How much to the procedures technician we have a bibliographical research, that as praises Gil well (2002) it is developed on the basis of material already elaborated, constituted mainly of scientific books, articles, teses dissertaes, etc. How much to the methods and its ramifications, we point as boarding method the deductive thought, that in agreement Ruiz (2002) is the conception of a particular or less general conclusion on determined ampler statement, that is, in ours specific case the global analysis of the CAPS the level of Brazil and the conceptions in the context place of CAPS III Barbalha. Already in relation to the procedure methods we share of the thoughts of Lakatos and Marconi (2006) classifying them in double way, while historical and comparative, as the authors exemplificam. Description: Part of the beginning of that the current forms of life and to act in the social life, the institutions and the customs have origin in the past, therefore it is important to search its roots to understand its nature and function. (As opposed to The University of Chicago). Comparative degree: It consists of investigating things or facts and explaining them according to its similarities and its differences. Generally the comparative method approaches two series of analogous nature taken of social ways or another area it to know, in order to detect what it is common to both.
6 WAITED RESULTS The unfoldings are infindveis that can if resultant of this study, because the politics of mental health still even are in implantation phase, even so already make use of a certain consolidation and relevancy in the context contemporary. The theoretical and historical conceptions show in them that this still is a process in construction, and that exactly with the notables advances of the Brazilian public politics still it has a great way to be trod. It has to confide a parenthesis for the fact of not to have done no analysis of the Brazilian reality with the politics of other countries, even because our thematic focus was not this; this in turn so only consisted of evaluating the lines of direction of attendance in the scope of CAPS III Barbalha (CE) and projecting the local reality with the general designs of the Health department.
The TCE is considered one of the patologias of bigger impact in the quality of life (SARAH, 2001). According to author exactly cited above, after a TCE costumam to appear psicosociais alterations as effect of physical, cognitivos, emotional and mannering the upheavals in the familiar environment. It is important to evaluate the welfare of the traumatizado one considering its physical and emotional evolution, its independence and social participation. The affected one suffers alterations in the activities from the daily life as to carry through its personal hygiene, feeding. It can have a gradual improvement, it is 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. Additional information is available at Dr. Caldwell Esselstyn Jr.. Had to the cerebral injuries the traumatizado one 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 are frequent modified, the patient presents 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. After the TCE also is possible sexual upheavals, difficulty to keep close interpersonal relations. To cease or to modify the social and personal activities contributes directly for the deterioration of the quality of life of the traumatizado one. The familiar ones of the affected person suffer a strong impact in personal level, try the feelings of estresse, face the initial trauma and the physical, neuropsicolgicas and emotional changes that if produce trauma (JUNQU after; BRUNA; MATAR, 2001). The impact of the accident is so devastador for the family how much for the traumatizado one, all the familiar set is affected.
ENDOMETRIOSIS TORCICA RARE ILLNESS AND OF DIFFICULT I DIAGNOSIS The carrying women of endometriosis many times are sad, tired, depressed and this having to the painful and chronic picture that many times do not answer common analgesics what it compels to look aid systematically to have its attenuated pains. Pains can occur before or during the mestrual period. It appears suddenly, bringing physical, psychic upheaval for the patient. Approximately 20% of the women have only pain, 60% have pain and 20% can feel pain mestrual clica type intense, practical abdominal pain during the sexual one. In general, the endometriosis costuma to only affect the covering of the abdominal socket or the surface of the abdominal agencies. The fabric endometrial that outside grows of the place (endometrial implantation) many times develops on the ovrios and the ligaments that support the uterus. With little frequency, can to make it in surface external of intestines thin and thick, in ureteres (canals that goes since the kidneys until the urinria bladder), in bladder, in the vagina, the surgical scars gifts in the abdomen or the internal covering of the torcica wall (pleura).
