The laudering of the hands with water must first be carried through and soap, to disinfect the garrote with alcohol to 70%, to separate the material necessary and to lead for the unit of the patient, to explain and to take off you doubt the patient regarding the procedure requesting its contribution, to pave the procedure gloves, to choose the insertion place, prioritizing the superior members and the places distais of the arm, to always garrotear the chosen member of 15 the 20 cm above of the insertion place, to apalpar the vein with the indicating finger. In difficulty case, to request the patient who places the arm in hanging position and that she opens and she closes the hand some times, aiming at to increase the hair wadding, to make the antisepsis of the place, using alcohol 70%, leaving of the distal portion of the arm or low for top, always in the same direction, to fix the vein with the free thumb, in the distal portion to the insertion point, to place the bevel of the needle directed toward top, to introduce the needle in an angle of 45 degrees, after penetration, to diminish the angle and to progress in direction the vein reducing the angulao until the needle she is parallel to the skin, to introduce completely the needle and to observe the presence of venoso return, to free the garrote after to have certainty of that the needle is in the vein, to fix with esparadrapo or micropore, leaving exempts place of connection for one I equip or suitable, to write down in proper esparadrapo fixed: it dates and name of the professional who carried through the procedure, to locate the patient comfortably and to register the procedure in the handbook of the patient.
The media in this case if made gift as form to educate and to inform. The radiofuso also has important paper in the actions of prevention to the illnesses, in a called project EDUCANVISA? Education in sanitary monitoring of the city of Juiz De Fora, in the year of 1999, had been carried through seminaries directed toward broadcasters of that city with intention to prepare them for the education on the abusive and uncontrolled use of medicines without medical lapsing, and the main objective was to alert the professionals of the radio, so that these do not make medicine propagandas for population, under the risk of a media directed toward a dangerous news for the health of all. The scientific spreading by means of the media, (the object is the health here) will not have to run away to the general norms of a communication under regimes ethical, clear and objective, become it pleasant in a level of compatibility with the viewer, common reader. Of this form, in the field of the medicine the use of the medias is something absovvel not only for miditicos processes (TV, radio), but it goes beyond what if it can call miditizao in health, in some nets of health exist proper, publishing editors, photographers and artist for the communications, in set with patients and communities more medical team: (doctors, psychiatrists, nurses, psychologists and others), where the advertising happens by means of folders, magazines, pamphlets, periodicals etc; thus the communication in if treating to promotion to the health has a vast field, in what the educational information for the population says respect. Finally, she is necessary to understand the medias as nets partner-techniques as collective agencies for most diverse and complex ways of interaction media-man, it is necessary despite if it cautiously observes the field of the scientific production of the communication partner-educative, come back toward marketing public interests and at the same time, of form that the journalistic professional that science writes, it has domain technician in the writing of a good text, or despite in the form to make advertising directed toward the cited field, it has taken in consideration the capacity to attract the interest of the reader for given information, and that area professionals scientific technique are part of this context so that in set they facilitate to the understanding and apprehension of the information in all society, ahead of an increasing demand that is the promotion of the health, in a country that the life expectancy has increased remarkably.
This active participation of the nurse together with the doctor of the Program of Domiciliary Internment if of the one since the selection of the customer who will be interned in domiciliary care. The nurse as integrant of the health team, must carry through action in all the attention levels, watching over for the good attendance, diversifying, improving and promoting well-taken care of, englobando inside of this context the accomplishment of procedures. (OF SOSA, et al, 2009, P. 5). In this context the nursing assistance destines it priore to the maintenance of the physical security, to the reduction of the anxiety and agitation and to the improvement of the communication, followed of the promotion of independence in the activities of auto care, the provision for the socialization necessities; maintenance of the nutrition and control of the sleep standard. The nursing together with the objective cuidador to supply the domiciliary assistance in the following way: Physical security: to provide to an surrounding insurance restricting the risks of fall or injuries for free movement; Cognitiva function: to stimulate the calm, simple and clear communication, to carry through memory exercises and to supply regular a calm environment with activities daily routine; To diminish the anxiety and agitation: to give emotional support favoring the auto-image positive and to keep the familiar and calm environment without noises; Improvement of the communication: to promote the form communication accomplishes using simple phrases of easy understanding and the use of written language as the example a written list or instructions; Independence in the auto care: to stimulate the patient to carry through activities of auto care organizing them of simple and safe forms promoting a sensation of auto accomplishment; Socialization: to stimulate familiar contacts with and old friends, recreation, strolls; physical activities, contact with esteem animal, however such short and calm activities must be expressions of love and affection, even though the expression of the sexual necessity or not to the spouse; Adequate nutrition: being able to have lack of coordination for the patient to feed itself alone, the nurse will have: to keep a simple and calm environment in the meals; to offer familiar foods; he cuts foods in small pieces preventing the breathlessness; to verify the temperature of foods and liquids; to offer to liquid foods in gelatin form for easy deglutition preventing dehydration; when necessary serviz it preventing malnutrition.