Archive for October, 2012

Rubem Alves

In the Bahia, the inheritance escravocrata until today reproduces gestures and words that segregate. Already I testified people rubbing the indicating finger in the arm, to mention itself to a black, as if the color of the citizen explained a blameworthy attitude. In one of the colloquies that I had with Miriam journalist Pig, it commented: – Brazil likes if imagining as a racial democracy, but this is an illusion. We have a march of carnival, made we have 40 years, sung until today. it is terrible. The whites never think about what they are singing. The letter says the following one: ' ' Your hair does not deny, mulata Because you are mulata in the color But as the color does not catch, mulata Mulata, wants yours amor' '. ' ' He is ofensivo' ' , Miriam says.

As the color of somebody could contaminate, as was illness? the people never perceive. The expression ' ' foot in cozinha' ' , to assign the African ancestry, it is most common of all, and also said without the lesser constragimento. It is the return to the mentality escravocrata, reproducing mazelas of senzala. The cronista Rubem Alves published this week in the Leaf of So Paulo an article in which standes out: ' ' Words are not innocent, them they are weapons that the powerful ones use to wound and to dominate the weak ones. The North American whites had invented the word ' niger' to humiliate the blacks. They had created a trick that had one thus versinho: ' Eeny, meeny, miny, moe, catch to niger by the toe' that he wants to say, a Creole for the dedo of the foot grasps (in Brazil, when it wants yourself to diminish a black, it is used here Creole word). In denunciation to this offensive use of the word, the blacks cunharam the slogan ' black is beautiful'.

The Flowchart

With the treatment centered in the city of Porto Velho, the problems if aggravate, therefore it offers is not enough for as much search. The lack of centers specialized in the State generates the supercapacity and even though queue for accomplishment of examinations, harming the population. Another problem is the lack of professionals of the area. It neglects it to of doctors who leave to make the auto examination, leaving this task for the nurses. The incorrect fulfilling of the request of the mamografia, also if evidences, therefore it makes it difficult the performance of the State, since the forms go to generate important information for the constatao of the situation of the health publish of Rondnia. This because the system that the responsible agencies used changed the two years almost, having that the Hospitals, UBS and professionals of the area if to enable and to enter in agreement its. The Flowchart of attendance the woman functions of the following form: In the Basic Unit of Health, the professional identifies to which mamografia the patient must make, if she is of Tracking or Disgnostic.

With the form of solicitation of the mamografia the patient is directed for the capital or city that possesss a radiological unit, the information in such a way of the requisitante unit how much of the radiological unit they will be typed and envoy to the responsible agency for its analysis. This system was instituted by the Health department for monitoriamente of the actions of precocious detention of the breast cancer (779/SAS Would carry n, December of 2008). The system is called System Informao Ambulatorial (SIA) /SUS and the SISMAMA is the subsystem of information of this, specifies for the monitoramento of the Cancer of Breast. According to INCA, the System is composed for the module of the lender of service, used for the services of mammary radiology and pathology for I register in cadastre of the examinations, emission of findings and evaluation of performance of the services; for the module of coordination, used for the managers state, regional and municipal for management of the actions of precocious detention of the cancer of breast and pursuing of the women with modified examinations.

Health Strategy

The system of reference and against reference is considered by Fratini (2007, P. 32) a method of complement of the assistance that provides an integration of the teams, guarantees access to the users and contemplates the principles of the SUS.Com the functioning beyond guaranteeing the access also guarantees quality in the assistance, what it lacks to evaluate the involved services. So that the completeness of the care occurs is necessary the existence accomplishes of the reference system and against-reference with one coeso joint process enters the team of the hospital unit and the team of Strategy Health of the Family, as well as the completeness of the care. With this operating process it is possible to know all the trajectories of the patients, and not only when the familiar patients/look the service of health for some information, where it favors the rupture of the assistance. (IT HISSES, 2009p.

14) Following the logic of the complexity and integrity of the assistance the system of reference and against reference would have to guarantee the access with quality to all. (IT HISSES, 2009 p.13) to guarantee compatible access to the users in the different levels of complexity with definitions of flows and passages with the demand of each region the system of reference is necessary and against reference. However with the essential existence of registers or use of the personal communication or for telephone and instruction of all the involved ones, thus promoting the completeness. (FRATINI 2007, P. 34) Conclusion To reflect and to understand the patient of holistic form is basic for its shelter and aiming. Being able to be through an efficient method of entailing and accompaniment of the flow of the user. However, if it makes necessary that the nurses obtain to locate themselves to propitiate a systemize attendance and of quality providing access and has supported to the patients after high hospital and minimizing the lack of adhesion to the treatment.