Occupational Therapy
E to leave some ideas in open as sketch to think the politics of mental health. Capszao I believe that in the theoretical conception of the CAPS it has perhaps not previsible vieses in the theory, but that they go if becoming evidentes in the practical one. In the CAPS-AD they had been capszao . The institution works as a hospital day, where the patients, in accordance with the program of treatment considered for each one, can pass the day and come back at night toward the house. During the day, they participate of activities of Occupational Therapy, Workshops of Art, Groups of Therapy, Games, and Consultations.
The problem is that the criteria to define which patient ones go to frequentar such activities and in which days many times something is subjective. Many patients if accomodate, if they accustom, they start to like to frequentar the CAPS daily, after all, they take coffee, they lunch, they take snack, they practise sport, they participate of workshops, they receive attention and, while they are under treatment, generally they obtain removal of the work. It is much more convenient to continue moved away and to participate of all the activities of the CAPS of what> back in the patio they talk as to obtain removal or retirement . This comodismo harms the devotion of the patient to the treatment that, in secret, continues drinking, frequentando the CAPS and moved away from the work. A dependence of the CAPS is created. The criteria for high also are subjective. However, if the patient still drinks or uses drugs and has partner-familiar difficulties, the trend of the team is to keep it in the treatment program, which turns a vicious circle. He wants to say: the patient never receives high and if cronifica in the CAPS.
Intensive Therapy
Therefore, through this article, we will be describing through literature overload of work of the nurse of a Unit of Intensive Therapy. PALAVRAS-CHAVE: Unit of Intensive Therapy. Nurses. Load of Work of Nursing. 1.INTRODUO Caracterizar the demand of work of nursing in Unit of Terapia Intensiva (UTI) with sights to get a quantitative one of staff who assures quality and adequate relation cost-benefit of the intensive assistance is old search that folloies the proper historical development of these units (RAFKIN, 1994).
Being the UTI (s) complex units that concentrate human resources and technological highly specialized and of high cost, the necessity to adjust staff front to the cares demanded for the patients, stimulated, throughout the time, the development of instruments of measure come back to verify the demand of nursing work, joint or parallel to the development of indices of gravity of the sick person in critical state. In the UTI (s), recognized for the raised load of nursing work, (that it represents a factor of high cost), and for the raised index of mortality, (measured that express production/income), during decades used it reason mortality/morbidade as parameter of choice to describe resulted of the efficiency of the intensive care. However, in recent years, the inclusion of the load of nursing work as a parameter for evaluation of the results, has been also considered, had to its impact in the quality of the intensive assistance (JAKOB, 1997). Of this form, the evaluation of the demand of nursing work, as well as of the factors associates it, if has shown indispensable as resource of management of these units, since one has equipped superdimensionada implies in high cost. On the other hand, one knows that one has equipped reduced tends to determine a fall in the efficiency of the assistance, being drawn out the internment, increasing mortality/morbidade and generating a bigger cost in the treatment of the patients (GAIDZINSKI, 1998).