18254246 Proceduri de NursingVol 1

5/27/2018 18254246 Proceduri de NursingVol 1

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PROCEDURI DE NURSING

EX PONTO Constan a - 2007

AUTORI:Udma FloriaStani! "ariaR!#anda "atildaG!li$ Eat$rinaIan! El$naF$ral El$na

CO%A&ORATORI:Olar! 'ioriaR d!an! OanaCr$ ! l!lianaT nas$ Cristina

REDACTARE:

G!li$ Eat$rinaToma Cristina&idili "ir$la

IS&N: (7)-(7*-+,,-702-0 AS0CIA IA DE NURSING DIN RO".NIA/In m$moriam /D$di a$ast art$ doamn$i Gari$la &o$1 mod$l d$ d$mnitat$ i 3ro4$sionalism1 ar$ i-a 5n6inat 5ntr$aa 8ia 3romo8 rii n!rsin!l!i i 8alori9 rii 3ro4$si$i d$ asist$nt m$dial 5n Romnia

C!8nt 5naint$

%!rar$a ;Pro$d!ri d$ n!rsin/ s$ adr$s$a9 t!t!ror $lor ar$ s$ 3r$ t$s 3$ntr! a d$8$ni asist$n i m$diali a ati8it i d$ 5nri>ir$?Id$$a $laor rii a$st$i l!r ri a3ar in$ !n!i r!3 d$ 3ro4$sioniti din dom$ni!l $d!a i$i i din ati8itat$a lini 1 3ro4$sioniti ar$ a! 5n$rat s 5min$ armonios $#3$ri$n a!m!lat d$-a l!n!l tim3!l!i? A aorda 5nri>iri d$ alitat$ r$s3$tnd standard$l$ 3ro4$sional$ im3li o r$s3onsailitat$ d$os$it i o 3r$ tir$ asid! ? No!l !rri!l!m 3$ntr! asist$nt m$dial $n$ralist ar$ la a9 standard!l 3ro4$sional 5n ar$ s!nt 3r$i9at$ om3$t$n $l$ $ tr$!i$ dondit$ 5n tim3!l 4orm rii i d$monstrat$ 5n adr!l 3ro$s!l!i d$ $8al!ar$1 a 3rati rii o!3a i$i?

Pr$ tir$a 3$ a9 d$ standard$ 3$rmit$ 3r$i9ar$a lar a ati8it ilor i

4inalit ilor1 a r$3$r$lor d$ ordin alitati8 asoiat$ a$stora1 a !notin $lor t$or$ti$ i a d$3rind$rilor 3rati$1 a on in!t!l!i i $rin $lor o!3a i$i d$ asist$nt m$dial $n$ralist? Im3!n$ 4ormar$a !n!i stil !nitar d$ l!r! 5n 3ro$s!ld$ 5nri>ir$1 3$rmit$ indi8id!ali9ar$a 5nri>irilor innd s$ama 3$rman$nt d$ 3arti!lari9ar$a 3$rsoan$lor 5nri>it$?So3!l !tili9 rii standard$lor 5n $8al!ar$ $st$ r$!noat$r$a a $$a $ $st$ a3ail andidat!l s 4a 5n ra3ort ! $rin $l$ o!3a i$i indi4$r$nt d$ in$ sa! !nd$ s$ 4a$ $8al!ar$a?Pr$ tir$a 3$ntr! 3ro4$sia d$ asist$nt m$dial $n$ralist im3!n$ $rin $ ri!roas$ 5n 8$d$r$a $#$!t rii a s!t$ d$ 3ro$d!ri or$t$ i si!r$ 3$ntr! 3ai$nt?@n a$st so3 $st$ n$8oi$ d$ o in4ormar$ lar 1 at!al i om3l$t 1 a$siil 1


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ar$ s 6id$9$ 8iitor!l 3ro4$sionist 5n dom$ni!l 5nri>irilor i d$o3otri8 3$ $i ar$ l!r$a9 d$>a1 s -i 4orm$9$ i1 r$s3$ti81 s -i onsolid$9$ d$3rind$ri or$t$ d$ m!n 1 s 8in 5n 5ntm3inar$a n$8oilor 3ai$nt!l!i 3$ntr! a-l a>!ta s -i m$n in sa! s -i r$a3$t$ s n tat$a i a!tonomia? Cart$a !3rind$ 3ro$d!ri d$ a9 5n n!rsin !rmnd a $l$ s3$i4i$ 5nri>irilor 3$ a4$ i!ni s 4i$ 3r$9$ntat$ 5n alt l!rar$? P$ntr! a 3ro$d!ril$ sa 4i$ !or 4olosit$ i mai al$s 3$ntr! 4ormar$a !n!i stil!nitar d$ l!r!1 s!nt r$dat$ 5n a$lai 4ormat?Fi$ar$ 3ro$d!r !3rind$ mai m!lt$ $ta3$ ar$ da! 3osiilitat$a transmit$rii !nor in4orma ii 3$rtin$nt$:o Oi$ti8!lo Pr$ tir$a 3si6i i 4i9i a 3ai$nt!l!i insistnd!-s$ as!3ra onsim mnt!l!i in4ormat i a r$a iilor a$st!ia o E4$t!ar$a 3ro$d!rii d$sris 5n 3ai m r!n i 3$ntr! a ontri!i la 5ns!ir$a $st!riloro Notar$a 3ro$d!riio @nri>ir$a 3ai$nt!l!i d!3 3ro$d!r o R$orani9ar$a lo!l!i d$ m!n o E8al!ar$a $4iait ii - !3rind$ r$9!ltat$l$ at$3tat$ sa! dorit$ i o4$r t$8a sol! ii 5n a9 d$ r$9!ltat$ n$dorit$? No!tat$a1 d$ alt4$l1 a l!r rii d$ 4a r$9id tomai 5n a$st$ as3$t$ ar$ in8it la r$4l$ i$1 stim!l$a9 >!d$ata

i ndir$a 3rati ?%!rar$a s$ dor$t$ a 4i !n 6id 3rati1 !n a!#iliar !rri!lar 5n ar$ s!ntd$sris$3ro$d!ril$ !3rins$ 5n !nitat$a d$ om3$t$n B mod!l!l TENICI PE NURSINC IIN'ESTIGA II ar$ s$ st!dia9 5n an!l I la oala Postli$al Sanitar ? In s3$ran a a$ast art$ 8a 4i ons!ltat d$ t mai m!lt$ 3$rsoan$ din dom$ni!l$d!a i$i i al 3ratiii lini$1 at$3t m ! m!lt int$r$s s!$stiil$ i 3 r$ril$ d!mn$a8oastr ?

CUPRINS

CAPITO%U% I? Int$rnar$a i 3rimir$a 3ai$nt!l!i?? Int$rnar$a 3ai$nt!l!i?2? Trans4$r!l 3ai$nt!l!i?*? E#t$rnar$a 3ai$nt!l!i

CAPITO%U% II2? Ii$na i on4ort!l 3ai$nt!l!i2?? S6imar$a l$n>$ri$i 3at!l!i n$o!3at $ri$i 3at!l!i o!3at d$ 3ai$nt!l imoili9at - ! olna8!l 5n3o9i i$ $9nd i 5n d$!it2?*? S6imar$a al$9$i2?,? S6imar$a l$n>$ri$i d$ or3 la 3ai$nt!l imoili9at - s6imar$a 3i>amal$i

2?? S6imar$a l$n>$ri$i d$ or3 la 3ai$nt!l imoili9at - s6imar$a m ii 2?+? Toal$ta 3ai$nt!l!i imoili9at

2?+?? &aia 3ar ial la 3at 2?+?2? @nri>ir$a o6ilor2?+?*? @nri>ir$a m!oas$i na9al$2?+?,? @nri>ir$a !r$6ilor2?+?? @nri>ir$a a8it ii !al$2?+?+? @nri>ir$a 3rot$9$lor d$ntar$2?+?7? @nri>ir$a !n6iilor2?+?)? @nri>ir$a 3 r!l!i

2?7? S6imar$a 3o9i i$i 3ai$nt!l!i imoili9at adinami


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2?)? "oili9ar$a 3ai$nt!l!i2?(? Ca3tar$a $limin rilor 4i9ioloi$ i 3atoloi$

2?(?? Ca3tar$a !rin$i2?(?2? Col$tar$a mat$riilor 4$al$2?(?*? Ca3tar$a s3!t$i2?(?,? Ca3tar$a 8 rs t!rilor

CAPITO%U% III*? Alim$ntar$a 3ai$nt!l!i

*?? Alim$ntar$a ati8 i 3asi8 *?2? Alim$ntar$a 3rin astrostom*?*? Alim$ntar$a 3rin sond na9oastri

CAPITO%U% I',? Control!l in4$ iilor nosoomial$

,?? S3 lat!l minilor,?2? 5mr ar$a i d$9r ar$a m n!ilor ,?*? Control!l 3ara9itoloi i d$3ara9itar$a

CAPITO%U% '? " s!rar$a i 5nr$istrar$a 4!n iilor 8ital$

?? " s!rar$a t$m3$rat!rii or3!l!i?2? " s!rar$a r$s3ira i$i ?*? " s!rar$a 3!ls!l!i radial?,? " s!rar$a 3r$si!nii sn$l!i?? " s!rar$a 5n l imii i r$!t ii

CAPITO%U% 'I+? Pansam$nt$ i anda>$

+?? Pansam$nt!l+?2? Ti3!ri d$ 3ansam$nt$+?*? &anda>$ !nti8al)?? Administrar$a m$diam$nt$lor 3$ al$ na9al)?+? Administrar$a m$diam$nt$lor 5n ond!t!l a!diti8 $#t$rn)?7? Administrar$a m$diam$nt$lor 3$ al$ 8ainal)?)? Administrar$a m$diam$nt$lor 3$ al$ r$tal)?(? Administrar$a o#i$n!l!i 3$ sond)?0? Administrar$a m$diam$nt$lor 3$ al$ 3ar$nt$ral

)?0?? As3irar$a m$diam$nt$lor din 4iol)?0?2? In>$ ia intrad$rmi


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)?0?*? In>$ ia s!!tanat )?0?,? In>$ ia intram!s!lar )?0?? In>$ ia intra8$noas

CAPITO%U% IX(? R$oltar$a 3rod!s$lor ioloi$ i 3atoloi$ 3$ntr! $#am$n$ d$ laorator

(?? R$oltar$a sn$l!i(??? "$tod$ d$ r$oltar$

a= P!n ia a3ilar = P!n ia 8$noas ?

