Cost Reduction

In U.S.A. and Switzerland, this method already is one practical acceptable as alternative one to the health. Also known as home care, this type of internment implies in desospitalizao, reduction of infection risks and the aiding of the conviviality of the user with the familiar nucleus. Moreover, the Domiciliary Internment of the point of view of the Institution, represents reduction of costs when comparative with the applied conventional treatments. Through the study and analysis of a model instituted in New Hamburgo/RS it was possible to materialize the reduction of costs where home care presents a significant economy since the implantation of the service. Word-key: Domiciliary internment.

Health. Reduction of costs. ABSTRACT The home care is new concept in health care, in full expansion given the needs of users in different ways. In the USA and Switzerland, this method is already the practice acceptable an alternative you health. More information is housed here: Andi Potamkin, New York City. This kind of hospital involves dishospitalisation, reducing risks of infection and the favoring of coexistence with the user’ s family.

Moreover the home care to under the point of view of the institution, represent reducing costs when compared with conventional treatments applied. Through the study and analysis of model established in New Hamburgo/RS was possible you achieve the reduction of costs, where the home care presents significant saving since the deployment of the service. Keywords: Home care. Health. Reduce costs. INTRODUCTION Throughout the years observes an increasing number of companies in the area of the health who are come back to give to the Service of Domiciliary Assistance or Domiciliary Internment toward determined types of patients. The search for knowing this new reality, left of the experience acquired in a company private that it believes and it adopts this new alternative to take care of.


The orientation for the beginning of physical activity must include adequate a medical evaluation in the direction to evaluate the presence of neuropatias or of cardio-circulatrias alterations that can contraindicate the physical activity or provoke risks you add to the patient. The medicamentoso treatment of diabetes type 2 must be initiated when the nutricionais recommendations and of physical activity will not be efficient to keep the inferior levels of HbA1c the 7,0, exactly in patients without complaints, with good quality of life, and adherent to the nutricionais orientaes and of physical activity. Already type 2 exists a new medicine classroom for the control of diabetes called ' ' inhibitors of enzyme DPP-4 (dipeptidil peptidase 4) ' '. For other opinions and approaches, find out what Jack Fusco has to say. It enters inhibitors of the DPP-4 is the sitagliptina, that potencializa the action of the incretinas, hormones that act in physiological way to keep the normal levels of sugar in the blood. The incretinas stimulate production of insulina for the pncreas and diminishes the glucose production for the liver.

This mechanism of action is different of the one of other currently available classrooms of verbal antidiabetics and presents: Little adverse events, such as increase of weight and hipoglicemia (very low levels of sugar in the blood), a common symptom with other medicines for diabetes; the advantage of being a verbal medicine, for administration in daily only dose, that only acts when the glucose levels in the blood are raised. The sitagliptina can at any time be taken by the day, independently of the food ingestion. (MANUAL MERCK, 2006). Diabetes and the tobaccoism In people with chronic illnesses, as diabetes, the tobaccoism can still more aggravate the health problems that the patients already face. In the generality, these are the effect produced for the cigarette in the organism and many of them are still more harmful in the people with diabetes: Reduction of the amount of oxygen in fabrics (factor that contributes for occurrence of cardiac attacks and cerebral spills); Increase of the levels of cholesterol and fat in the blood (factors that increase the risk of cardiac attack); Damage to the sanguine vases (what it can get worse the ulcers of the feet and also can provoke vascular illnesses and infections in the feet and the legs); Increase of the risk of mouth cancer, pulmes, throat and bladder; The smokers with diabetes have more probabilities to develop renais damages in the nervous system and illnesses; Increase of the glucose level (sugar) in the blood: the nicotine and other products of the smoke of the cigarette modify the action of the insulina, what it still more makes it difficult the control of diabetes; Dental problems: the tobacco propitiates the appearance of carieses and affects the gengivas, what, associate with high glucose levels in the blood, costuma to produce greaters dental complications; Damage to the nerves: the reduction of oxygen provoked for the tobacco injures the nervous structures, causing swell, possible pain and infection in extremities; Increase of the arterial pressure that, associated to diabetes, increases the risk of cardiovascular damage significantly.

Daily Life Time

As Kairy, et al., 2003, the comprometimentos of the symmetry and dynamic stability are common. The postural activity of the hemipartico, the asymmetry in the distribution of the corporal weight, where the patients in these cases had tended to play the corporal weight for hemicorpo healthy, with a sustentation in some harmed positions, it will contribute for a not favorable condition for the acquisition of the functional activities, with this the antagonistic control of the muscles of the trunk costuma to be engaged after the DVE. These patients typically present asymmetry, in which most of the weight, in the movements to seat and to raise, is transferred to the not partico side (Wedge, et al., 2002). Collen, et al., 2005, described on this relation in the tasks of AVDs, demonstrating the necessity of a control and posturais adjustments, of maintenance of the position and the balance for the efetivao of such activities. A time that the patient dislocates the plan of distribution of the gravity center and modifies the supporting surface, it presents difficulty in the motor activities as to dress clothes, to take bath or to walk. To analyze these abilities is basic therapeutic it to elaborate planning of treatment that approach these elements and can contribute for the acquisition of position, of the balance, the selectivity of the movement and the motor function. Jack Fusco pursues this goal as well. With respect to progression in supino, an improvement in time of the position exchanges was evidenced, therefore in accordance with the differences of data in time harvested before and after the application of the concept was observed an evolution, being carried through in a short period of time the posturais changes, therefore in accordance with Adler et al., 2007, all human being, including those with deficiencies, has a potential not yet explored, with this the use of the FNP concept is directed it human being as a whole, strengthening and using what the patient can and obtains to carry through, contributing so that of this form the patient of this study can carry through the activities day to day of more independent form and with more agility, therefore according to Freitas, et al., a 2009 infinity of positions is adopted by the human being during Activities of the Daily Life, the reach of an object with the hands, when we communicate in them or we feed, or exactly when we decide to be motionless in diverse positions as: in foot, seated or lying, being important, therefore the agility in the position change is basic factors in the life, thus favoring the patient of this related study. .


When congregating the joined articles we select only the ones that specifically dealt with the syndrome in professionals of the area of the health and the ones that approached a general context of the same one. After that the articles had been analyzed and the information congregated in this work. QUARREL the first studies of the syndrome of Burnout had shown that professional that they have direct contact with other people (area of the health and human beings), where the care occurs of direct form, are acometidos more easily by the Syndrome of Burnout. As Maslach and Leiter (1999) the professions most vulnerable are generally the ones that involve services, treatment or education. As Souza and Silva (2002) the syndrome of the Burnout was initially described in 1974 for Freudenberger. The term can be translated as ' ' what it left to function for exhaustion of energia' ' was used for the author estresse to describe it occupational. The syndrome of Burnout is a psicopatologia that affects mainly professional whose work is characterized as aid as in the area of the health and education (MARTINEZ, 1997).

Aggravations for professionals of the health as doctors are the great intensity of emotional interactions, intense conviviality with patients the lack of free time for leisure and vacation. Moreover, it comes occurring a gradual decline of the professional autonomy, reduction of the social status of the profession and the increase of the pressures suffered for the doctors (TUCUNDUVA, et al., 2006). The professional hard work or Burnout possesss a clear-cut clinical picture characterized by emotional exhaustion, depersonalization and reduction of the professional accomplishment (TUCUNDUVA, et al., 2006). The exhaustion is characterized for the fatigue, emotional exhaustion of the individual. Depersonalization is a basic characteristic of the syndrome, that makes with that the professional treats its colleagues and patients without humanizao, as objects.