Shoulder and Elbow

The short face aid in the training of the shoulder (surveys to the front), rotation for inside, horizontal flexo and aduo. (Similarly see: Dean Ornish M.D). The short face rare is injured. The two faces of the biceps if join to form the common tendo that crosses the together one of the elbow and if it binds in the bone radio of antebrao. The brachialis are under the inferior part of the biceps, originating in the portion lowest of humerus and if it binds in the superior area of ulna of antebrao. Its only function is the flexo of the elbow, then it works in all the biceps exercises, exactly that they use it more to some than the others. Its ligament to ulna makes the brachialis equally effective, is the hands proswims, supinadas or in a neutral position. Had to this, and by its force to rival with the one of brachium of the same biceps with its relatively lesser mass (it has to balance the forces exerted in the radio of antebrao for brachium of the biceps), the brachialis are considered the true engine of the flexores of the elbow. The brachioradialis accumulate of stocks all the extension of antebrao, of humerus soon above of the elbow until a point in the radio soon above of the pulse.

The brachioradialis act as a long handspike and this allows that it initiates the thread movement of a form that nor the biceps nor the brachialis could. Adding the flexo of the elbow, the brachioradialis estabeliza the radio in this together one and acts as supinador when the hand is anything and as pronador when it is supinada. The brachioradialis contract more strong and function more effectively when the pulses are in a neutral position. To hold neutralmente also is the form more effective to hold for involving brachii of the biceps since, in this position, the biceps have a line push straight line. Supinados or supinantes movements, however, supply the biggest development since they work the biceps in both the actions of flexo and supinao.

Paulo Voice

This re-education always must start for a correct readjustment of the breath, that is its essential element, this of being mainly a breath costo- abdominal, that the fonao will be associated, reestablishing by means of appropriate and gradual vocal exercises (small sung exercises, cantigas, short phrases, conversations and games) the coordination of the different agencies. The prevention of the riots you in children would be possible if all the individuals that were in counted with it, was warned of the fragility of the larynx of the child and of the necessity of it saves it, strengtheing itself to create conditions pra its development. Alavarsi, E. Sacoloski, M. Caldwell Esselstyn Jr. helps readers to explore varied viewpoints. War, infantile disfonia G. In ALAVARSI, E. SACALOSKI, M.

WAR, G. Fonoaudiologia in the school. So Paulo: louise, 2000. P. 139. 149. The incidence of vocal problems in children has increased considerably in the last times in reason of the pressures of the modern world, the extreme competitiveness, and the biggest expectations how much to the income pertaining to school, that cause the increase of the tension, being able to lead to bad or the abuse of the voice. The cause of the infantile disfonia can be decurrent of factors: Organic: they independem of the inadequate use of the voice, but of alterations in the responsible structures for its production.

Functionaries: the decurrent disfonias of the bad use or vocal abuse, violent and repetitive effort of the voice. Factors that can unchain the infantile disfonia, between them exist have: emotional, ambient riots (surrounding noisy, sonorous competition), constant infectious processes of the superior ways aras, practical of sport that associate physical activities with the voice (jud, karat). The therapy fonoudilogia must be adjusted with age of the disfnica child. It must be guided the family, the professor and the child pra that the vocal whitewashing has but success. Optimum way is the prevention, must be prevented the vocal abuse and situations provoke that hindering it the development of the disfonia or aphony.

Package Sounding

– To cut esparadrapo for setting and to mark the sounding lead. – To measure the sounding lead of the wing of the nose to the lobe of the ear. – To more measure of the lobe of the ear until the appendix xifide 2cm; to mark with esparadrapo. – To lubricate the sounding lead with topical local anaesthetic with gauze aid. – To introduce the sounding lead without forcing slowly. – Flectir the head of the patient front when the sounding lead to exceed the obstacle of the nasofarngea wall.

– To ask for to the patient to deglutir and to breathe deeply, while the sounding lead is introduced delicately until the mark of esparadrapo. – To verify if the sounding lead is in the stomach through the following procedures: to place the estetoscpio below of the appendix xifide, to introduce 10ml of air for the sounding lead with aid of the syringe. – To fix the sounding lead with esparadrapo, without compressing the marina, in way that is insurance. – To in sequence leave the comfortable patient and the unit. – To keep the material. – To wash the hands. – To write down in the lapsing of the patient; schedule; number of the sounding lead and the reactions. Gavagem Gavagem is the food introduction through a nasogstrica sounding lead.