(??2? R$oltar$a sn$l!i 3$ntr! 6$mol$!oram(??*? R$oltar$a sn$l!i 3$ntr! 3ro$ d$ oa!lar$(??,? R$oltar$a sn$l!i 3$ntr! 'S(??? R$oltar$a sn$l!i 3$ntr! $#am$n$ io6imi$(??+? R$oltar$a sn$l!i 3$ntr! $#am$n$ s$roloi$(??7? R$oltar$a sn$l!i 3$ntr! $#am$n$ at$rioloi$

(?2? R$oltar$a !rin$i(?2?? R$oltar$a !rin$i 3$ntr! $#am$n!l s!mar(?2?2? R$oltar$a as$3ti a !rin$i

(?*? R$oltar$a mat$riilor 4$al$ 3$ntr! $#am$n$ d$ laorator (?,? R$oltar$a $#!dat!l!i 4arinian (?? R$oltar$a s3!t$i 3rin $#3$tora i$

(?+? R$oltar$a s$r$ i$i !r$tral$ la rat (?7? R$oltar$a s$r$ iilor 3!r!l$nt$ din l$9i!ni

CAPITO%U% I? INTERNAREA I PRI"IREA PACIENTU%UIFIA Nr? ?? INTERNAREA PACIENTU%UI

O&IECTI'E%E PROCEDURIIPrimir$a i Int$rnar$a 3ai$nt!l!i 5n $l mai s!rt tim3 d$ la sosir$a 5n UPU?Stailir$a !n$i r$la ii 3o9iti8$ ! 3ai$nt!l sa! B i a3ar in torii O in$r$a d$ in4orma ii d$s3r$ star$a d$ s n tat$ tr$!t i 3r$9$nt 1 d$s3r$ sist$m$l$ 4!n ional$? Asi!rar$a !n$i 5nri>iri d$ alitat$ on4orm ! n$8oil$ si at$3t ril$ 3ai$nt!l!i B 4amili$i?

PREG TIREA "ATERIA%E%ORR$istr! d$ intr ri al UPUPlan!l d$ 5nri>ir$ B Foaia d$ os$r8a i$ lini "at$rial$ i instr!m$nt$ 3$ntr! m s!rar$a 4!n iilor 8ital$ i 8$$tati8$ i 3$ntr! $#am$n!l 4i9i: t$rmom$tr!1 t$nsiom$tr!1 st$toso31 s3at!l lin!al 1 s!rs d$ l!min 1 r$i3i$nt1 r$i3i$nt 3$ntr! ol$tar$a !rin$i?PREG TIREA PACIENTU%UIB C%IENTU%UIa= PSIIC :O4$ri i 3ai$nt!l!i B 4amili$i in4orma ii lar$1 d$s3r$ n$$sitat$a int$rn rii? O in$ i onsim mnt!l in4ormat d$ la 3ai$nt B 4amili$? = FIIC :A$9a i 3ai$nt!l 5n 3o9i i$ on4ortail ada3tat st rii d$ s n tat$1 Asi!ra i intimitat$a 3ai$nt!l!i?

Intr!d!$ i-8 ! n!m$l$ i staili i o r$la i$ t$ra3$!ti n!rs -3ai$nt Os$r8a i i nota i star$a 4i9i 1 $mo ional i int$l$t!al a 3ai$nt!l!i? Os$r8a i di9ailit il$ sa! limit ril$ 4i9i$ sa! B i 3si6i$? E8al!a i rad!l d$ on4ort sa! dison4ort al 3ai$nt!l!i?" s!ra i r$!tat$a i 5n l im$a 3ai$nt!l!i? A3r$ia i s$mn$l$ 8ital$ i o in$ i o mostr d$ !rin ? Fa$ i in8$ntar!l !n!rilor d$ 8aloar$ al$ 3ai$nt!l!i on4orm ! 3olitia s$r8ii!l!i m$dial?E4$t!a i anamn$9 i o a3r$i$r$ n!rsin at mai om3l$t a 3ai$nt!l!i? Id$nti4ia i 3rol$m$l$1 n$8oil$ i at$3t ril$ 3ai$nt!l!i l$at$ d$ int$rnar$? E#3lia i 3ai$nt!l!i B 4amili$i1 r$!lam$nt!l i r!tin$l$ s3ital!l!i - orar!l


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m$s$lor i al 8i9it$lor?In4orma i 3ai$nt!l d$s3r$ 3ro$d!ril$ sa! int$r8$n iil$ n$4amiliar$? Com3l$ta i 3lan!l d$ 5nri>ir$ a 3ai$nt!l!i ! in4orma iil$ o in!t$ : data B ora1 n!m$ i 3ron!m$1 8rst 1 star$a la int$rnar$1 8aloril$ 4!n iilor 8ital$1 ori$ntar$a 5n tim3 i 5n s3a i!1 m s!ril$ a3liat$ la UPU1 3r$l$8 ril$ d$ 3rod!s$ io3atoloi$1 n!m$l$ m$di!l!i ar$ a 4 !t int$rnar$a?R$9!ltat$ at$3tat$Bdorit$:- Pai$nt!l s$ simt$ in$8$nit1 r$la#at i ar$ 5nr$d$r$ 5n $6i3a m$dial ?- C!l$$r$a d$ dat$ $st$ om3l$tat 5n 3rim$l$ 2, or$ sa! 6iar mai 3! in d$ la int$rnar$?- Familia s$ simt$ on4ortail 5ntr!t 3ai$nt!l $st$ 5n si!ran ?R$9!ltat$ nod!ril$ B C$ 4a$ iPai$nt!l ar$ !n ni8$l 5nalt d$ an#i$tat$ sa! d$9ori$ntar$ ar$-i am$ninsi!ran a?

- Com!nia i ! 3ai$nt!l- Asi!ra i ondi ii o3tim$ d$ on4ort

Pai$nt!l sa! alt 3$rsoan s$mni4iati8 $st$ ina3ail s 4!rni9$9$ in4orma ii d$s3r$ istori!l st rii d$ s n tat$?

- P!n$ i 5ntr$ ri s!rt$1 a$siil$ - C$r$ta i do!m$nt$l$ 8$6i 5n a9 d$ r$int$rnar$

- Pai$nt!l r$4!9 int$rnar$a $#3rimnd!-i dorin a d$ a 3 r si UPU 5n i!da

r$omand rilor m$dial$- Cons$mna i r$4!9!l 3ai$nt!l!i 5n do!m$nt$l$ m$dial$ s! s$mn t!r

FIA Nr? ?2?TRANSFERU% PACIENTU%UI

O&IECTI'E%E PROCEDURIIStailir$a ondi iilor o3tim$ 3$ntr! trans4$rAsi!rar$a s$!rit ii 3ai$nt!l!i 5n 3$rioada trans4$r!l!i?PREG TIREA "ATERIA%E%OR&il$t!l d$ trans4$r1 s$mnat i 3ara4at d$ m$di?F?O? a 3ai$nt!l!i1 da $st$ a9!l?

Foaia d$ $8id$n i miar$ 9ilni a s$ i$i? E4$t$l$ 3ai$nt!l!i?Alt$ !n!ri d$ 8aloar$ al$ 3ai$nt!l!i1 ar$ a! 4ost in8$ntariat$ lo!l d$ trans3ort ad$8at 3$ntr! trans4$r!l 5n si!ran al 3ai$nt!l!i?EFECTUAREA PROCEDURII

O in$ i r$omandar$a m$di!l!i? Com!nia i ! !nitat$aBs$ ia d$ trans4$r 3$ntr! a staili 3$rioada o3tim d$ trans4$r?In4orma i i dis!ta i ! 3ai$nt!lB4amilia ondi iil$ a3ro3iat!l!i trans4$r? Pr$ ti i l!r!ril$ ar$-i a3ar in 3ai$nt!l!i1 il$t!l d$ trans4$r sa!Bi F?O? Pr$ ti i mi>lo!l d$ trans4$r ad$8at 4otoli! r!lant1 ranarda sa! r!ior!l r!lant?Ao3$ri i 3ai$nt!l 3$ntr! a-l 3rot$>a d$ !r$n ii d$ a$r1 d$ 4ri i a $8ita $#3!n$r$a 3$ d!rata trans3ort!l!i?@nso i i 3$rsonal 3ai$nt!l 3n la s$ ia sa! !nitat$a d$ trans4$r? Pr$9$nta i-l 3$rsonal!l!i d$ 5nri>ir$ nd a>!n$ i 5n s$ iaB!nitat$a 5n ar$ s-


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a trans4$rat?Pr$9$nta i asist$nt$i-$4$ dosar!l 3ai$nt!l!i sa!Bi il$t!l d$ trans4$r?Nota i n!m$l$ m$di!l!i nd trans4$r!l 3ai$nt!l!i s-a r$ali9at?Soat$ i 3ai$nt!l din $8id$n $l$ s$ i$i E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- Pai$nt!lB4amilia a$3t trans4$r!l d!3 $ 3rim$t$ in4orma ii lar$1 a$siil$?- Pai$nt!l $st$ trans4$rai 5n ondi ii d$ si!ran ? - Pai$nt!l $st$ m!l !mit d$ mod!l d$ orani9ar$ i d$s4 !rar$1 a trans4$r!l!i R$9!ltat$ n$dorit$ B C$ 4a$ i- Pai$nt!lB4amilia r$4!9 trans4$r!l1

- Cons$mna i r$4!9!l 3ai$nt!l!iB4amili$i 5n 4oaia d$ os$r8a i$1 s! s$mn t!r - Pai$nt!l $st$ n$m!l !mit d$ mod!l d$ orani9ar$ B d$s4 !rar$ a trans4$r!l!i?

- Dis!ta i ! 3ai$nt!l i $#3lia i-i ondi iil$ d$ r$ali9ar$ a trans4$r!l!i- Pai$nt!l s$ simt$ am$nin at i 5n n$si!ran 5n s$ iaB!nitat$a 5n ar$ a 4ost trans4$rat

- Com!nia i lnd ! 3ai$nt!l- Asi!ra i-i !n limat d$ 5nr$d$r$ i si!ran

FIA Nr? ?*?EXTERNAREA PACIENTU%UI

O&IECTI'E%E PROCEDURIIStailir$a ondi iilor ad$8at$ st rii 3ai$nt!l!i la $#t$rnar$? Asi!rar$a s$!rit ii 3ai$nt!l!i 5n tim3!l $#t$rn rii? PREG TIREA "ATERIA%E%ORR$istr!l d$ i$iri al s$ i$i?Foaia d$ $8id$n 9ilni i miar$ a s$ i$i? &il$t!l d$ $#t$rnar$ s$mnat i 3ara4at d$ m$di?R$ $ta m$dial 1 da $ a9!l?

E4$t$l$ 3ai$nt!l!i i $l$lalt$ !n!ri d$ 8aloar$ in8$ntariat$ lo!l d$ trans3ort ad$8at a$st!ia?O4$ri i india ii l$at$ d$: 4ir$l$ d$ s!t!r ir$a 4i9i 1 satis4a$r$a n$8oilor?D$t$rmina i disailit il$ i limit ril$ ar$ 8or ontin!a d!3 $#t$rnar$? Id$nti4ia i 3!nt$l$ 4ort$ al$ 3ai$nt!l!i?Fa$ i !n in8$ntar al n$8oilor d$ 5nri>ir$ i asist$n m$dial la domiili! i l!a i l$ t!ra ! o 4!nda i$ d$ 5nri>iri la domiili! da $st$ n$$sar? Orani9a i trans3ort!l 3ai$nt!l!i1 la n$8oi$?%!a i-8 la r$8$d$r$ d$ la 3ai$nt B 4amili$? Soat$ i 3ai$nt!l din $8id$n $l$ s$ i$i?


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E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- Pai$nt!l $st$ m!l !mit d$ 5nri>ir$a 3rimit ? - Star$a 4i9i i 3si6i la $#t$rnar$ $st$ !n 4iind o 3r$mis a r$int$r rii soio-3ro4$sional$?- Pai$nt!l B 4amilia a! in4orma ii lar$1 3r$is$ d$s3r$ 5nri>iril$ !lt$rioar$ la domiili! i d$s3r$ n$$sitat$a 3r$9$nt rii la ontrol 5n 3$rioada 3lani4iat sa! 5n a9 d$ om3lia iiR$9!ltat$ n$dorit$ B C$ 4a$ i- E#t$rnar$a ar$ !n im3at n$ati8 as!3ra 3ai$nt!l!i1 mai al$s da $st$ sin!r i ar$ n$8oi$ d$ 5nri>ir$ la domiili!?

