ASSISTANCE OF NURSING TO THE CARRYING PATIENT OF ALCOHOLIC CIRRHOSIS HEPTICA. GRATEFULNESS I first thank the God, who gave daily force to me to support the difficulties in elapsing of this work. I am thankful my parents, Avair Menezes de Souza and Elenilda Teixeira Lopes had never stimulated who me to give up. I am thankful my brother, Rodrigo Lopes de Souza who trusted me. I am thankful my friends, who me had helped in elapsing of this work Thank my metodolgico person who orientates Eduardo Genaro Escalete Lay, directed who me in elapsing of this work. To all mine Thanks a lot! Our business in the life is not to exceed the others, but to exceed we ourselves? to break our proper records, to surpass ours through ours yesterday today. (Stewart B.
Johnson) SUMMARY the alcoholic heptica cirrhosis is a chronic pathology of the liver, characterized, histologicamente, for the presence of fibrose and diffuse formations nodulares with important disorganization of the architecture to lobular and vascular of the agency. One bigger number two times of men is affected in relation the women, even so these is in bigger risk to develop induced heptica illness for alcohol. The cirrhotic patients are between 40 and 60 years of age. In the state of So Paulo, the illnesses of the liver are the second cause of death between men of 35 the 59 years, being that, 10% of the death cases are due to alcoholic heptica cirrhosis. This work had as objective to ahead approach the assistance of nursing of the patient with alcoholic heptica cirrhosis and this objective was reached through a bibliographical research of descriptive method, that was carried through through research published in dissertaes, articles published in scientific magazines, articles published in the Internet and by means of the bibliographical quantities of last the ten years. It is concluded with this work to sensetize and to acquire knowledge the nursing team, on the importance of the cares of nursing to the patient with alcoholic heptica cirrhosis, searching an improvement in its attendance.
(RELATIVE, 2000). In way all this eddy of changes the small retailers also search the survival. The great retailers do not install in all the places with in small cities with a potential of lesser market are not explored by these companies. Thus, he fits to the small retailers to explore this potential of market. He observes yourself that making use of marketing tools, strategies of marketing and until using benchmarking, these companies obtain competitive advantages, they fidelizam customers and they offer to a composed portflio for some products and services. Small the average retail, in the food branch, installs its companies in great quarters, where a market potential exists to be explored. They are companies who are intent to the profile of the consumer, know social and marketing the reality, keeping more frequent contacts with the inhabitants. To study determinative of the process of choice of the consumer, being considered the relation with the supermarkets, is a form to verify as the customers perceive this retail type.
2 REVISION OF LITERATURE 2,1 Exchange of products: Trade Initially, the man commercialized through simple exchange or trade. The merchandise was evaluated in the amount of time or work force even though spends for produziz it or the necessity that ' ' comprador' ' it needed the definitive merchandise. With the creation of currencies the value of the merchandise if became independent of the work force. With the sprouting of the banks it appeared a new financial activity where the proper money is a merchandise. (BRAZILIAN CENTRAL BANK). The currency, as we know today it, is the result of a long evolution. At the beginning it did not have currency. One practised the trade, simple exchange of merchandise for merchandise, without value equivalence. Thus, who fished more fish of what necessary for itself and its group changed this excess with the one of another person who, for example, had planted and harvested more maize of what she was to need.
We will have leaderships in our patrols if to present they great ideals, that demand sacrifice and donation. It has three types of democratic leaders: the predictive one, of cohesion and the practical one. PREDICTIVE LEADERSHIP: It is what it has easiness to understand the ideal for all. It has vision of for where its patrol walks, it is capable of to understand and to interpret what it happens in the gift and it obtains to transmit for the others the purpose of the patrol. It possesss developed critical conscience well.
THE LEADER OF THE UNION: He is what he is worried about the union, the dialogue, the friendship and the understanding. He has easiness to catch the human problems of the patrol and to contribute for its solution. Normally he makes its work in silence. He helps the patrol to give certification of what it is the essential for the troop and makes to grow the capacity of the patrol for the action. PRACTICAL LEADER: He has capacity to plan and to organize the action and to help in the formation. He never works alone: it delegates to be able and its goal is to discover new leaders. For its example of devotion, it communicates enthusiasm and hope to the members of the patrol.
AS THE THREE BECOME RELATED: The predictive leader has vision, knows to question, but it is not practical and she does not know to find exits. The cohesion leader has the trend to add forces, the predictive one of being divisionista. cohesion leader, in turn, is cautious excessively when, to the times, she has to face the problem. A leader complements the other. each type of leader has in itself some traces of the others two. It is important that the practical leader possesss these traces of the other leaders, contrary case will not obtain to take the patrol ahead.
It has a logistic one that it assures the presence of the headquarters of the biggest companies installed in the region. Its population is dynamic and diligent, moreover, Recife appears, destacadamente, between some national polar regions as: Technology (Digital Port), Doctor, civil, tourist construction and businesses. Santa Cruz Why to invest in the Santa Cruz? The Santa Cruz is the club of twisted greater of the State of Pernambuco. Throughout its almost 100 years of credibility, solidity and success, 24 times, the championship won the Championship state northeast north/of 1967 clubs, were the club of the state with better performance in the Brazilian championship of the first division, 3 place in 1975, beyond other regional and international conquests. The twisted one of the Santa Cruz, in 2010, exactly playing the fourth division of the national one, had the average greater of public of Brazil (30.243), this sample the force of the club and that the participation of twisted independe of the result. One today esteem that the twisted one of the Santa Cruz is of approximately 5.000.000, between torcedores and sympathetical. They present themselves in massive number in the games of the club in the stadium of the Arruda and also in other states (Choral Invasions – PB and AL), they read periodicals, they follow the club for the radio, attend to local and national senders television and are connected to club for the Internet.
According to numbers informed and adjusted for the Periodical Mercantil* Gazette, the per capita potential of consumption for products and services on the part of the Brazilian torcedor meet today on average in the value of annual R$ 74,00 for torcedor. (This number excludes ingressions for stadium). That is, the Santa Cruz Soccer Club, would have today a potential of generation of value consumption to be explored of at least of R$ 370 annual Real million.
With regard to declared they do not include contractual actions under guarantee conditions, obligations, such as suplemental services of maintenance and services, as recycling and discarding. The organization must critically analyze the requirements related to the product. This critical analysis must be carried through before the organization assuming any type of commitment to supply a product the customer (for example, presentation of proposals, contract acceptance or order, acceptance of alterations in contracts or order) having to assure that the requirements of the product are defined, of contract or of order that they previously differ from those revealed are decided, and it has the capacity to take care of to the definite requirements.
For all the steps must be kept registers of the results of the critical analysis and the resultant actions of the critical analysis of this analysis. When the customer not to supply a registered declaration of the requirements, the organization must confirm the requirements of the customer before the acceptance. When the requirements of the product will be modified, either in the total or partially, the organization must assure that the documents that are part of this process they are revised and that the involved staff is acquired knowledge on the modified requirements. This information can be given through training with all the envolvidos.5.7.Comunicao with clienteA organization must have in mind that any situation that involves the customer will have always to be communicated the customer as alterations in the product, stated periods of deliveries, contracts, order and including its claims. Diverse forms of communications exist currently being distinguished the most used in the email form. Generally these alterations are only validated through acceptance of the customer, either for letter, contract or even though for email. Being distinguished this last for its rapidity of informao.5.8.Projeto and DesenvolvimentoPara development of a project the entrances and exits of this project must be defined, where the entrances can be considered as a market necessity, an idea, an alteration in an existing project, among others.