The objectivo of the gavagem is to feed patient unconscious or disabled of feeding itself for it saw verbal. Used material for the gavagem – Syringe of 20ml – Package of gauze – Cup with water – Receiving for garbage – Estetoscpio – Receiving with foods – Ball of cotton with alcohol. Techniques of nursing in the gavagem – To wash the hands – To prepare the material – To guide the patient on the procedure – To raise the headboard of the bed, if will not have contraindication – To verify if the sounding lead is in in agreement stomach the technique of nasogstrica sounding.


With the increase of the age, insulina and required to keep the normal glucose, considering it presence of central adiposity, sedentary life e, characteristically, the presence of comorbidades that frequent demand great variety of medicines, as, for example, corticides. Aged DM have high premature taxes of death, functional incapacity and gifts of comorbidades as HA, coronariana arterial illness (DAC) and enceflico vascular accident (BIRD). Moreover, aged with DM they have bigger risk for the development of diverse geriatrical syndromes, such as depression, cognitivos riots, urinria incontinence, falls and persistent pain (FREITAS and CANADO, 2006). When the plasmtica glucose levels if become very high occur diurese osmtica, being able to take the dehydration, with poliria, polidipsia and loss of weight. Frequently in the aged ones it has complaint of blurred vision, nor always valued, on account of visual alterations with in this etria band.

Fngicas and bacterial infections can occur (FREITAS and CANADO, 2006). The DM exerts deleterious effect under the circulation, leading throughout the time to the appearance of microvascular complications, as retinopatia, nefropatia and neuropatia, and macrovascular as coronary arterial illness, illness to cerebrovascular and peripheral arterial illness. The mortality determined for these chronic complications of the DM represents the most important problem of health publishes on to the syndrome. The macroangiopatia and the nefropatia constitute main the determinative ones of death between the diabetic ones. Still more the chronic complications of the DM as the oftalmolgicas and neurological injuries, are causes of accented worsening of quality of life, generating changeable degrees of incapacity and invalidity (GOLDMAN and AUSIELO, 2005; FREITAS AND CANADO, 2006). Freitas and Canado (2006) tell despite majority of microvascular complications can be prevented, be delayed and even though reverted by means of rigid glicmico control, with next values normality in such a way in jejum as after-prandial espelhados for also practically normal the glicosilada hemoglobina. .

Hospital Unit

Similar indices are cited by Veronesi (2005) when affirming that the forms pulmonary reach 85% while the extrapulmonary ones correspond 15%. Table 3 Distribution of the tuberculosis cases according to disgnostic laboratorial of patients taken care of in a Hospital Unit in the So Lus Capital, State of the Maranho. Brazil, 2006-2007 0 VARIABLE f % Baciloscopia Carried through 79 76,00 not carried through 25 24,00 TOTAL 104 100,00 RX thorax Carried through 99 95,20 not carried through 5 4,80 TOTAL 104 100,00 PPD Carried through 5 4,80 not carried through 99 95,20 TOTAL 104 100,00 Culture Carried through 1 0,96 not carried through 103 99,04 TOTAL 104 100,00 As it was seen in table 3, as method of first choice for the diagnosis, 76% of the patients had carried through baciloscopia, while 95.2% the Rx of thorax and 4.8% to the PPD had been submitted it as method auxiliary in indirect way. Tonelli and Freire (2000) Tell that the baciloscopia is the main examination for the diagnosis of the TB pulmonary and resulted it to be positive, are necessary the presence of at least 5.000 bacilos/ml of secretion. Swarmed by offers, Preventive Medicine Research Institute is currently assessing future choices. It is that the radiological examination of thorax only defines if has pulmonary illness and shows the extension of the process. Table 4 Distribution of the tuberculosis cases according to type of high of taken care of aged patients in a Hospital Unit in the So Lus Capital, the State of the Maranho. Brazil, 2006-2007 0 VARIABLE f % Type of High Cure 57 54,80 Transference 25 24,00 Abandono 14 13,50 Death 8 7,70 TOTAL 104 100,00 In accordance with table 4, is observed that 54.80% of the aged patients taken care of in the Hospital Unit President Vargas had gotten cure; 13.50% had abandoned; 7.70% had evolved for death and 24.00% of the patients had been transferred to units more next to its residences to give continuity to the treatment. .