- %!a i l$ t!ra ! o 4!nda i$ d$ 5nri>iri la domiili! - Familia B a3ar in torii s!nt ina3aili s 5nri>$as 3ai$nt!l la domiili!?

- P!n$ i-i 5n l$ t!r ! o 4!nda i$ d$ 5nri>iri la domiili! - Pai$nt!l B 4amilia r$4!9 $#t$rnar$a?

- Cons$mna i 5n 4oaia d$ os$r8a i$ r$4!9!l 3ai$nt!l!iB4amili$i s! s$mn t!r

CAPITO%U% IIIGIENA I CONFORTU% PACIENTU%UI

FIANr?2??SCI"&AREA %ENHERIEI DE PAT NEOCUPAT - 4 r 3ai$nt O&IECTI'U% PROCEDURIIAsi!rar$a ondi iilor d$ ii$n i d$ on4ort? PREG TIREA "ATERIA%E%ORC r!ior 3$ntr! l$n>$ri$" n!i d$ !ni 4olosin C$ara4 d$ 3atC$ara4 d$ 3 t!r B3li Fa a d$ 3$rn P t!r

Al$9a1 m!ama


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A$9a i m!ama!a i al$9a la mi>lo!l 3at!l!i i d$r!la i-l$ a 3$ $ara4!l d$ 3atIntrod!$ i m!ama!a i al$9a adn s! salt$a 3$ 3 r il$ lat$ral$ al$ 3at!l!i Intind$ i $ara4!l 3li 5n l!nim$a 3at!l!i i 3$st$ $l 3 t!ra Introd!$ i 3 t!ra 5n $ara4 i 4i#a i ol !ril$ Fi#a i $ara4!l i 3 t!ra la 3iioar$l$ 3at!l!i introd!nd!-l$ s! salt$a E4$t!a i 3li!l d$ on4ort a i ol !ril$ d$ la a3 t!l distal al 3at!l!i s! 4orm d$ 3li Introd!$ i 3 t!ra i $ara4!l 3$ 3 r il$ lat$ral$ al$ 3at!l!i P!n$ i la a3!l 3at!l!i 3$rna 5n4 at REORGANIAREA %OCU%UI DE "UNCR$a$9a i no3ti$ra la lo!l $i d$ ln 3at P!n$ i $l$ do! sa!n$ la lo Soat$ i sa!l ! r!4$ m!rdar$ din salonA$risi i salon!l@nd$3 rta i m n!il$ S3 la i-8 3$ mini NOTAREA PROCEDURIINota i:- 3ro$d!ra 5n 4ia d$ 3ro$d!ri i 5n dosar!lB3lan!l d$ 5nri>ir$

- data i ora

FIA Nr? 2?2?SCI"&AREA %ENHERIEI PATU%UI OCUPAT DE PACIENTU% I"O&I%IAT - ! 3ai$nt!l 5n3o9 i$ $9nd i 5n d$!it

O&IECTI'E%E PROCEDURIIAsi!rar$a ondi iilor d$ ii$n i on4ort E8itar$a om3lia iilor la 3ai$nt!l imoili9atPREG TIREA "ATERIA%E%ORC r!ior 3$ntr! l$n>$ri$C$ara4 3li

C$ara4 d$ 3atFa d$ 3$rn Al$9a1 m!ama


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- R!la i $ara4!l d$ 3at 3$ dim$nsi!n$a mi !t s s3ri>in$ 3ai$nt!l - @nd$3 rta i 3$rna i r!la i $ara4!l m!rdar 3n a3roa3$ d$ 3ai$nt - Po9i iona i $6idistant $ara4!l !rat la a3 t!l 3at!l!i i 3$ s!3ra4a a a$st!ia 3$ntr! a 3!t$a 4i 4i#at s! salt$a- D$r!la i $ara4!l !rat 3n a3roa3$ d$ $l m!rdar - S6ima i 4a a d$ 3$rn i a$9a i 3$rna 3$ 3at - C!la i 3ai$nt!l 5n d$!il dorsal i r!a i-l da 3oat$ s s$ ridi$ 3! in 3$ntr! a ontin!a s6imar$a- Introd!$ i mna dins3r$ a3!l 3ai$nt!l!i s! r$i!n$a 4$si$r i ridia i 5n

a$lai tim3 ! a>!tor!l- C! $alalt mn r!la i s3r$ 3iioar$l$ 3ai$nt!l!i l$n>$ria m!rdar i 5ntind$ i $ara4!l !rat- Ridia i 5n a$lai mod 3iioar$l$ i ontin!a i r!lar$a i r$s3$ti8 d$r!lar$a - Introd!$ i $ara4!l m!rdar 5n sa- @ntind$ i in$ $ara4!l d$ 3at1 $8$nt!al m!ama!a i al$9a i 4i#a i s! salt$a

&? %a 3ai$nt!l ar$ n! s$ 3oat$ ridia!t s s3ri>in$ 3ai$nt!l s!s in$ i-l amndo! - R!la i $ara4!l m!rdar 3n ln 3ai$nt i d$r!la i $ara4!l !rat a8nd ri> s 4i$ in$ 3o9i ionat 3$ntr! a 3!t$a 4i 4i#at la a3$t$ i 3$ lat!ri - Ad!$ i 3ai$nt!l 5n d$!it dorsal a3oi 5n d$!it lat$ral 3$ 3art$a o3!s s3ri>inind a3!l 3$ ant$ra- Tra$ i 3$rna s! a3!l 3ai$nt!l!i- Contin!a i r!lar$a $ara4!l!i m!rdar i d$r!lar$a $l!i !rat- Introd!$ i $ara4!l m!rdar 5n sa- Ad!$ i 3ai$nt!l 5n d$!it dorsal- @ntind$ i in$ $ara4!l !rat i 4i#a i la a3$t$ i 3$ marini $#$!tnd

ol !l- S6ima i 4a a d$ 3$rna S6imar$a $ara4!l!i 3li 5n am$l$ sit!a ii- A$9a i $ara4!l ! 3 t!ra d$as!3ra 3ai$nt!l!i 5nt marin$a li$r d$ d$s!t s 4i$ s! ria olna8!l!i1 iar $a d$ d$as!3ra s 4i$ ori$ntat s3r$ 3iioar$l$ 3ai$nt!l!i- R!a i 3ai$nt!l sa! o alt 3$rsoan s in marin$a $ara4!l!i s! ria a$st!ia ? - As$9a i-8 d$ o 3art$ a 3at!l!i1 iar a>!tor!l d$ $alalt - Prind$ i ! mna dins3r$ a3!l 3ai$nt!l!i ol !l li$r al $ara4!l!i !rat1 iar ! $alalt 3$ $l al $ara4!l!i m!rdar- C! o miar$ ra3id 1 sinroni9at 1 5ntind$ i $ara4!l !rat 5m3r$!n ! 3 t!ra


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iBsa! 5n8$litoar$a i 5nd$3 rta i-l 3$ $l m!rdar - Introd!$ i $ara4!l m!rdar 5n sa- '$ri4ia i da $ara4!l d$ 3at i l$n>$ria d$ or3 s!nt in$ 5ntins$ E4$t!a i 3li!l d$ on4ort la 3iioar$l$ 3ai$nt!l!i i $8$nt!al 4i#a i s! salt$a1 s n! al!n$$@NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ omod sa! 5n $a r$omandat d$ a4$ i!n$a i star$a sa- Os$r8a i on4ort!l i m s!ra i 4!n iil$ 8ital$ REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i 5n8$litoar$a i ao3$ri i 3ai$nt!l ! 3 t!ra - @nd$3 rta i sa!l ! r!4$ m!rdar$ - R$a$9a i no3ti$ra la lo!l $i d$as$m$n$a $l$ do! sa!n$ - @nd$3 rta i m n!il$1 s3 la i-8 minil$ NOTAREA PROCEDURII- Nota i data1 ora i m$toda 4olosit - D$sri$ i r$a ia 3ai$nt!l!i i star$a sa - Cons$mna i ori$ mani4$star$ ar$ ar 3!t$a s6ima $8a 5n 3lan!l d$ 5nri>ir$E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ dorit$- S6imar$a s-a 4 !t 5n ondi ii !n$

- Pai$nt!l ar$ o star$ d$ on4ortR$9!ltat$ n$dorit$ B C$ 4a$4i- Pai$nt!l a!9 oos$al 1 d!r$ri

- %!ra i lnd1 l sa i 3ai$nt!l!i tim3 d$ odi6n - Pai$nt!l r$4!9 s6imar$a:

- Dis!ta i 5n o dat ! 3ai$nt!l - A3$la i la a3ar in tori daa $st$ a9!l

FIA Nr? 2?*?SCI"&AREA A%EEI

O&IECTI'

- Asi!rar$a ondi iilor d$ ii$n 1 d$ on4ort i si!ran PREG TIREA "ATERIA%E%OR- Al$9a !rat- Sa 3$ntr! l$n>$ri$ m!rdar- Alool- Tal- " n!i d$ !ni 4olosin PREG TIREA PACIENTU%UIPSIIC- In4orma i1 5n!ra>a i i s!s in$ i moral 3ai$nt!l - E#3lia i so3!l 3ro$d!rii1 $4$t$l$ a$st$ia- O in$ i onsim mnt!l in4ormat FIIC

- As$9a i 3ai$nt!l 5n 3o9i ia 3otri8it 5n 4!n i$ d$ star$a sa EFECTUAREA PROCEDURIIa= S6imar$a al$9$i la 3ai$nt!l ar$ s$ 3oat$ a>!ta- R!la i al$9a !rat 5n la im$ - Ridia i 3 t!ra a$9nd-o 5n tri!n6i d$ o 3art$ - R!la i al$9a m!rdar - @ntind$ i $ara4!l i mat$rial!l im3$rm$ail- D$r!la i al$9a !rat 4i#nd-o s! salt$a - Tr$$ i d$ 3art$a o3!s a 3at!l!i - C$r$ i 3ai$nt!l!i s -i ridi$ tr!n6i!l 5n ar da 3oat$ sa! s!s in$ i r$i!n$a lomar a 3ai$nt!l!i ! mna dins3r$ a3


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- Tra$ i al$9a m!rdar introd!nd-o 5n sa!l d$ r!4$ m!rdar$ - D$r!la i ra3id r$st!l al$9$i !rat$ i 4i#a i-o s! salt$a d$ 3art$a $alalt a 3at!l!i- R$aran>a i 3at!l 3!nnd tot!l 5n ordin$= S6imar$a al$9$i la 3ai$nt!l ar$ n! s$ 3oat$ a>!ta- Pro$da i a 5n a9!l s6im rii $ara4!l!i d$ 3at 5n l!nim$ < FIA nr? 2?2?= - Controla i star$a r$i!nii saral$1 s$ mas$a9 ! alool si s$ 3!dr$a9 ! tal = S6imar$a al$9$i 5m3r$!n ! mat$rial!l im3$rm$ail- Pro$da i a 5n a9!l s6im rii l$n>$ri$i d$ 3at ! 3ai$nt!l 5n d$!it lat$ral- Pr$ ti i al$9a i m!ama!a r!lnd!-l$ 5m3r$!n 5n la im$ - Introd!$ i l$n>$ria m!rdar 5n sa!l s3$ial - E4$t!a i 3li!l d$ on4ort la 3iioar$l$ 3ai$nt!l!i $ritat$ mi rilor 3ai$nt!l!i 4ar s s$ d$98$l$as = - Introd!$ i 3 t!ra i $ara4!l d$ >!r 5m3r$>!r!l 3at!l!i @NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ omod - Os$r8a i 4ai$s!l 3ai$nt!l!i i m s!ra i 3!ls!l - @ntr$a i 3ai$nt!l da $st$ oosit sa! da ar$ d!r$ri NOTAREA PROCEDURII:Nota i:

