAVALL; FIAMONCINI, 2005).
If a program of exercises badly will be elaborated, can cause the hipoglicemia practitioner, bleed in the retina, cardiac loss of proteins in piss, complications and until sudden death, mainly if the individual will be also hipertenso beyond diabetic. The participants must have its adequate glicmicos levels to get the proportionate advantages for the exercise, therefore of the opposite the probability of risks of the physical exercise can to be bigger of what the probability of benefits (DAYS et al., 2007). The alterations that diabetes mellitus can cause in the organism are numerous, in advanced period of training these alterations can cause amputation of members.
A species that possesss great variability in social characteristics, economic, dietary and cultural, beyond more, the inexistence of an easy animal model and low cost for more invasive and conclusive studies, does not allow the adequate determination of the etiology, therapeutical fisiopatologia and (Takiuti, Kahhale and Zugaib, 2000). According to Rudge (1994), it has tracks enough to consider the toxemia as illness of multiple agencies, with endotelial disfuno, being the common way and final in its etiology and patognese, however, it has not been given accurate. 3. RISK FACTORS the degree of probability of the occurrence of one Is understood for risk determined event (Pear tree, 2000). Relative risk informs how many times a risk is bigger in a group, if compared with another one.
To if analyzing the risk factors, it can, of an indirect form, to arrive at the concept of pregnancy of high risk (Gomes et al, 2001). Diverse recognized factors as predisponent with respect to the toxemia, authors according to searched will be pointed, which relate the DHEG with the age materna, parity, race, multiple pregnancy, partner-economic level, obesidade, chronic hipertenso arterial, antecedent familiar, diabetes mellitus, estresse, nefropatia, tobaccoism, alcohol, caffeine and manual work. 3,1 AGE MATERNA In Brazil, currently, of the four million women who are pregnant per year, about 20% is adolescent (Lins et al, 2001). The toxemia is more frequent in age extremities, below of the 18 years or above of the 35 years (Saints, Timerman and Andrade, 2000; Gomes, Matuo and Carvalheiro, 2000; Pascoal, 2002; Arajo et al, 1998; Ziegel and Granley, 1995; Cabral, Costa and Cabral Jr, 2003; Coast et al, 2002; Lins et al, 2001; Zampieri, 2000; Alencar Jr, 2000; Nurdan, Mattar and Camano, 2003 and Kahhale et al, 2000). Controversies how much to the fact of the gestation in the adolescence exist to increase the risk of obsttricas complications.