In very rare cases, it can be found weaveeed endometrial in the pulmes. (COAST, 2008) the complaints most frequent between the endometriosis carriers are: dismenorria (clicas), chronic pelvic pain, sterility, menstrual and dispareunia irregularity (pain during the sexual relation). Cyclical urinrias and intestinais alterations also are found, as pain to the evacuation, diarria, perimenstrual disria (pain during the mico in the menstrual period), policiria (increase of the miccional frequency), miccional and hematria urgency (emission of blood through uretra, folloied or not for piss). The endometriosis leads the causes of infertility between women above of the 25 years, being possible that approximately 30 40% of the infertile women have some degree of endometriosis. (MULLER; MATTA, 2006) patognese of the endometriosis has been explained for diverse theories that point with respect to the multicausalidade, associating genetic factors, imunolgicas abnormalitys and endometrial disfuno.
These handbooks are of adult and aged users who use the therapy of hemodilise of one hospital of the city of Cricima, SC. Through figure 1, we observe that 60% (n= 12) are handbooks of users of masculine sex e, 40% (n= 08) are of users of the feminine sex. Figure 1: Distribution of the Sample of in agreement Study the Classification between predominant masculine and feminine sex in handbooks. Cricima, SC. 2010.
In this study the prevalence of users with anemia (Figure 2) of the microctica type was of 10% (n= 2), however, is distinguished with bigger prevalence the anemia of the normoctica type with of 55% (n= 11) of the sample. Also it was observed that, 10% (n=2) of the carrying users of IRC had presented anemia of the macroctica type. Sricos values of gotten iron and ferritina are presented in figure 3. The srico iron presented low levels in 35% (n=7) and normal levels in 65% (n=13) of the total sample. Already the srica ferritina was distinguished 25% (n=5) in normal sricos values e, high values with about 75% (n= 15) of the total sample (figure 2). figure 3 shows to the classification of the gotten data of triglicerdeos and total cholesterol. About 20% (n=4) and 30% (n=6) they present bordering values of triglicerdeos and cholesterol, respectively; 25% (n=5) with hipertrigliceridemia and 5% (n=1) hipercolesterolemia. However, 55% (n=11) of the total sample had presented values of the two sricos lipdios in the excellent classification. In relation the arterial hipertenso daily pay and after period of hemodilise (figure 5), about 10% (n=2) was with bordering values of arterial pressure (Par) being that only 5% (n=1) had after remained in this platform the HD; 20% (n=4) and 35% (n=7) of the users had presented hipertenso in period of training 1, daily pay and after dialysis respectively; 20% (n=4) had presented hipertenso in period of training 2 and after the ending of the dialysis, only 10% (n=2) had remained in this classification of Par.
In its more common form, the neuropatia cause symptoms of parestesias (formigamento, dormncia, damping), generally in the extremities (feet, legs and hands). With the progression of the illness, the insensibilidade of the region can occur attack. The injury can become more serious when reaching responsible nerves for the regulation of the functions of internal agencies in the organism (autonmica neuropatia), responsible for symptoms of diverse nature, such which, sexual impotence, intestinais reduction of the arterial pressure (when the foot patient this) and alterations in the functioning of the digestive device (diarrias, constipations, me the digestion) or still, of the urinria bladder (IT HISSES, 2007). Such cited alterations above directly are related with development of the Diabetic Foot. According to Ochoa-Vigo, (2005): ' ' Diabetic foot is called a multifaceted fisiopatolgico state, characterized for injuries that appear in the feet of the person with diabetes mellitus and occur as consequncia of neuropatia in 90% of the cases, of peripheral vascular illness and of deformidades' '. The injuries generally elapse of trauma and frequently gangrena and infection are complicated with, caused for imperfections in the cicatrizao process which can result in amputation, when precocious and adequate treatment is not instituted. The diabetic foot is considered one of the main complications of the diabetic patient, whom had to the great upheaval that cause, that is, the carrying patient of the diabetic foot, without treatment can take it an amputation and with this the financial costs if they become high, and, moreover, this patient will have that to be fit inside of the new limitations that this amputation causes. As, Celoi Maria Rabbit, in its article of 2009: ' ' The diabetic foot is one of the devastadoras chronic complications of the Diabetes Mellitus, in function of the great number of cases that evolve for amputation. This term is used to characterize the injury that occurs in the feet of the carriers of Diabetes Mellitus, decurrent of the combination of the motor and autonmica sensitive neuropatia peripheral chronicle, of the peripheral vascular illness, the biomechanic alterations whom they take the abnormal pressure plantar and of infection, that can be gifts and to aggravate caso' still more; '.