- Pro$d!ra 5n 3lan!l d$ 5nri>ir$ i 5n 4ia d$ 3ro$d!ri- N!m$l$ i 3r$n!m$ 3$rsoan$i ar$ a $4$t!at 3ro$d!ra- Data i ora1 $8$nt!al$ onstat ri 3ri8ind star$a t$!m$nt$lor1 ontrol!l s4int$r$lorREORGANIAREA %OCU%UI DE "UNC- Col$ta i l$n>$ria m!rdar 5n o - R$a$9a i no3ti$ra i sa!n$l$ la lo!l lor- Soat$ i sa!l ! l$n>$ri$ m!rdar din salon - A$risi i salon!l- @nd$3 rta i m n!il$ - S3ala i-8 3$ mini E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ dorit$

- Pro$d!ra i-a atins so3!l- Pai$nt!l!i i s-a asi!rat on4ort!l n$$sar- Pai$nt!l $st$ d$stins ! 4ai$s r$la#at1 om3ortam$nt ad$8at1 sim ind!-s$ 5n si!ranR$9!ltat$ n$dorit$ B $ 4a$ i- Pai$nt n$m!l !mit1 mor nos1 3r$9int dison4ort din a!9a aita i$i1 s-a! 4ormat !t$ ar$-l d$ran>$a9

- R$9$r8a i mai m!lt tim3 3$ntr! a sta d$ 8ora ! 3ai$nt!l- '$ri4ia i ! ri> l$n>$ria s 4i$ in$ 5ntins

- Pai$nt!l r$4!9 s i s$ s6im$ al$9a - A3$la i la n$8oi$ la o 3$rsoan s$mni4iati8 3$ntr! olna81 ar$ s 8

a>!t$ s staili i r$la ii d$ olaorar$?

FIA Nr?2?,?SCI"&AREA %ENHERIEI DE CORP @N CAU% PACIENTU%UI I"O&I%IAT -I-- S6imar$a 3i>amal$i-

O&IECTI'E%E PROCEDURII- "$n in$r$a st rii d$ ii$n si on4ort - Pr$8$nir$a $sar$lor d$ d$!it- Cr$t$r$a d$mnitlii 3ai$nt ii- P strar$a id$ntit ii PREG TIREA "ATERIA%E%OR


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- Pi>ama 5n l9it - C!8$rt!r- P!dr d$ tal- Sa 3$ntr! l$n>$ria m!rdar- " n!i d$ !ni 4olosin PREG TIREA PACIENTU%UIa= PSIIC- In4orma i 3ai$nt!l i $#3liai i-i n$$sitat$a 3ro$d!rii - E#3lia i 3ai$nt!l!i !m 3oat$ 3artii3a la 3ro$d!r - O in$ i onsim mnt!l in4ormat = FIIC- Asi!ra i intimitat$a i r$s3$ta i 3!doar$a - @ntr$a i 3ai$nt!l da ar$ n$8oi$ d$ 3los sa! !rinar inaint$ d$ 3ro$d!r EFECTUAREA PROCEDURII- A$9a i l$n>$ria !rat 3$ !n sa!n 5n a3ro3i$r$a 3at!l!i - O in$ i in4orma ii d$s3r$ 3osiilit il$ d$ moili9ar$ a 3ai$nt!l!i - A3r$ia i r$s!rs$l$ 4i9i$ al$ 3ai$nt!l!i- E#3lia i-i 3ro$d!ra- Plia i 3 t!ra la 3iioar$l$ 3ai$nt!l!i - @n8$li i 3ai$nt!l ! !n 3l$d 5n l9it - S3 la i-8 minil$1 5mria i m n!i d$ a!i!

a= D$9r ar$a i 5mra r$a l!9$i la 3ai$nt!l ar$ s$ 3oat$ ridia 5n 3o9i i$ $9nd- D$s6$ia i nast!rii 3i>amal$i- Ridia i 3ai$nt!l 5n 3o9i i$ $9nd - R!la i 3i>ama!a d$ la s3at$ s3r$ $a4 i tr$$ i-o 3$st$ a3 r!nd 3ai$nt!l s 4l$t$9$ a3!l- R!la i 4i$ar$ mn$ i 5mr a i 3$ rnd ra $l$ - Soat$ i minil$ 5n a4ara mn$ilor- Ridia i l!9a 3$ s3at$l$ olna8!l!i i 5mraa i !m$rii - Fri iona i !or s3at$l$ 3ai$nt!l!i - @n6$ia i nast!rii= D$9r ar$a i 5mr ar$a l!9$i la 3ai$nt!l ar$ n! s$ 3oat$ ridia - D$s6$ia i nast!rii

- @ntoar$ i 3ai$nt!l 5n d$!it lat$ral i d$9r a i ra !l $li$rat - @ntoar$ i 3ai$nt!l 5n d$!it lat$ral in8$rs i d$9r a i $l lalt ra 5nd$3 rtnd l!9a- "$n in$ i 3ai$nt!l 5n d$!it lat$ral - R!la i mn$a i 5mr a i ra !l li$r - @ntoar$ i ! lnd$ $ 3ai$nt!l 5n d$!it lat$ral in8$rs i 5mr a i $lalalt ra intin9nd l!9a 3$ s3at$- Ad!$ i 3ai$nt!l 5n d$!it dorsal- @n6$ia i nast!rii= @nd$3 rtar$a i 5mr ar$a 3antalonilor - Ridia i r$i!n$a lomosarat a 3ai$nt!l!i i tra$ i ! ri> 3antalonii s3r$ 3iioar$- As$9a i 3ai$nt!l 3$ 3at

- Ridia i !or m$mr$l$ in4$rioar$ i ontin!a i d$9r ar$a - P!n$ i 3antalonii m!rdari 5n sa- Os$r8a i as3$t!l m$mr$lor in4$rioar$- R!a i 3$rsoana ar$ 8 a>!t s ridi$ m$mr$l$ in4$rioar$ al$ 3ai$nt!l!i - @mr a i 3$ rnd 4i$ar$ m$mr! i tra$ i 3antalonii 3n a3roa3$ d$ $9!t - Coor i i a$9a i 3$ 3at m$mr$l$ in4$rioar$ - Ridia i r$i!n$a 4$si$r i tra$ i 5n s!s 3antalonii - '$ri4ia i da $ara4!l $ in$ 5ntins - @n6$ia i nast!rii@NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ omod


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- Os$r8a i 4ai$s!l1 m s!ra i 3!ls!l - R$4a$ i 3at!l i 5n8$li i 3ai$nt!l ! 3 t!r - '$ri4ia i da 3ai$nt!l s$ simt$ in$ REORGANIAREA %OCU%UI DE "UNC- 5nd$3 rta i sa!l ! l$n>$ri$ m!rdar - 5nd$3 rta i 5n8$litoar$a - 5nd$3 rta i m n!il$ i s3ala i-8 minil$ NOTAREA PROCEDURIINota i 5n 4iaB3lan!l d$ 5nri>iri:- 3ro$d!ra1 data1 ora- ori$ os$r8a i$ l$ata d$ star$a i r$a ia 3ai$nt!l!i E'A%UAREA PROCEDURIIR$9!ltat$ at$3tat$- S6imar$a s-a 4 !t 4 r inid$nt$ - Pai$nt!l $#3rim star$a d$ on4ort1 n! ar$ d!r$ri- N! s$ os$r8 modi4i ri la ni8$l!l t$!m$nt$lor R$9!ltat$ n$dorit$ B C$ 4a$ri- Pai$nt!l 3r$9int $rit$m la ni8$l!l 3!nt$lor d$ s3ri>in

- a3lia i 3!dra d$ tal- s6ima i 3o9i ia 3ai$nt!l!i

- Pai$nt!l r$lam man$8r$ r!tal$ i oos$al 1 d!r$ri

- liniti i 3ai$nt!l1 r mn$ i o 8r$m$ l na $l - administra i !n almant da m$di!l r$omand

- %$n>$ria n! $st$ in$ 5ntins 1 3ai$nt!l a!9 >$n - s$ r$a$a9 3at!l d!3 s6imar$a l$n>$ri$i1 s$ 5ntind in$ $ar$a4!ril$

FIA Nr? 2??SCI"&AREA %ENHERIEI DE CORP @N CAU% &O%NA'U%UI I"O&I%IAT -II-- S6imar$a m ii d$ noa3t$ -

O&IECTI'E%E PROCEDURII- "$n in$r$a st rii d$ ii$na i on4ort - Pr$8$nir$a $sar$lor d$ d$!it

- Cr$t$r$a d$mnit ii 3ai$nt!l!i- P strar$a id$ntit ii PREG TIREA "ATERIA%E%OR- C maa d$ noa3t$ 5n l9it - C!8$rt!r- P!dra d$ tal- Sa 3$ntr! l$n>$ria m!rdar- " n!i d$ !ni 4olosin PREG TIREA PACIENTU%UIa= PSIIC- In4orma i 3ai$nt!l i $#3lia i-i n$$sitat$a 3ro$d!rii - E#3lia i 3ai$nt!l!i !m 3oat$ 3artii3a la 3ro$d!r - O in$ i onsim mnt!l in4ormat

= FIIC- Asi!ra i intimitat$a i r$s3$ta i 3!doar$a - @ntr$a i 3ai$nt!l da ar$ n$8oi$ d$ 3los sa! !rinar 5naint$ d$ 3ro$d!r EFECTUAREA PROCEDURII- A$9a i l$n>$ria !rat 3$ !n sa!n 5n a3ro3i$r$a 3at!l!i - O in$ i in4orma ii d$s3r$ 3osiilit il$ d$ moili9ar$ a 3ai$nt!l!i - A3r$ia i r$s!rs$l$ 4i9i$ al$ 3ai$nt!l!i- E#3lia i 3ro$d!ra- Plia i 3 t!ra la 3iioar$l$ 3ai$nt!l!i - @n8$li i 3ai$nt!l ! o !8$rt!r 5n l9it - S3 la i minil$