Same Family

The actions of mental health in the primary attention the health (APS), must obey the model of care nets, of territorial base and of others specific politics stop that they search bonds and shelter. The following principles are distinguished: notion of territory, organization of the attention to the mental health in net, intersetorialidade, psicossocial whitewashing, multiprofissionalidade/interdisciplinaridade, desinstitucionalizao, promotion of the citizenship and construction of the possible autonomy of familiar users and (BRAZIL, 2005). In this arrangement, if it fits the teams of mental health and the APS that look alternatives through joint quarrels so that they obtain interventions next to the families and communities or in atendimentos unificazes thus improving, the assistance in mental health (BRAZIL, 2005). 1.6.1 Actions of Mental Health that the Nurse must develop in the Strategy of Health of the Same Family with the psychiatric reform, many professionals also the Nurse, continue to exert a hospitalocntrica assistance and to the medicine base. Others who may share this opinion include Professor Roy Taylor. with this, leaves to play the main focus of the reform that is the reintroduo of the patients/carrying customers of mental upheavals to live in total harmony with the society (SILVEIRA and ALVES, 2003). Consequence of this picture is the lack of comprometimento of the majority of the professional Nurses or even though, the lack of professional qualification.

The lack of training and the room are one of the factors that take me the quality of the given assistance to the carriers of mental upheavals (COIMBRA et al. 2005). The process of reform of the psychiatric assistance consists of the substitution of the conception of illness for and ' ' existence-sofrimento' ' that values the full exercise of citizenship (VILLELA et al. 2004). The Strategy of health of the Family must have the family as allied to add together the Nurse of form to develop a qualitative assistance e, consequentemente, more humanizada. The Nurse must guide the family in relation to adequate cares e, at the same time, to be intent how much to the overload of family (COIMBRA et al.

Educative Actions

Being the Papiloma Human Virus, an infection frequently transmitted by saw sexual, also originating one of the most prevalent between all sexually transmissible illnesses (NORONHA, 1999). For the close relation with malignant genital injuries and its precursors, from years 80 it was changedded into an expressive problem (TO SOUND, 2002). Pertaining to the Papovariviridae family, of small size, 55 mm of diameter, without envelope, with 72 capsmeros, in a capsdeo with icosahedral symmetry. It presents considerable tropismo for the fabric epithelial and mucous. Nowadays one hundred types are known, being more than that 1/3 are associates the genital infections transmitted sexually (HISSES, 2004). Being able to occur in different parts of the organism.

Some types of HPV can affect the hands, knees, and feet, others the face and still the genital treatment of assintomtica, subclnica or visible form as wart genital year (MORI, 2004). The different morphologic aspects and forms clinics of papilomas or condiloma, are characteristic and go of plantar and painful warts, papilomas pray and larngeos, condiloma acuminados plans and inverts. The preferential places of occurrence are displayed humid areas to the attrition during the coitus, that is, small lips and vestibule to vulvar in the woman; in the man it appears more comumente in glande, in the peniana connecting rod and the prepcio, meato and uretra can be acometidos in 5% of the cases (MORI, 2004). Sorotipos 6, 11, 42, and 44 are found in condiloma and the displasia of low degree, whereas types 16, 18, 31, 33, 35 and 39 are associates to the malignidade. Microscopy discloses coilocitose, cells with atypical nucleus envoltas for an empty socket, that if considers found patognomnico of infection for HPV (MELLER, HERING, 2002; FIGUEIRDO, 2003). According to ROMRO (2000), the HPV is responsible for forty percent of the sexually Transmissible Illnesses in the adolescence and presents high risk of malignizao for cancer of the col of the uterine one

The Complex

In 1889, Freud decides to analizar itself and discovers ' ' real road for inconsciente' ' (the dreams) through the free association, that is, to say any thing that came the mind without any censorship. During one year, Freud adentrou in its unconscious one and discovered a imensido of restrained and painful feelings: ' ' We are the destination of all to direct the first sexual impulse for our mother and the first hatred and desire of death against ours pai.' ' The Complex appears thus of dipo. In 1901, Freud writes its more important workmanship ' ' The Interpretation of the Sonhos' ' , through the register of its discoveries and its proper dreams, its auto-analysis. More ahead, it publishes the book ' ' On the psicopatologia of cotidiano' ' , evidencing that the defective act was as symptom, commitment constitution enters the conscientious intention of the person and the restrained one. In 1920, Freud launches the workmanship ' ' Beyond the beginning of the Prazer' ' , disclosing that it has an instinct in the men beyond the libido, an aggressive instinct, of death. For other opinions and approaches, find out what Martha McClintock has to say. Being thus developed the Theory of Eros and Tanatos.