Already the reversible factors are related with habits of the style of life of the person. According to boarded definition for Rouquayrol & Almeida (1999), life styles are: ‘ ‘ auto-definitive, acquired habits and behaviors social or culturally, in individual way or in grupo’ ‘. It is understood that the reversible factors are integrant of the life style, favorable to gnese of the In the writs of prevention and therapeutical of the high pressricos indices, exist farmacolgicos and no-farmacolgicos treatments. The farmacolgico treatment consists of the administration of Diurticos tiazdicos, Betabloqueadores, Chokes of the calcium canal, Inhibitors of the ECA (enzyme angiotensina conservative), Alfabloqueadores, Antagonists of the receiver of angiotensina amongst others. The farmacolgico treatment is indicated for hipertensos with injury in agency-target, cardiac illnesses as: left ventricular hipertrofia; previous angina or infarto of the myocardium; previous miocrdica revascularizao, cardiac insufficience and complications as Vascular Accident Cerebral (AVC), nefropatia, peripheral arterial vascular illness. In accordance with the Guide of the Familiar Health (2002): All the medicines that lower the arterial pressure are, in a general way, equally efficient. They diminish the sistlica pressure in about 10-15 mmHg and the diastlica in 6-8 mmHg.
Different people answer differently to medicines: for example, the aged ones answer better to some medicines of what others, as they make it the origin people afro-Brazilian. It is good for taking itself in consideration that the same fall of the levels of arterial pressure, that can be reached by an only medicine antihypertensive, also can be obtained by a person that if abides rigorously by the referring advice to the restriction of salt consumption, loss of weight and to take amounts moderate of alcoholic beverages. The effect of some medicines is bigger when associated with the not medicamentoso treatment as for example: the reduction of the salt consumption, the loss of weight, associate the practical one of physical exercises, and moderation in the tobaccoism and alcoholism.
Front to the treatment by means of the carried through research is confirmed that it does not have one cure still defined, thus remaining an individual and personalized and humanizada assistance. Klin (2006) tells that the autismo is a permanent comprometimento and the majority of the individuals affected for this condition remains incapable to live of independent form, and requires the familiar support or of the community or the institutionalization. Almeida (1996, p.256) affirms that until moment was not reached to the cure of the autismo. Therefore, the treatment must have for objective to take care of to the necessities of the child and the family, helping them to reach it independence in the activities of the daily life, and to acquire basic capacities. By means of the intervention and assistance of Nursing if it bases on the accompaniment and evaluation of the development of the child. For Braga and Avila the nurses must invest in the practical ones of attention to the health, in the communication of its evaluation for one better confirmation of diagnosis and beginning of the treatment, present a humanizado attendance, and have consideration to the complexity and the impact of the diagnosis in the family.
By means of the found one in the cited theoretical referencial in the present article, are observed that the autismo is a syndrome that compromises the human development, more specifically in the masculine sex and if detects enters the 2 to the 3 years of age. for being an illness little known and little divulged if becomes a question of great icons with many questions and few answers. This study it searched to evidence the importance of this discovery process and domain of the content as a facilitador instrument for one better management, strategical planning and that makes possible to the nurses and professionals of the area of the health to evaluate, to know and to diagnosis the picture where if it finds the carrier of this riot.