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A? %a olna8!l ar$ s$ 3oat$ ridia 5n 3o9i i$ $9nd a= D$9r ar$a m ii - Ridia i $9!t!l 3ai$nt!l!i i tra$ i 5n s!s maa - Ridia i a3oi 3ai$nt!l 5n 3o9i i$ $9nd da $st$ 3osiil - R!la i masa 3n la $a4 i tr$$ i maa 3$st$ a3 - Soat$ i mn$il$ 3rin oorr$a ra $lor - Introd!$ i maa m!rdar 5n sa!l d$ r!4$ - Os$r8a i 3!nt$l$ d$ s3ri>in- P!dra i ! tal= @mr ar$a m ii - R!la i maa !rat d$ la 3oal$ tr$ !l$r - R!la i 3$ rnd 4i$ar$ mn$ i 5mr a i ra $l$ - Tr$$ i maa !rat i ald d$as!3ra a3!l!i l snd-o s al!n$$ 3n ln $9!t- Ridia i $9!t!l i 5ntind$ i in$ maa - @n6$ia i nast!rii- @ntind$ti i 4i#a i in$ $ara4!l d$ 3at&? %a olna8!l ar$ n! s$ 3oat$ ridia s6imar$a s$ 4a$ d$ tr$ do!a 3$rsoan$:a= D$9r ar$a m ii - Ridia i $9!t!l introd!nd minil$ s! r$i!n$a 4$si$r i tra$ i t mai m!lt maa s3r$ r$i!n$a lomar

- @ntoar$ i 3ai$nt!l ! lnd$ $ 5n d$!it lat$ral i strn$ i maa 3n la a#il- R$ad!$ i 3ai$nt!l 5n d$!it dorsal1 a3oi d$!it lat$ral d$ 3art$a o3!s i strn$ i maa - R$ad!$ i 3ai$nt!l 5n d$!it dorsal1 ridia i !or !m$rii i tra$ i maa 3$st$ a3- D$9r a i ra $l$ - @ntrod!$ i maa m!rdar 5n sa = @mr ar$a m ii - R!la i maa d$ la 3oal$ s3r$ !l$r - R!la i 3$ rnd 4i$ar$ mn$ i 5mr a i ra $l$ - Ridia i a3!l i !m$rii 3ai$nt!l!i i tr$$ i maa 3$st$ a3 - @ntoar$ i ! lnd$ $ 3ai$nt!l 5n d$!it lat$ral i 5ntind$ i maa

- R$ad!$ i 3ai$nt!l 5n d$!it dorsal i a3oi d$!it lat$ral d$ 3art$a o3!s i 3ro$da i la 4$l- A$9a i 3ai$nt!l 5n d$!it dorsal1 ridia i i 5ntind$ i in$ maa i 5n6$ia i nast!rii- @ntind$ i i 4i#a i in$ $ara4!l d$ 3at @NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ omod


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- a3lia i 3!dr d$ tal - s6ima i 3o9i ia 3ai$nt!l!i

- Pai$nt!l r$lam man$8r$ r!tal$ i oos$al 1 d!r$ri - liniti i 3ai$nt!l1 r mn$ i o 8r$m$ l!na $l - administra i !n almant da m$di!l r$omand

- %$n>$na n! $st$ in$ 5ntins 1 3ai$nt!l a!9 >$n - s$ r$a$a9 3at!l d!3 s6imar$a l$n>$ri$i1 s$ 5ntind in$ $ara4!ril$

Os$r8a ii:- da olna8!l $st$ inonti$nt1 4olosi i o l!9 d$ 3i>ama ar$ s n!

a>!n s! r$i!n$a 4$si$r a a$st!ia - d!3 s6imar$a l$n>$ri$i d$ or3 a3lia i 3$ 3at al$9 i m!ama

FIA Nr? 2?+??TOA%ETA PACIENTU%UI I"O&I%IAT&AIA PAR IA% %A PAT

O&IECTI'E%E PROCEDURII- "$n in$r$a 3i$lii 5n star$ d$ !r $ni$ - Pr$8$nir$a a3ari i$i l$9i!nilor !tanat$- Asi!rar$a st rii d$ ii$n i on4ort a 3ai$nt!l!i 3rin s3 lar$a 5ntr$!l!i

or3 3$ r$i!ni1d$so3$rind 3ror$si8 n!mai 3art$a ar$ s$ 8a s3 laPREG TIREA "ATERIA%E%OR- Para8an- ort d$ !ni 4olosin 3$ntr! n!rs B$ - "as moil 3$ntr! mat$rial$1 ao3$rit ! !n m3 - Tr$i 3rosoa3$ d$ !lori di4$rit$- " n!i d$ ai$ d$ !lori di4$rit$ amal$ i l$n>$ri$ d$ 3at !rat$- Sa 3$ntr! l$n>$ria m!rdarPREG TIREA PACIENTU%UIa= PSIIC

- In4orma i i $#3lia i 3ai$nt!l!i 3ro$d!ra - Staili i d$ om!n aord ! 3ai$nt!l ora $4$t! rii toal$t$i innd s$ama d$ orar!l m$s$i1 in8$stia iilor1 tratam$nt!l!i- O in$ i onsim mnt!l in4ormat i a4la i 3r$4$rin $l$ sal$ 5n l$ t!r ! ii$na= FIIC- A3r$ia i star$a 3ai$nt!l!i 3$ntr! a $8ita o toal$t 3r$a l!n 1 oositoar$ - Da star$a 3ai$nt!l!i 5i 3$rmit$ 5n!ra>a i-l s s3$l$ sin!r1 asi!rnd!-i ind$3$nd$n a i a>!ta i-l doar la n$8oi$ - Asi!ra i intimitat$a 3ai$nt!l!i- @ntr$a i 3ai$nt!l da dor$t$ s i s$ s$r8$as !rinar!l sa! 3losa


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EFECTUAREA PROCEDURII- Asi!ra i-8 t$m3$rat!ra din salon $st$ 3$st$ 20C - Asi!ra i-8 $am!ril$ i !a s 4i$ 5n6is$ 3$ tot tim3!l 3ro$d!rii - A$9a i 3ara8an!l 5n >!r!l 3at!l!i- Um3l$ i a9in!l 2B* ! a3a ald a 5n8$litoar$a RESPECTA I ORDINEA @N CARE SE 'A EFECTUA TOA%ET

FA I G.T- S3 la i-8 minil$ - @mr a i 3rima m n! d$ ai$1 !m$9iti-o1 i s3 la i o6ii d$ la omis!ra int$rn la $a $#t$rn 4olosi i 3ar i s$3arat$ din m n! 3$ntr! 4i$ar$ o6i - t$r$ i im$diat ! 3rim!l 3roso3- S3 la i 4r!nt$a d$ la mi>lo s3r$ tm3l$

- S3 la i ! mi ri ir!lar$ r$i!n$a 3$rioral i 3$rina9al - Insista i la !r$6i 5n an !ril$ 3a8ilion!l!i i r$i!n$a r$troa!ri!lar - S3 la i ! B 4 r s 3!n1 lim3$9i i d$ t$8a ori ! a3 i t$r$ i im$diat - S3 la i t!l1 lim3$9i i - Usa i 3rin tam3onar$ ! 3roso3!l- S6ima i a3a i m n!a PARTEA ANTERIOARA A TORACE%UI- S3 la i ! mi ri 4$rm$1 $8itnd dilar$a 3ai$nt!l!i insista i la a#il$ - %im3$9i i i !sa i 4oart$ in$: 4olosi i d$odorant1 da 3ai$nt!l dor$t$ - Insista i la 4$m$i1 la 3li!ril$ s!mamar$- Os$r8a i r$s3ira ia 3ai$nt!l!i i $8$nt!al$ irita ii al$ 3i$lii sa! alt$ modi4i ri- Ao3$ri i tora$l$ i m$mr$l$ s!3$rioar$

"E"&RE%E SUPERIOARE"!ta i m!ama!a i al$9a i intind$ i-l$ s! 5ntr$ m$mr!l s!3$rior1 d$s!3ra 5n8$litorii- S3 la i 3rin mi ri l!ni i lnd$ 5n$3$ i d$ la arti!la ia 3!mn!l!i s3r$ !m r1 stim!lnd ast4$l ir!la ia 8$noas - %im3$9i i ! a3 i t$r$ i im$diat ! al doil$a 3roso3 - Daa $st$ 3osiil a$9a i mna 3ai$nt!l!i 5n a9in!l ! a3 ald 1 3$ntr! a t ia mai !or !n6iil$ sa! 3$ntr! a l$ !ra a: s3 la i mna 3ai$nt!l!i ! s 3!n insistnd 5n s3a iil$ int$rdiital$: lim3$9i i ! a3 i !sa i 4oart$ in$? - S3 la i $lalat m$mr! s!3$rior d!3 a$lai 3rini3i! A&DO"ENU%D$98$li i adom$n!l 3ai$nt!l!i- Insista i la ni8$l!l 3li!rilor in6inal$1 !nd$ datorit trans3ira i$i i li3s$i

d$ ii$na a !nor 3$rsoan$ 3ot a3 r$a 4oart$ !or irita ii al$ 3i$lii? - Insista i la ni8$l!l omili!l!i ar$ la !nii 3ai$n i 3oat$ 4i 4oart$ m!rdar 3ro$da i ast4$l:a= 5nd$3 rta i d$3o9it!l d$ m!rd ri$ ! a>!tor!l !n!i tam3on d$ 8at 5niat 5n $n9in i montat 3$ !n 3orttam3on= s3 la i omili!l ! a3 i s 3!n = !sa i 4oart$ in$ i !n$ i r$i!n$a ! 8as$lin - Ao3$ri i 3ai$nt!l ! $ara4!l i 4lan$laPARTEA POSTERIOAR A TORACE%UI I REGIUNEA SACRAT - A$9a i 3ai$nt!l 5n 3o9i i$ d$ d$!it lat$ral1 4iind s!s in!t d$ o alt n!rs - "!ta i m!ama!a i al$9a i 5ntind$ti-l$ s! tr!n6i!l 3ai$nt!l!i


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- S3 la i1 lim3$9i i i !sa i r$i!n$a - "asa i s3at$l$ 3ai$nt!l!i ! alool m$ntolat os$r8a i 3ro$min$n $l$ osoas$ i 8$ri4ia i star$a 3i$lii 5n 3!nt$l$ d$ s3ri>in- A3lia i 3!dra d$ tal 5ntr-!n strat 4oart$ s! ir$ - Ao3$ri i s3at$l$ 3ai$nt!l!i- S3 la i r$i!n$a anal dins3r$ 4a s3r$ s3at$1 ast4$l 5nt s $8ita i ontaminar$a r$i!nii 3$rin$al$ lim3$9i i i !sa i 4oart$ in$ r$i!n$a - Os$r8a i at$nt star$a 3i$lii 5n 9on$l$ 3r$dis3!s$ a3ari i$i $sar$lor "E"&RE%E INFERIOARE- @nlo!i i a3a1 m n!a d$ ai$ i 3roso3!l ! alt$l$ !rat$ - @ntind$ i m!ama!a i al$9a s! >!m tat$a in4$rioar a 3ai$nt!l!i - R$ad!$ i 3ai$nt!l 5n d$!it dorsal1- Insista i la ni8$l!l $n!n6i!l!i1 3liii 3o3lit$$1 5n r$i!n$a t$ndon!l!i l!i A6il$ i a alan$!l!i- S3 la i ! a3 i s!3!n 3rin mi ri lnd$ dins3r$ l$9n s3r$ old 3$ntr! a stim!lair!la ia 8$noas ATEN IEK NU SE "ASEA K - D!3 4i$ar$ s 3!nir$ lim3$9i i in$ ! a3 i !sa i ! 3roso3!l - Os$r8a i at$nt star$a 3i$lii 5n 9on$l$ 3r$dis3!s$ a3ari i$ $sar$lor - S3 la i 3iioar$l$ 3rin introd!$r$a lor 5ntr-!n a9in ! a3 1 a$9at 3$ 3at 3rot$>a i 3at!l ! m!ama!a1 a$ast m$tod !!r$a9 !r ir$a i t i$r$a

