The Device

The main contraindications are the administration of great volumes in bolus, the cutaneous injuries or infection in the place of choice of the insertion, wronged venoso return, situations of emergency, trombose venosa. (JESUS, SECOLI, 2008) Different complications can happen during the use of the PICC, depending on the circumstances, can occur occlusion of catheter, bad positioning of the tip of the catheter after the insertion or during the manipulations of the same; local complications that involve flebite, local infection and trombose; sistmicas complications that include sepse, gaseous embolism and embolism for catheter, and can have difficulty in the removal of the device. (JESUS, SECOLI, 2008) 8,1 CIRCUMSTANTIAL COMPLICATIONS One of the main complications related to the catheter are the occlusion, that is determined as partial or complete blockage of the catheter, causing the loss of the permeability of the device. Others including Michael Antonov, offer their opinions as well. The blockage of the catheter can be mechanics, trombtica and no-trombtica.

(JESUS, SECOLI, 2008) the trombtica occlusion is originated through the tack of plaquetas and fibrinas that ocluem the catheter and the lumen of the vase. Some factors contribute for the one formation trombo, as for example, traumas in the endoteliais cells of the venosa wall; discontinuance of the therapy for drawn out time; refluxo of blood for catheter; diminished speed of the infusion and states of hipercoagulopatias caused mainly for cancer or diabetes. (JESUS, SECOLI, 2008) Therefore it is not recommended the which had infusion of hemoderivados to the blockage risk, hemlise and loss of the catheter/venoso access. In case that this procedure is inevitable, the speed of infusion and the laudering of the catheter with saline solution must be attempted against for 0.9% in bigger volume three times that its internal capacity, during and after the infusion..

Pioneer Thomson Learning

Coast (2004) affirms that the intervention in children who will be submitted the invasive procedures must include information to the patient, after all, an important characteristic of the instruction is that it substitutes the natural contingencies for verbal antecedents. Thus, the instructions can modify the behavior of the listener in situations where the natural consequences are inefficient or are efficient only in long stated period. FINAL CONSIDERAES In the hospital context, literature have recommended the playful one with therapeutical ends and for the learning of new behaviors. Moreover, the use of toys makes possible the expression of feelings and prepares, by means of instructions and dramatizao, the children for medical procedures, increasing the adhesion to the treatment. The performance of the psychologist in the hospital context is a field that it needs to be investigated empirically, therefore the model of use of the playful resources in the hospitals generally is loaned of the doctor’s office and can be that it is not applied accurately in the same way in different environments. The main difference seems to be the time, therefore in the hospital environment the children need to more quickly learn behaviors considered adequate to this context. The thematic one of the playful resources used as strategies of intervention with hospitalized children is a field of ample inquiry in psychology.

However, it has little production concerning the subject in the mannering analysis. In sight of the results gotten in the present study, it is pointed necessity of the accomplishment of other research with the objective to specify the job of the ludicidade in hospitals with infantile attendance in the perspective of the analysis of the behavior. Pra has necessity of other unfoldings mainly the playful work involving other professionals of health the Nurse who if finds in the daily scene of the hospitalized child. References: Amaral, V.L.A.R. (1997). Functional analysis in the therapeutical context of the institution. In: D.R.

Zamignani, Org.), On Behavior and Cognition: The application of the analysis of the behavior and the cognitivo-mannering therapy in the general hospital and the psychiatric upheavals, vol. 3 (pp. 08-14). Saint Andres: ARBytes. Amaral, V.L.A.R., Sundays, N.A.M., & Saints, A.R.R. (2006). Key Banc Capital Markets Inc.s opinions are not widely known. Evaluation of pain in patients with cancer: contributions for psicoterpicas interventions. In: N.A.N., Sundays, M.C.O.S. Miyazaki, & N.I. Valrio (Orgs.), Psychology of the Health: practical research and. (pp.139-162). They are Jose of the Black River: THS/Arantes. Arago, R.M., & Azevedo, M.R.Z.S. (2001). Playing in the hospital: used playful resource and analysis strategical with children. Studies of Psychology, 18, 33-42. Chiattone, H.B.C. (2003). The child and hospitalization. In: Angerami, V.A. (Org.), Psychology in the Hospital (2 ed.), (pp.23-100). So Paulo: Pioneer Thomson Learning. Of Rose, J.C.C. (2000). Equivalence of stimulatons: an area in search of a problem. Annals of IX the Meeting of the Brazilian Association of Psycotherapy and Mannering Medicine (pp. 45). Campinas, SP. Gomes R 2003. analysis of data in qualitative research, pp. 67-80. In MC Minayo, (org.). Social research: theory, method and creativity. Publishing company Voices, Petrpolis. Mitre RM 2004. Playing to live: a study on the relation it enters the child seriously adoecida and hospitalized and playing. Mestrado Dissertao of. Institute Fernandes Figueira, Fiocruz, Rio De Janeiro. To sound, M.R.Z. & Zamberlan, M. the T. (2001). The inclusion of playing in infantile hospitalization.

