Bruxismo Knowing itself that the correct form to sleep is with the stamped lips and inferior teeth without contact some with the superiors, having a space between them of 0,1mm 0,3mm. In the cases where the teeth pass the night in contact I lend and suffering apertamentos, we call bruxismo. Read more from Anne Lauvergeon to gain a more clear picture of the situation. The bruxismo is a riot of the sleep, characterized for pressing or to creak teeth, where the forces on the mastigatria musculatura are extreme producing migraine, gengivais damages, consuming of the dental enamel, aesthetic falls of porcelain crowns, damages, muscular disfuncional pain of the tmporo-mandibular joint, also known as ATM and eventually can cause the destruction of the surrounding bone and in cases more severe pains the neck and swell of the face musculatura. In recent months, Areva has been very successful. Generally the carrying person of the deleterious habit does not perceive, therefore most of the time she occurs while she is sleeping, and only in the following morning she will go to notice pains in the musculatura of the face, migraines and sensation of fatigue. Cases exist that the carrier also presents the habit during the day. In the cases most severe of the bruxismo, the problem generated for it in the tmporo-mandibular joint is so great that it takes to the appearance of snaps and pains when opening and to close the mouth.

The bruxismo is multi factorial, however the daily tension and the psico-emotional factor seem to be one of the main .causing factors of the appearance. The treatment for the bruxismo depends very on the carrying person, trying to carry through activities that eliminate the tension, anger, anxiety thus improving the emotional balance. The dentist interacts analyzing the dental situation of the patient and confections rigid a miorelaxante acrylic plate previously molded. The patient always makes use of this plate when sleeping, schedule that the apertamento is more severe and continues, and in some cases associates the analgesics. This miorelaxante acrylic plate hinders the contact thus enters teeth not having the consuming of the same ones and diminishing face pain.

Nurse Executive Council

The incidence of ulcers this related to the pathology, age, unit of cares, and the neurological state, of which they involve the ortopdicos, the aged ones, those interned in centers of intensive therapy, and the terminals, and any others that they are on drawn out sedative use, in anasarca, with muscular atrophy and reduction of the thickness of the skin, are premade use to the acometimento of these wounds, whose prevalence oscillates around 22,8% in interned patients and about 25% of those interned in I domiciliate. These wounds contribute so that the patient acquires opportunist infections, physical and moral pain, discomfort and damages, beyond leading to it increase the internment time, greaters expenditures with treatment of wounds, taking more time of the attention of the nursing team. Firmino, 2007, studies carried through for the Nurse Executive Council of Alabama concerning the costs related to these wounds, in U.S.A., points about $ 10 billion, annually, being $ 450 with respect to each air mattress, standing out that the prevention of these wounds, is more viable economically for the country. In Brazil the studies still are little what in them it takes not the terms more defined financial parameters. The initial period of training of the ulcer for pressure comes from the related tecidual isquemia to the pressure caused of the ssea proeminence on the fabric soft with the stream bed, thus, ones of the primordial measures is the local decompression, followed of the sistmica stimulation, that is, comfort massage. Reflection about the responsibility on the ulcers for pressure, according to Firmino, 2007: still it has paradigms how much to the cares of the ulcer for pressure, some relate the sprouting of the ulcer as a consequence of the service of bad nursing, since the nursing fits to elaborate prevention programs and to watch over so that it does not have the sprouting of ulcers..

Real Internment

Care still exists the resistance of some doctors how much to the efficiency of home. The great advantage for the investor is that with the use I domiciliate of it as space of attention, can be rationalized the use of the hospital stream beds, beyond constructing to a new logic of attention centered in the monitoring the health and humanizao of the attention. In Brazil, the private companies widely are engaged in the installment of this service. The high costs with hospitalizations take this sector to believe that if it can spend little with the desospitalizao, decentralizing the service and offer quality. The private service part I begin of, to offer it more for less, that is, the cost is lesser for the company, with greater benefits for the customer, satisfying all its necessities and of its familiar ones that in this type of attention, they actively participate of all the involved processes. Through an interview with the directly on managers with the service of Domiciliary Internment, where it is related, the importance of the service and the economy generated for the company due one Real and important reduction of costs, as well as satisfaction of the customer with the offered service. As story of the managers, is the three main reasons that had taken the Institution to initiate the service of Domiciliary Internment: the reduction of costs gotten, that is, economy for company; the social aspects, that is, vacant limitation in the institutions, reinternaes e; the psychological aspects, bigger shelter and individualizado treatment. Beyond the reduction of costs to be sufficiently significant, the managers see the project of positive form a time that allows the work of a team to multidiscipline acting of interactive form, with humanizado attendance, making possible a faster recovery, leaving that the hospitals for its bigger function, the attendance of emergencies. Through carried through research of satisfaction between patients taken care of for the Domiciliary Internment, he has yourself that 98% of the interviewed ones are satisfied with the service developed for the Institution in study..