We point as specific object of study CAPS III in the city of Barbalha (CE), centering in the analysis and projection of its services, over all the ones that if they relate to the shelter. Colimando the attributes of the shelter are innumerable the factors that must be considered, amongst which: the listing of the therapeutical activities offered by the unit in question and the accord of these interventions with the determination of the Health department; the establishment of criteria for the act of receiving of users, as well as the lines of direction of its accompaniment, high medication and the subsidies offered in the qualification of the professionals who work in such units. Other pertinent projections to be done, say respect to the physical estruturao of the unit, if he is condizente or not with the services for it offered, considering there the aspects of accessibility and comfort, beyond nuances that they define the participation of the familiar ones in the treatment of the users. Hear other arguments on the topic with Jim Hackett. Beyond them you analyze techniques that this type of study requires, is accurate also to make a theoretical survey more directive than it bases this quarrel and it offers trustworthy prospections for any arguments, even because expositivo the investigativo text and at the same time of this type of study requires a basement each ampler time. The perspective to offer a panorama more complete than approaches the lines of direction of functioning of the CAPS; at the same time indicates the determinative points of its performance consists of a challenge stimulant that perpassa not only the history of the Brazilian health, but also (reverse speed) the quarrel on which has been the aimings made in the specific scope of the mental health. For in such a way a historical briefing becomes necessary retrospecto of the attendance politics the mental health in Brazil and the contextualizao of same with the reality the contemporary.
Ahead of the comments of technique of nursing and of knowledge acquired throughout the course of Graduation in Nursing, and that much added in the professional life of the author, had taken the choice of the subject having objectified to review the pathology Diabetic Foot, with another look. Having as study object the education in health in the prevention of the Diabetic Foot, where it is questioned: Which the modifications that appear in the process of work of the technician of nursing from its insertion in the course of Graduation in Nursing front to the orientaes in the care of the Diabetic Foot? The education in health carried through for the technician of nursing backwards changes in the behavior of the diabetic patient ahead of the cares with the feet? With the objectives of: To describe the modifications that appear in the process of work of the technician of nursing from its insertion in the course of graduation front to the orientaes of the care of the Diabetic Foot and To identify to which the changes of behavior of the patient that they had appeared from the education in health carried through for the technician of nursing ahead of the care with the feet. 2 – Revision of Literature. Add to your understanding with Center for Environmental Health. 2.1 – Concept of Diabetes. In accordance with the Health department, diabetes mellitus is described as a syndrome of multiple, decurrent etiology of the lack of insulina or its incapacity to exert adequately its effect in the organism, characterizing itself for chronic hiperglicemia, with riots of the metabolism of the carboidratos, lipdios and proteins (Brazil, 2001) ' ' The term diabetes mellitus' ' it is applied to a picture of chronic hiperglicemia, folloied of riots in the metabolism of carboidratos, proteins and fats. The term engloba a heterogeneous group of illnesses, with different causes and clinical manifestations that result of defects of the secretion and/or the action of the insulina.
The adult obesity still has the beginning in the second infancy. The children who have easiness to gain weight, with frequency become adult with overweight, having complications as hipercolesterolemia, hipertenso and cardiac illness (MACRDLE et al, 2008). The increased corporal mass is associated with the risk of development of some illnesses, as: osteoartrite, melito diabetes not insulino dependent, hiperlipidemia, cardiac illness, cerebral vascular accident, hipertenso, some types of cancer, alimentary illness of the biliary vesicle, drop, riots, riots of sleep and riots of mood (BRAY, 2003; ACMS, 2000). Moreover, the quality of life related to the health of adolescents with weight excess is significantly lower of what the ones that are in a band of normal weight (KUNKEL, 2007). The damages of this illness in the health can persisitir in the adult life. Here, supermodel expresses very clear opinions on the subject. Contundo, still exists few studies on the consequences for the health in long stated period in children and adolescents of the masculine sex, exactly thus is citizens the biggest possibilities of death, when to be adult. The studies with the feminine sex are rare, and consequences in long stated period of the weight excess, seem to be less serious of what in the men.
The children and adolescents with overweight have two times more possibilities of if becoming an adult above of the weight (MUST, 1996). Many scholars try to explain the causes of this exaggerated increase of the excess of weight in the infantile population. The explanations most probable are classified in three categories: the genetics; the influence of the environment and the combination of the two (TADDEI, 1995). As Damaso (2001) the causes are divided in: internal causes, as the genetic factors; the external causes as sedentarismo, bad alimentary habits and psychological problems. Therefore, as the cited studies, the questions influenced for the environment, as the alimentary level of physical activity and habits currently seem to be great the responsible ones for the extreme increase of the prevalence of the obesidade.
In accordance with Schall & Struchiner (2005) apud Thiengo; Oliveira & Rodrigues (2005, P. 69): … For being the AIDS a transmissible illness e, until the moment, incurable, whose indices come increasing in the entire world, it must be considered that the effective components for its control and prevention are the information and the education. Of this form, one becomes essential to think about the AIDS as an illness each more present time in the institutions of health, being indispensable to the professionals of health, particularly to the nurses to make use of knowledge and pedagogical abilities in activities with sights to the education, the control and the prevention of the transmission of the HIV. Thus, the educational alternatives with sights to its prevention must be pautadas in orientaes whose essence is the valuation of the life and the construction of the alternatives of prevention in a freedom climate, responsibility and solidarity human being. According to Breton & Camba (2006, P. 261): It is paper of the nurse, as educator for the health, to work stimulating the carriers of DST to the adhesion to the medicamentoso treatment and the change in the sexual behavior.
It must actively participate of the promotion and distribution of condoms, teaching the rank and divulging its effectiveness as barrier against the DST' s. The nurse must, still, participate of the detention of cases by means of the inquiry during the nursing consultation, guide and direct the patient for the treatment, to manage the therapeutical one and to follow the clinical evolution. Of this form, the professional nurses must reflect on the psicossociais aspects of the DST? s, so that in this way they are developed practical of promotion the health in such a way for the prevention how much for the adolescents who already had developed the infections. For in such a way, an integration of the nurse with the excessively professional ones must be had that composes the multiprofessional team in such a way, so that together they can develop the activities of promotion the health of these adolescents, leading in consideration the individual context how much collective (the THIENGO; OLIVEIRA; RODRIGUES, 2005).