!n6iilorK- P!dra i 5ntr-!n strat 4oart$ s! ir$ 3liil$ nat!ral$ - Taia i !n6iil$- Ao3$ri i 3ai$nt!l ! $ara4!l i 4lan$laORGANE%E GENITA%E I REGIUNEA PERIANA%@n6$i$ toal$ta la 3at a 3ai$nt!l!i da star$a $n$rala a 3ai$nt!l!i 5i 3$rmit$1 a$sta s$ 3oat$ s3 la sin!r1 5n tim3 $ asist$nta 8a ontrola da s-a $4$t!at or$t- @nlo!i i a3a1 m n!a d$ aia i 3roso3!l ! alt$l$ !rat$ - @mr a i m n!a d$ !ni 4olosin - A$9a i olna8!l 5n 3o9i i$ in$oloi - I9ola i 3at!l ! m!ama i al$9a 3$ ar$ l$ introd!$ i s! r$i!n$a sarat - Introd!$ i 3losa s! 3ai$nt

- @mr a i m n!a d$ ai$ 3$st$ m n!a d$ a!i! - S3 la i r$i!n$a $nital dins3r$ ant$rior s3r$ 3ost$rior1 $8itnd r$i!n$a anal 4olosi i s 3!n n$!tr! !tor!l!n!i >$t d$ a3 t!rnat dintr-o an - P!t$ i 4olosi tam3oan$ i o 3$ns 3orttam3on1 a8nd ri> s !r a i toat$ 3li!ril$ i s s6ima i d$s tam3oan$l$ 3$ntr! a n! trans3orta $rm$ni dins3r$ r$i!n$a anal s3r$ $a $nital - @nd$3 rta i a9in$t!l d$ s! 3ai$nt i t$r$ i 4oart$ in$ oran$l$ $nital$ i r$i!n$a din >!r 4olosind al tr$il$a 3roso3@N TI"PU% PROCEDURII EXA"INA I TEGU"ENTE%E I O&SER'A I E'ENTUA%E "ODIFIC RI $ria d$ or3 i 3at i 5ntind$ i in$ 3 t!ra 3$ntr! a n! >$na 3ai$nt!l- Ao3$ri i 3ai$nt!l i asi!ra i-8 $st$ 5ntr-o 3o9i i$ d$ on4ort 4i9i i 3si6- S!3ra8$6$a i 4!n iil$ 8ital$ - Da 3ai$nt!l $st$ 3!rt tor d$ sond$ asi!ra i-8 s!nt 3$rm$ail$ i in$ 3o9i ionat$REORGANIAREA %OCU%UI DE "UNC


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- Strn$ i mat$rial$l$ 4olosit$ i l$n>$ria m!rdar 5n r$i3i$nt$ s3$ial$ - C!r a i mat$rial$l$ 5n 8$d$r$a d$9in4$ i$i i d$3o9it rii - @nd$3 rta i m n!il$ i s3 la i-8 minil$ NOTAREA PROCEDURIINota i- Data i ora $4$t! rii1 n!m$l$ 3$rsoan$i ar$ aorda 5nri>ir$a- Ori$ 4$l d$ modi4i ri al$ as3$t!l!i 3i$lii i in4orma i m$di!l - " s!ril$ d$ 3r$8$nir$ al$ $sar$lor- Ni8$l!l d$ 3artii3ar$ al 3ai$nt!l!i la $4$t!ar$a toal$t$i- E8$nt!al$l$ modi4i ri al$ 4!n iilor 8ital$ E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ dorit$- Os$r8a i r$a ia 3ai$nt!l!i la $4$t!ar$a toal$t$i - Star$a d$ m!l !mir$ i d$ on4ort a 3ai$nt!l!i r s3l t$t$ 3$ d$3lin m!na d!mn$a8oastr- Pai$nt!l n! 3r$9int modi4i ri al$ t$!m$nt$lor R$9!ltat$ n$dorit$ B $ 4a$ iL- Pai$nt!l a!9 d!r$ri 5n tim3!l man$8r$lor

- %!ra i lnd1 ! mi ri l$nt$ i om!nia i 3$rman$nt ! 3ai$nt!l - R$9$r8a i-8 s!4ii$nt tim3 3$ntr! a n! a3$la la man$8r$ r it$Br!tal$ - Cons!lta i m$di!l da 3oat$ 4i administrat !n almant

- Pai$nt!l 3r$9int $rit$m la ni8$l!l 3!nt$lor d$ s3ri>in 4iind 3r$dis3!s la $sar$

- Staili i m s!ri onr$t$ d$ 3r$8$nir$ i omat$r$ a $sar$lor 1 s6imar$a 3o9i i$i1 3!drar$a ! tal1 $t?=

- Com!nia i in4orma iil$ s$mni4iati8$ ol$$lor ar$ asi!r ontin!itat$a 5nri>irilor- Pai$nt!l 3r$9int iritar$ la ni8$l!l 3liilor

- E8ita i trans3ira ia i !m$9$ala - A3lia i !n!$nt$ r$omandat$ d$ m$di

FIA Nr? 2?+?2?@NGRIHIREA OCI%OR

O&EECTI'E%E PROCEDURII- Pr$8$nir$a in4$ iilor o!lar$ i 5nd$3nrtar$a s$r$ iilor - "$n in$r$a o6i!l!i !m$9it ir$a 5n adr!l toal$t$i 9ilni$ sa! ind$3$nd$ntEFECTUAREA PROCEDURII- S3 la i-8 minil$ i 5mr a i m n!il$ - @nd$3arta i s$r$ iil$ sa! r!st$l$ ad$r$nt$ d$ $n$B3l$oa3$ 3rin t$r$r$ !oar d$ la omis!ra $#t$rn s3r$ $a int$rn 4olosind !n tam3on st$ril 5miat 5n s$r 4i9ioloi


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- Folosi i !n no! tam3on st$ril 3$ntr! 4i$ar$ t$r$r$ 3n nd o6i!l $st$ !rat- R$3$ta i 3ro$d!ra i 3$ntr! $lalalt o6i 5nlinnd !or a3!l- Instila i larimi arti4iial$ sa! !n!$nt o4talmi la india ia m$di!l!i - R!a i 3ai$nt!l s 5n6id o6ii i a3oi a3lia i sol! i$ d$ 'it? A 3$ 3l$oa3$1 3rot$>nd ast4$l3i$l$a 4rail- P$ntr! a m$n in$ o6ii !m$9i i1 a3lia i !n 3ansam$nt st$ril 5miat 5n s$r 4i9ioloi i 4i#a ii! and ad$9i8 3ansam$nt!l s$ 8a s6ima 4r$8$nt @n a9!l 3ai$nt!l!i omatos s$ !rm$a9 a$iai 3ai d$srii mai s!s1 n!rsa 4iind $a ar$ 8a d$s6id$ 3l$oa3a 3ai$nt!l!i1 4olosind t$ o om3r$s st$ril 3$ntr! 4i$ar$ 3l$oa3- Instila i 5n sa!l on>!nti8al t$ o 3i t!r d$ 8it?A d$ 2oriB9i @NGRIHIREA PACIENTU%UI- S6ima i 4r$8$nt 3ansam$nt!l- R$3$ta i 5nri>ir$a on4orm orar!l!i stailit d$ m$diREORGANIAREA %OCU%UI DE "UNC- Col$ta i mat$rial$l$ 4olosit$ 5n r$i3i$nt$ s3$ial$1 mai al$s da s$r$ iil$ s!nt 3!r!l$nt$- @nd$3 rta i m n!il$

- S3 la i minil$ NOTAREA PROCEDURIINota i 5n 4iaB3lan!l d$ 5nri>iri:- Data1 ora1 sol! iil$ m$diam$ntoas$ 4olosit$- As3$t!l s$r$ iilor1 da s-a! r$oltat 3ro$ 3$ntr! $#am$n!l d$ laorator E'A%UAREA PROCEDURIIR$9!ltat$ at$3tat$- Pro$d!ra s-a d$s4 !rat 4 r inid$nt$ - Corn$$a $st$ !m$dR$9!ltat$ n$dorit$ B C$ 4a$ i- Pai$nt!l $st$ aitat1 $#ist ris d$ l$9ar$ a orn$$i

- %initi i 3ai$nt!l i soliita i a>!tor - N! 8 a3ro3ia i 3r$a m!lt d$ o6i!l 3ai$nt!l!i

- Pai$nt!l 3r$9int r!st$- A3lia i om3r$s$ !m$9it$1 ld! $ i 5nd$3 rta i a3oi ! lnd$ $

FIA Nr?2?+?*?@NGRIHIREA "UCOASEI NAA%E

O&IECTI'E%E PROCEDURII- "$n in$r$a 3$rm$ailit ii ilor r$s3iratorii s!3$rioar$ i 3r$8$nir$a a3ari i$i l$9i!nilor la 3ai$n ii ! sonda na9o4arinian sa! na9oastri - @nd$3 rtar$a s$r$ iilor i r!st$lor PREG TIREA "ATERIA%E%OR- Ta8 m$dial

- Tam3oan$ st$ril$ montat$ 3$ $ ioar$- Sol! i$ st$ril d$ s$r 4i9ioloi - Sol! i$ d$ a3 o#i$nat dil!at - Ta8i r$nal - "an!al d$ !ni 4olosin PREG TIREA PACIENTU%UIa= PSIIC- In4orma i 3ai$nt!l i r!a i-l s n! s$ mit$ - E#3lia i-i 3ai$nt!l!i olaorant !m 3oat$ 3artii3a la $#$!tar$a 3ro$d!rii- O in$ i onsim mnt!l in4ormat = FIIC


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- A$9a i 3ai$nt!l 5n d$!it dorsal- R!a i-l s -i 5ntoar !or a3!l 5ntr-o 3art$ EFECTUAREA PROCEDURII- S3 l i-8 minil$ i 5mr a i m n!il$ - C!r a i 4i$ar$ 4os na9al ! t$ !n tam3on st$ril 5miat 5n s$r 4i9ioloi Da 3ai$nt!l 3r$9int sonda na9o4arinian sa! na9oastri : M d$9li3i i rom3last!l ! ar$ $st$ 4i#at sonda M r$tra$ i sonda a -+mM !r a i t!!l ! !n tam3on d$ !rm$l$ d$ rom3last M 5nd$3 rta i r!st$l$ d$ 3$ m!oasa na9al ! !n tam3on !m$9it 5n 2O2 r$introd!$ i sonda astri sonda 3$ntr! o#i$not$ra3i$ s$ 3oat$ r$introd!$ 5n $alalt 4os na9al M 4i#a i sonda@NGRIHIREA PACIENTU%UI- Controla i 4!n ionalitat$a sond$lor d!3 !r ar$a m!oas$i na9al$ - S!3ra8$6$a i r$s3ira ia 3ai$nt!l!i - Os$r8a i as3$t!l m!oas$iREORGANIAREA %OCU%UI DE "UNC- Strn$ i mat$rial!l 4olosit 5n r$i3i$nt$ s3$ial$- @nd$3 rta i mn!il$ - S3 la i minil$

