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. 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..

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. 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.

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.