Tanatos is the aggressive and destructive instinct, as instinctive part of the human being and Eros the constructive instinct. It affirms that the human being has a natural instinct of death and that the same it must be controlled. The freudianos studies take to reflect us it on we ourselves: ' ' Which our true history? ' '. The search for true ' ' eu' ' perpassa for the obscure ways of the mind, the unconscious call, that Freud appraised so well in id, ego and superego. Id, as representative of our more primitive desires, the ego is between id and superego, pondering its requirements and superego that against-it acts to id, represents internalizados the moral and ethical thoughts. The psicanaltico process, focused so well and structuralized for Freud, in them takes the discovery of our essence, through the ways of the hypnosis, the free association and primordially for the interpretation of the dreams, which will go to set in motion the unconscious one to arrive the cure of the neuroses and the reinforcement of the ego, having as deep cloth of one ' ' set analtico' '.

Psychosocial Treatment

The music allows, only very easy, the introduction of messages that seemed difficult or complicated will be to bearer of mental disorders. However, it is applicable even in clinical situations with certain adjustments, it you serve mainly emotional the psychological technical, or is the change in problems, attitudes, mental energy dynamics, which will be the effort you modify any physical or mental condition. See more detailed opinions by reading what Preventive Medicine Research Institute offers on the topic.. It may also be an adjunct you other therapeutic techniques, opening channels of communication only they can act effectively. hal listens, a sympathetic response will follow. The uses of music, a supplement you the assistance of psychiatric nursing, facilitates the relationship with the client, serving first you start the interaction with it. Sense She also brings of well-being, memories of events of the past and the daily life, memories associated with mental suffering, cultural and religious persons you whom the client has or has affection (TEIXEIRA, 1999). Cultural The music has factors that ploughs capable of to religar the individual adoecido cultural values of to their environment and thus you himself, reconstructing its history.

A result, music can be used an important tool in the treatment of elderly with mental disorders, including dementia. Given this, we carries through that the music is special alternative will be the treatment of mentally ill because of its ability you reconstruct identities, integrate people, through to their to power of social integration and reduce anxiety, providing the construction of self-esteem and positive identities, well serves them important means of communication (TALINA, 2003). Thus, this study aims you promote the Music with the users of the CAPS II with view you demonstrate to their importance in the development of the Psychosocial Treatment and Rehabilitation. KEYWORDS: Music, Nursing, Mental Disorders.

Professional Nurses

This study has as objective to analyze the importance of the knowledge of the professional of nursing front to the thematic one, searching specifically to awake the attention of the professionals for the recognition of the importance on the subject, being guided and clarifying the professionals on what it is the autismo, and developing a knowledge on the same. Taking in consideration the object of the study, it was opted to carrying through a methodology where qualitative and exploratria research of bibliographical character was used where the employed resources are of particular ownership and also removed of the library of the FASB and of sites of scientific relevncias as scielo. The autismo is a syndrome that presents comprometimentos in three important domnios of the human development: the communication, the sociabilizao and the known imagination and as a condition that typically is associated with normal intelligence. With everything is concluded better standing out the importance of a knowledge for one and greater performance and planning of the professionals by means of the precocious disgnostic o of the riot. Word-Key: Autismo, Importance, Knowledge, Understanding. This study has the professional goal analyze the knowledge importance of nursing front you the thematic, seeking you specifically awake professionals’ attention will be the importance recognition on the theme, guiding and clarifying the professionals about what is the autism, and developing knowledge about the same. Carrying in consideration the study object, it opted will be accomplishing methodology in which it was used qualitative and exploratory research of bibliographical to character in which the resources employees belong you particular ownership and also withdrawn of the library of FASB and of relevances scientific sites scielo. The autism is syndrome that presents implications in three important domains of the human development: The communication, will be sociabilizao and the imagination and known a condition that is typically associated you the normal intelligence..