NOTAREA PROCEDURIINota i:- Data i ora1 os$r8a iil$ 4 !t$ - Ora r$introd!$rii sond$iE'A%UAREA PROCEDURIIR$9!ltat$ at$3tat$- Pro$d!ra s-a d$s4 !rat 4 r inid$nt$ - C il$ r$s3iratorii s!nt li$r$1 r$s3ira ia s$ 4a$ normal - N! s!nt l$9i!ni 3$ m!oasR$9!ltat$ n$dorit$ B C$ 4a$ti- "!oasa na9al sn$r$a9

- In4ormati m$di!l 3$ntr! a staili ond!ita- A iona i on4orm 3r$sri3 i$i

FIA Nr? 2?+?,?@NGRIHIREA URECI%ORO&IECTI'E%E PROCEDURII- "$n in$r$a st rii d$ !r $ni$ a 3a8ilion!l!i !r$6ii i a ond!t!l!i a!diti8 $#t$rn- @nd$3 rtar$a d$3o9it$lor nat!ral$


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- C!r a i ond!t!l a!diti8 $#t$rn ! !n tam3on !sat $#$!tnd ! lnd$ $ mi ri d$ rota i$ - C!r a i 4i$ar$ !r$6$ ! !n tam3on s$3arat - S3 la i 3a8ilion!l !r$6ii ! m n!a d$ !ma ! s 3!n i insista i 5n an !ril$ 3a8ilion!l!i i r$i!n$a1 r$troa!ri!lara- Os$r8a i $8$nt!al$ irita ii r$troa!ri!lar$ sa! l$9i!nil$ 3rod!s$ 3rin om3r$si!n$ la olna8ii imoili9a i- %im3$9i i i !sa i in$ ! 3roso3!l1 ond!t!l i 3a8ilion!l !r$6ii @NGRIHIREA PACIENTU%UI- Introd!$ i !n tam3on d$ 8at asorant 5n ond!t!l a!diti8 $#t$rn - Asi!ra i on4ort!l 3ai$nt!l!iREORGANIAREA %OCU%UI DE "UNC- Strn$ i mat$rial!l 4olosit 5n r$i3i$nt$ s3$ial$- @nd$3 rta i-8 m n!il$ i s3 la i-8 minil$ NOTAREA PROCEDURIINota i:- Data i ora1 os$r8a iil$ 4 !t$ E'A%UAREA PROCEDURIIR$9!ltat$ at$3tat$- Pai$nt!l n! a!9 disom4ortR$9!ltat$ n$dorit$ B C$ 4a$ i- Pai$nt!l a!9 d!r$ri

- Pai$nt!l 3r$9int s$r$ ii oti$ - an!n a i m$di!l 3$ntr! a soliita !n ons!lt d$ s3$ialitat$ da $st$

a9!l

FIA Nr?2?+??@NGRIHIREA CA'IT II &UCA%E

O&IECTI'E%E PROCEDURII- @nd$3 rtar$a 3l ii at$ri$n$ - E8al!ar$a st rii d$ s n tat$ oral - R$d!$r$a 3osiilit ilor d$ in4$ i$ - @nd$3 rtar$a !st!l!i i miros!l!i n$3l !t al a8it ii !al$

- S 3romo8$9$ on4ort!l 3ai$nt!l!i i $d!ar$a a$st!ia nd $st$ 3osiil

A? %A &O%NA'U% CONTIENTPREG TIREA "ATERIA%E%OR- P$ri! a 3$rsonal - Pasta d$ din i ! 4l!or- Pa6ar ! a3a- Ta8i a r$nal !r!l t!l!i1 da star$a 3$rmit$ = D$!it lat$ral ! a3!l !or ridiat i s3ri>init 3$ o 3$rn 3rot$>at ! 3roso3EFECTUAREA PROCEDURII


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- Ad!$ i mat$rial$l$ 3r$ tit$ ln olna8 - A>!ta i 3ai$nt!l s s$ a$9$ 5n 3o9i i$ ad$8at st rii sal$ - S$r8i i 3ai$nt!l!i 3$ri! a ! 3asta i 3a6ar!l ! a3 - S!s in$ i t 8i a r$nal s! ria 3ai$nt!l!i sa! 5n a3ro3ri$r$a 4$ $i a$st!ia a$9at 3$ 3$rna ao3$rit ! m!ama i 3roso3 - S4 t!i i 3ai$nt!l s 3$ri$ din ii tim3 d$ 2-* min!t$ 5n s$ns 8$rtial1 3$ am$l$ 4$ $ 3$ntr! 5nd$3 rtar$a d$3o9it$lor sa! r$st!rilor d$ alim$nt$ - In8ita i 3ai$nt!l s -i l t$as !ra ! m!lt a3 i la s4rit ! a3 d$ !r da dor$t$ - O4$ri i 3ai$nt!l!i a$9at 5n d$!it o an ! io sa! ! !n t! d$ s!ti!n$?

&? %A &O%NA'U% INCONTIENTPREG TIREA "ATERIA%E%OR- P$ri! a 3$rsonala- Pasta d$ din i ! 4l!or- Proso3- Tam3oan$ 3$ 3orttam3on- D$s6i9 tor d$ !r - Com3r$s$ d$ ti4on st$ril$- A3a oriat 1 li$rin ora#at 21 li$rin ora#at ! stamiin - S3at!l lin!al

- Ta8i r$nal - " n!i d$ !ni 4olosin - 'as$lin 3$ntr! !9$- S$rin 3$ntr! as3irar$a li6id!l!iPREG TIREA PACIENTU%UI- %!a i 5n onsid$rar$ dianosti!l1 tratam$nt!l1 di$ta- Os$r8a i star$a 3ai$nt!l!i i a3r$ia i n$8oia d$ 5nri>ir$1 star$a d$ 6idratar$1 as3$t!l !9$lor- Pai$nt!l 4iind n$olaorant1 5nri>ir$a s$ r$ali9$a9 d$ tr$ n!rs FIIC- A$9a i 3ai$nt!l 5n d$!it lat$ral1 ! tora$l$ !or ridiat da n! $st$ 3osiil 5ntoar$- i a3!l 5ntr-o 3art$EFECTUAREA PROCEDURII

- S3 la i minil$ i 5mr a i m n!i - Ad!$ i mat$rial$l$ ln 3ai$nt - Prot$>a i 3$rna ! !n 3roso3 i a$9a i al t!ri ta8i a r$nal i o s$rina 3$ntr! as3ira i$- @nd$3 rta i ma#ilar$l$ ! a>!tor!l !n!i d$s6i9 tor d$ !r i 4i#a i 5ntr$ molarii din s3at$ 3$ntr! a m$n in$ !ra d$s6is - P$ria i s!3ra4a a $#t$rn a din ilor 4olosind o antitat$ mi d$ 3ast i a3 - As3ira i ! s$rina li6id!l 3$ntr! a n! a>!n$ 5n il$ r$s3iratorii - R$n!n a i la 3ast i 3$ri! da $#ist ris!l d$ as3irar$ 5n il$ r$s3iratorii- Folosi i o s3at!l lin!al i tam3oan$ 3$ntr! a 5nd$3 rta ora>ii i !9$l$ i 3$ntr! a !r i m!oasa !al - C!r a i s!3ra4a a int$rn a din ilor i lima1 olta 3alatin 4olosind tam3oan$

! li$rin ora#at - Os$r8a i m!oasa oral 1 star$a iniilor i din ilor1 lima - Staili i 5nri>iril$ !lt$rioar$ 5n 4!n i$ d$ onstatar$ - Un$ i !9$l$ ! 8as$lin @NGRIHIREA PACIENTU%UI- Asi!ra i 3ai$nt!l!i o 3o9i i$ ad$8at 5n ra3ort ! star$a sa $n$ral - Asi!ra i 6idratar$ or$s3!n9 toar$ 3$ntr! a 3r$8$ni !sar$a !9$lor i m!oas$i !al$REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i mat$rial$l$ 4olosit$ ol$tnd 5n ontain$r$ s3$ial$ 3$ $l$ ! 3ot$n ial d$ in4$ i$


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- Plasa i oi$t$l$ olna8!l!i 5n no3ti$r - @nd$3 rta i m n!il$ - S3 la i minil$? NOTAREA PROCEDURIINota i 5n 4iaB3lan!l d$ 5nri>iri:- Data1 ora1 sol! iil$ 4olosit$- As3$t!l m!oas$i1 $#ist$n a $8$nt!al$lor l$9i!ni1 sn$rar$a iniilor1 miros!l1 d$3o9it$E'A%UAREA PROCEDURIIR$9!ltat$ at$3tat$- Pai$nt!l n! 3r$9int l$9i!ni la ni8$l!l m!oas$i !al$- N! s!nt s$mn$ d$ a3ari ia andido9$i !al$R$9!ltat$ n$dorit$B$ 4a$tiL- As3irar$a li6id!l!i 5n ail$ r$s3iratorii

- an!n a i m$di!l? - %$9ar$a m!oas$i !al$ i din ilor ! d$s6i9 tor!l sa! 3orttam3on!l

- %!ra i ! at$n i$1 soliita i a>!tor la n$8oi$

FIA Nr? 2?+?+?@NGRIHIREA PROTEE%OR DENTARE

O&IECTI'U% PROCEDURII- "$n in$r$a ii$n$i 3rot$9$i i a a8it ii oral$ PREG TIREA "ATERIA%E%OR- Pa6ar mat- P$ri!- Pasta d$ din i- " n!i d$ !ni 4olosin EFECTUAREA PROCEDURIIR!a i 3ai$nt!l onti$nt s -i soat 3rot$9a1 s o !r$ $ i noa3t$a s o 3!n 5ntr-!n 3a6ar 3ro3ri! n$trans3ar$ntAsi!ra i intimitat$a a$st!ia da s$ >$n$a9 s -i soat 3rot$9a 5n 3r$9$n a altor 3$rsoan$

@n a9!l olna8!l!i inonti$nt:M @mr a i m n!i d$ !ni 4olosin M Prind$ i 3rot$9a ! o !at d$ ti4on i 5nd$3 rta i-o ! lnd$ $ M S3 la i 3rot$9a ! 3ast i 3$ri! M P stra i 3rot$9a 5ntr-!n 3a6ar s3$ial1 mat M R$da i 3ai$nt!l!i 3rot$9a nd 5i r$a3 t star$a d$ onti$n - l ti i 3rot$9a 5naint$ d$ a o r$da

FIA Nr? 2?+?7?@NGRIHIREA UNGII%OR

O&IECTI'E%E PROCEDURII

S$ 4a$ 5n adr!l ii 3$ r$i!ni sa! s$3arat1 d!3 a9 3$ntr!: - @nd$3 rtar$a d$3o9it!l!i s!!n6ial- E8itar$a l$9i!nilor 3rin rata> la 3ai$n i1 ! 3r!rit- O in$r$a !n$i a3ar$n $ 5nri>it$ a 3ai$nt!l!i PREG TIREA "ATERIA%E%OR- A3 i s 3!n1 a9in


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a=PSIIC- In4orma i 3ai$nt!l as!3ra n$$sit ii 3ro$d!rii - O in$ i onsim mnt!l in4ormat = FIIC- A$9a i 3ai$nt!l 5n 3o9i i$ d$ d$!it dorsal t mai omod EFECTUAREA PROCEDURII:- S3 la i-8 minil$ i 5mr a i m n!il$ - Introd!$ i mnaB3iior!l 3ai$nt!l!i 5n a9in!l ! a3 alda i s 3!n 3$ntr! a min!t$ - - A$9a i a3oi mnaB 3iior!l 3$ !n 3roso31 tim3 5n ar$ introd!$ i 5n a9in $alalt mn 1 r$s3$ti8 3iior - T ia i ! mar$ at$n i$ !n6iil$1 la ni8$l!l d$$t!l!i1 a3oi 3ili i-l$ 4ram$nt$l$ t iat$ strn$ i-l$ 3$ o !at d$ 3n9


