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In U.S.A. and Switzerland, this method already is one practical acceptable as alternative one to the health. Also known as home care, this type of internment implies in desospitalizao, reduction of infection risks and the aiding of the conviviality of the user with the familiar nucleus. Moreover, the Domiciliary Internment of the point of view of the Institution, represents reduction of costs when comparative with the applied conventional treatments. Through the study and analysis of a model instituted in New Hamburgo/RS it was possible to materialize the reduction of costs where home care presents a significant economy since the implantation of the service. Word-key: Domiciliary internment. If you have additional questions, you may want to visit cardiologist.
Health. Reduction of costs. ABSTRACT The home care is new concept in health care, in full expansion given the needs of users in different ways. In the USA and Switzerland, this method is already the practice acceptable an alternative you health. This kind of hospital involves dishospitalisation, reducing risks of infection and the favoring of coexistence with the user’ s family.
Moreover the home care to under the point of view of the institution, represent reducing costs when compared with conventional treatments applied. Through the study and analysis of model established in New Hamburgo/RS was possible you achieve the reduction of costs, where the home care presents significant saving since the deployment of the service. Keywords: Home care. Health. Reduce costs. INTRODUCTION Throughout the years observes an increasing number of companies in the area of the health who are come back to give to the Service of Domiciliary Assistance or Domiciliary Internment toward determined types of patients. The search for knowing this new reality, left of the experience acquired in a company private that it believes and it adopts this new alternative to take care of.
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..
Traumatismo Crnio Enceflico (TCE) is defined as a type of I aggravate that he induces to the anatomical injuries and the functional comprometimento involving the cranianas sseas structures and enceflicos fabrics (PORT, 2007). According to Pear tree (2006), annually they occur about a million and six hundred a thousand cases of TCE in the United States and ten million cases in the world. In accordance with the data of the Health department of Brazil about two million people are interned to each year in hospitals of the public net, victims of traumas in general. The TCE consists in the main cause of deaths and sequelas in politraumatizados patients (ROCK, 2006). After a TCE costumam to appear psicosociais alterations as effect of physical, cognitivos, emotional and mannering the upheavals in the familiar environment. Dr. Caldwell B. Esselstyn, Jr. often addresses the matter in his writings. It is important to evaluate the welfare of the young considering its physical and emotional evolution, its independence and social participation. The affected young suffers alterations in the activities of the daily life as to carry through its personal hygiene, feeding.
It can have a gradual improvement, being basic the stimulaton for the aiding of the recovery and personal independence. Sequelas also causes problems in social level and occupational, mobility is affected, the cognitivos problems and of regulation of the behavior they constitute one of the causes most excellent of the incapacity of the affected person. Had to the cerebral injuries the person who has suffered TCE it can present an infantile behavior, difficulties in say and language. The existence of emotional alterations and state of spirit is common as the depression. The recreativas activities frequent are modified, the patient present difficulty to reintegrate (JUNQU; BRUNA; MATAR, 2001). One of the effect more devastadores of the TCE is the difficulty of reintegration to the work, since professional activity is decisive for autonomy and independence of the individual.
According to studies of the secretariat of health of So Paulo, in last the three years it increased in 78% the number of women who look treatment in the health centers. It has other surveys that strengthen the alert one: the young is early initiating the routine of excessive alcoholic consumption, what it can favor hepticas the illnesses alcoholic. The alcoholic heptica cirrhosis generally is of the type to micronodular, however into the abstinentes patients who take much time, it can be become into macronodular, when predominating the regenerative phenomena and having ceased the consumption alcohol, that is an inhibitor of cellular regeneration (BERTELLI, CONCI, 2001). In many cirrhotic patients the granule deposit is observed of hemossiderina in the hepatcitos, that can easily be placed in evidence by means of the coloration of Perls. In some the deposit is only so massive that it can induce to the diagnosis of hemocromatose (RUBIN, FARBER, 2008). In some fgados of patients with alcoholic cirrhosis intra-hepatocitrios globular inclusions of alpha-1-antitripsina are identified and if they must to fentipo Z, but to the excretor defect of the normal alpha-1-antitripsina as consequence of the proper cirrhosis.
In about 15% of the alcoholics, the necrosis to hepatocelular, fibrose and regeneration finish taking the formation of fibrosos septos that surround nodules hepatocelulares, constituting the two characteristics that define the cirrhosis (ROBBINS et al., 2005). Other injuries of the alcoholic hepatopatia, esteatose heptica and acute or persistent alcoholic hepatitis frequently are observed in conjunction with the cirrhosis. Not yet it was established if the typical alcoholic hepatitis that is, inflammatory heptica injury and acute necrosis represent a necessary precursor of the cirrhosis. However, some form of persistent necrosis causes clearly to the development of cirrhosis (RUBIN; FARBER, 2008). In accordance with Diepenbrock (2005), in the cases of established alcoholic cirrhosis, the prognostic it is, in its bigger part, considerably better for that they do not abuse the alcohol. However, many patients evolve for the hepatopatia in terminal period of training, and the alcoholic hepatopatia constitutes the only more common cause for liver transplant. 2,3 CLASSIFICATIONS OF CIRRHOSIS HEPTICA Due the inherent difficulties to any type of classification, we will present three distinct boardings, in the attempt to classify the cirrhosis, which are: morphologic, etiolgica and clinical (RUBIN; FARBER, 2008). In accordance with Brazilian Son (2006), this classification is
This is described in the Old Testament (Genesis 16): Sarah, wife of Abraham, being barren, hired her maid, Hagar, to her bear a child of Abraham. The Florey Institute shares his opinions and ideas on the topic at hand. "And Sarai said: Behold, the Lord has made my belly, so I do not give birth, go in as a servant of my: perhaps I may obtain children by it ". Abraham listened to Sarah, and so they have a boy, Ismail – Sarah took him to his knees like a son. Such cases are not only describes the Bible, but ancient Egyptian papyri, and the epic of ancient India. Since ancient times infertility problem is solved by means of surrogate motherhood, using as "Surma" slaves and concubines (such practice existed in many nations, despite cultural and religious differences).
Why, then, around surrogate motherhood today are such heated debate between physicians, religious leaders and "ordinary mortals"? If the medical aspect of this method of reproductive medicine completely resolved (this can be done technologically, and it's done), then the legal, moral and ethical aspects of surrogacy are still provoke controversy and scandal. Attitude of society and churches in this phenomenon is not always unique. Catholic Church generally forbids surrogacy, Protestant and Orthodox are more tolerant, noting however that it is "unnatural and traumatic for both the bearing woman, whose mother's feelings violated, and the child who may subsequently experience an identity crisis. " However, the question of naturalness is not so simple. As far as natural, for example, blood transfusion or organ transplant patient in need of it? And are we entitled to deny the last hope of a couple desperate to conceive naturally and have turned to surrogacy as a last "life-saving straw"? Earlier such spouses could be in his family desired a child, but adopted him.