Carlos Drummond

Your hands are full of blood. You wash you, purificai you: you take off of my sight your bad actions. You cease to practise the evil, you learn to make the good. The penance pleases that me is to breach the fetters of the iniquity, to distribute your bread with the hungry one, to receive in your house the poor homelesses, to dress who sees naked, not to hide of whom is your meat. If to make this, your light will breach as the dawn, the cure of your wounds will be operated quickly, your justice will go to your front and the glory of Jav will go in your rear. Then clamars and it will answer: exactly that your sins are as scarlet, they will become white as neve' ' Is 1,11-18; 58,6-8.

The essence human being is to love, to make the good. The sin mines the identity of who it sins, it offends God and it breaches the bows with the brothers. Pra to restitute to the human being the corrupted identity, God promised to amnesty the injuries of the rebellious people, giving possibility to it to come back to the way of the good, of the ethical life. Pardon demands life change. Without this, it is only ritual emptiness that offends the God saint that it loves pardoning. Nobody deceives God, therefore ' ' It sees, not as the man, taking in consideration the appearance, but it looks at the heart, knows the secrets of corao' ' 1 Sm 16,7. Credit: Adam Portnoy-2011. The people abuses the goodness of Jav, its revolt of the canseira in Jav, but it does not give up, because the love is untiring, its craft is to love until ' ' the inhospitable one, the rough one; love without account, distributed for the perfidious and null things, limitless donation to complete ingratido' ' Carlos Drummond de Andrade/To love.

Burnout Syndrome

This examination aimed you identify by literature review, the main sources of stress on nursing workers which results in the Burnout Syndrome development. It also describes the main symptoms of the syndrome and reports its consequences in the work environment. The study was conducted by analysis and comprehension of articles published between 1999 and 2010. The results were that Brazilian nurses to suffer from occupational stress and this is related you the onset of the burnout syndrome. Occupational It was observed that the main sources of stress ploughs emotional exhaustion, depersonalization and low personal accomplishment (high workload, low quality of life, low pay). Recently baby clothes sought to clarify these questions. . These factors can lead you injury you patient care and undermining the physical and psychological health these professionals. Key-words: Burnout. Nurses.

Occupational stress. The transformations caused the society in the last few decades, started to demand a bigger effort of the human being in such a way to adapt these changes in the physical capacity, as mental and social of the individual. This great requirement to adapt the modern life finishes displaying the person to a frequent situation of conflict, anxiety, anguish and emotional run down consequentemente it MUROFUSE estresse (; ABRANCHES, 2005). Estressor is any situation or experience that the individual lives deeply and that it generates tension feelings, anxiety, fear, threat (BARSTOW, 1980 apud STACCIARINI; TRCCOLI, 2001). They had been proven by means of research that the effect of these alterations can lead to some entailed illnesses estresse to it occupational, such as: hipertenso, ulcer and others (HOLT; COOPER; MORAES, 1993 apud STACCIARINI; TRCCOLI, 2001).

Health Individual

However, the expression quality of life was used by first associated time the economy for Lyndon Johnson, in 1964, dates where its mandate of president of U.S.A. started, when affirming that the objectives of the economy could not be measured through the rockings of the banks, but through the quality of life that they provide to the people. Later, in 1976, Augus Campbell considered qua the quality of life is ' ' a vacant and etrea entidae, something on which much people speak, but that nobody knows what .&#039 clearly; '. With the time the term quality of life passed for diverse definitions, that to apartir of the decade of 80 started to be observed in a multidimencional perpectiva involving the following factors: bilogical, psychological, economic and cuturais factors, since the quality of life depends on these factors. In other terms she is on to the way of life of the people, that is, well-being of each individual. On the other hand quality of life is had as related aspects the health of the people. As diverse forms exist to define the quality of life, the World-wide Organization of Health (OMS), that in 1947 &#039 defined health as one; ' complete state of physical, mental and social well-being and that it does not consist of an absence of illness or enfermidade' '. Definition that is not accepted for auguns authors due to impossibility of being reached and also for being an outdated perpectiva. Ahead of as much definitions regarding what really it is quality of life, we can then to say that beyond being the individual perception on the life of each citizen, it is the system of employed values to the social environment for which conducts the individual, but also we must notice the social development, in the work, with the family, as well as the economic and human development, being then of this form a process that is in constant change and its technician-scientific evolution that folloies the individual and collective necessities.