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- @m3 r i i 3 r!l l!n sa! !lat 5n s!8i $ i 3i$3t na i dins3r$ a3 t s3r$ r d ina 4ir!l!i d$ 3 r - @m3l$ti i 3 r!l l!n a8nd ri> s n! >$n$9$ 3ai$nt!lB3ai$nta nd st 5n d$!it- Os$r8a i $8$nt!al$l$ l$9i!ni al$ sal3!l!i t i as3$t!l 3 r!l!i @NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ on4ortail


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- Asi!ra i intimitat$a i9olnd 3at!l ! !n 3ara8an- S3 la i minil$ i 5mr a i m n!il$ - Pro$da i 5n ontin!ar$ 5n 4!n i$ d$ 3o9i ia al$as i star$a 3ai$nt!l!i C! 3ai$nt!l 5n 3o9i i$ $9nd- A$9a i 3ai$nt!l 3$ !n sa!n sa! 5n 4a a la8oar!l!i C! 3ai$nt!l 5n 3o9i i$ d$ d$!it- R!la i salt$a!a i ao3$ri i ! m!ama i al$9 3$ ar$ s$ s3ri>in s3at$l$ i a3!l 3ai$nt!l!i B 3ai$nt$i?- A$9a i li6$an!l 3$ 3art$a d$ somi$r r mas li$r i introd!$ i a3 t!l li$r al m!amal$i 4 !t s!l 5n l$ata 3$ntr! a 3$rmit$ s!r$r$a a3$i - A$9a i 3ai$nt!lB3ai$nta oli 3$ 3at ! a3!l s3r$ marin$? Introd!$ i s! a3!l i !m$rii 3ai$nt!l!iB3ai$nt$i m!ama!a i al$9a? A$9a i l$ata 3$ntr! ol$tar$a a3$i m!rdar$ 5n 8$in tat$a 3at!l!i i introd!$ i a3 t!l li$r al m!amal$i 4 !t s!l- S!s in$ i ! o mn !tor!l alt$i 3$rsoan$ ir$ data1 os$r8a iil$ 4 !t$ E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$- Pai$nt!l $#3rim star$ d$ on4ort

- N! 3r$9int l$9i!ni al$ sal3!l!iR$9!ltat$ n$dorit$ B C$ 4a$ iL- Pai$nt!l 3r$9int l$9i!ni al$ sal3!l!i:

- in4orma i m$di!l1 $8$nt!al s$ 8a ons!lta !n d$rmatolo

FIA Nr?2?7?SCI"&AREA POI IEI PACIENTU%UI I"O&I%IAT1 ADINA"IC

O&IECTI'E%E PROCEDURII- Pr$8$nir$a om3lia iilor


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? S6imar$a 3o9i i$i din d$!it dorsal 5n d$!it lat$ral- Id$nti4ia i 3ai$nt!l i $8al!a i r$s!rs$l$ a$st!ia - Ad!$ i mat$rial$l$ a!#iliar$ lna 3at- As$9a i-8 d$ 3art$a 3at!l!i s3r$ ar$ 5ntoar$ i 3ai$nt!l - Ridia i 3 t!ra i 3lia i-o s3r$ 3art$a o3!s - Prind$ i ! mna dins3r$ a3 !m r!l 3ai$nt!l!i1 ridia i-l ! lnd$ $ i introd!$ i 3 t!ra s! s3at$ ini - S!s in$ i tora$l$ 3ai$nt!l!i 3$ntr! a-i asi!ra stailitat$ i ! mna dins3r$ 3iioar$ rota i a9in!l i m$mr$l$ in4$rioar$- S3ri>ini i s3at$l$ 3ai$nt!l!i ! !n s!l d$ $ara4- Fl$ta i m$mr!l in4$rior d$ d$as!3ra i introd!$ i s! $l o 3$rna - Ao3$ri i 3ai$nt!l ! 3 t!ra i an!nta i-l nd 8a 4i o no! s6imar$ 2? S6imar$a 3o9i i$i din d$!it lat$ral 5n d$!it dorsal- A$9a i-8 d$ 3art$a 3at!l!i s3r$ ar$ $st$ ori$ntat s3at$l$ 3ai$nt!l!i i r!a i o 3$rsoan s 8 a>!t$ - Prind$ i 3ai$nt!l d$ s! a#il i s3ri>ini i-i a3!l 3$ ant$ra - R!a i a>!tor!l s introd! o mn s! a9in!l 3ai$nt!l!i 1 - Sinroni9a i-8 mi ril$ i $#$!ta i o miar$ d$ rota i$ ad!nd 3ai$nt!l 5n d$!it dorsal- Introd!$ i s! r$i!n$a lomar i s! $n!n6i 3$rn! $ s! iri sa! mat$rial$ t$#til$ 5m3 t!rit$ 3$ntr! a r$s3$ta !r!ra 4i9ioloi a oloan$i i 3$ntr! a

$8ita 6i3$r$#t$nsia m$mr$lor- @ntind$ i l$n>$ria d$ or3 i d$ 3at- Ao3$ri i 3ai$nt!l- An!n a i ora !rm toar$i s6im ri

&?? S6imar$a 3o9i i$i din d$!it dorsal 5n 3o9i i$ $9nd a= d$ tr$ o sin!r 3$rsoan - @ndoi iB3lia i 3 t!ra i d$98$li i 3ai$nt!l 3n la mi>lo - As$9a i-8 4a 5n 4a ! 3ai$nt!l1 r!nd!-l s 5ntoar 3! in a3!l 5ntr-o 3art$- Prind$ i ! o mn r$i!n$a a#ilar - @mr ia i ! $alalt mn s3at$l$ 3ai$nt!l!i s3i>inind!-i a3!l 3$ ant$ra

- R!a i 3ai$nt!l ar$ ar$ r$s!rs$ 4i9i$ s 8 3rind d$ !m$ri1 s -i 4l$t$9$ $n!n6ii i s s$ s3ri>in$ 3$ t l3i - Comanda i miar$a d$ ridiar$ 4olosind !n !8nt d$ 5nd$mn !ta i 3ai$nt!l s s$ ridi$ 5n tim3 $ s$ s3ri>in i d$3lasa i-l !or s3r$ a3!l 3at!l!i- S3ri>ini i s3at$l$ ! 3$rna sa! ! r$9$m tor!l moil al 3at!l!i - Asi!ra i m$n in$r$a 3o9i i$i introd!nd !n s!l s! $n!n6i i 3!nnd la t l3i !n s3ri>initor sa! !n sa d$ nisi3= d$ atr$ do! 3$rsoan$- As$9a i-8 d$ o 3art$ i d$ alta a 3at!l!i - @nr!ia i ant$ra $l$ 3$ s3at$l$ 3ai$nt!l!i - Introd!$ i $alalt mn 5n a#il - Comanda i miar$a d$ ridiar$ i $#$!ta i-o 5n a$lai tim3

- Fi#a i 3o9i ia ! 3$rn$ sa! ! r$9$m tor!l moil 2? R$a$9ar$a 3ai$nt!l!i 5n d$!it dorsal din 3o9i ia $9nd- @nd$3 rta i 3$rn$l$ i s!l!ril$ - Prind$ i 3ai$nt!l a i 5n a9!l ridi rii - %asa i !or 3$ s3at$- R$a$9a i 3at!l1 5ntind$ i l$n>$ria - Fi#a i s!l!ril$ s! r$i!n$a lomar i $n!n6i C? R$ad!$r$a 3ai$n ilor al!n$a i din 3o9i i$ s$mi$9nd sa! $9nd - R!a i 3ai$nt!l s 5ntoar 4a a s3r$ 3art$a o3!s - R!a i-l s s$ s3ri>in$ 3$ t l3i i s s$ ridi$ 3! in la omand - Introd!$ i mna s! a#il$ i ond!$ i miar$a d$ ridiar$ a>!tnd 3ai$nt!l


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s s$ d$3las$9$ !or s3r$ a3 t!l 3at!l!i a= daa a8$ i !n a>!tor- A$9a i-8 d$ o 3art$ i d$ alta a 3at!l!i - Prind$ i ! o mn din a#il sa! 5nr!isa i ant$ra $l$ 3$ s3at$l$ 3ai$nt!l!i - Introd!$ i $alalt mn s! r$i!n$a 4$si$r a 3ai$nt!l!i i a iona i sinron la omand ridind 3ai$nt!l 3n la ni8$l!l dorit @NGRIHIREA PACIENTU%UI- Asi!ra i-8 3ai$nt!l $st$ r$la#at1 s$ simt$ in$? - '$ri4ia i l$n>$ria i mat$rial$l$ a!#iliar$ 4olosit$ s n! >$n$9$ 3ai$nt!l - 'i9ita i 3ai$nt!l 5ntr$ do! s6im ri 3$ntr! a 8$d$a da a!9 d!r$r$ - " s!ra i da $st$ a9!l: 3!ls!l TA r$s3ira ia REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i mat$rial$l$ in!til$ NOTAREA PROCEDURII- Nota i orar!l s6im rii 3o9i i$i i om3ortam$nt!l 3ai$nt!l!i 5n tim3!l 3ro$d!rii- Nota i as3$t!l t$!m$nt$lor la ni8$l!l 3!nt$lor d$ s3ri>inE'A%UAREA PROCEDURIIR$9!ltat!l at$3tat- Pai$nt!l $#3rim star$ d$ in$1 n! s!nt modi4i ri t$!m$ntar$ 5n 3!nt$l$ d$ 3r$si!n$ i al 8alorilor 4!n iilor 8ital$

R$9!ltat n$at$3tat B C$ 4a$ i- Pai$nt!l a!9 man$8r$ r!tal$ ar$-i 3ro8oa d!r$ri

- Com!nia i ! 3ai$nt!l 3$ntr! a !l$$ mai m!lt$ in4orma ii d$s3r$ star$a sa i a iona i ! mai m!lt land$ $ - %a ni8$l!l 3!nt$lor d$ s3ri>in a3ar s$mn$ d$ om3r$si!n$

- A3lia i i alt$ m s!ri d$ 3r$8$nir$ a $sar$lor

FIA Nr? 2?)?"O&I%IAREA PACIENTU%UI

O&IECTI'E%E PROCEDURII- Pr$8$nir$a om3lia iilor

- Stim!lar$a ton!s!l!i 4i9i i 3si6iPREG TIREA "ATERIA%E%OR- Cadr! moil- A tori- &aston- Cr>$PREG TIREA PACIENTU%UIa= PSIIC :- An!n a i 3ai$nt!l i d$sri$ i mi ril$ ar$ s$ 8or 4a$ - E#3lia i 3ai$nt!l!i im3ortan a moili9 rii 3r$o$ - E8al!a i r$s!rs$l$ 4i9i$ al$ 3ai$nt!l!i= FIIC :- A>!ta i 3ai$nt!l s s$ 5mra$ or$s3!n9 tor

- " s!ra i 3!ls!l EFECTUAREA PROCEDURII:M Cons!lta i m$di!l 3ri8ind ti3!l d$ moili9ar$ i d!rata? "oili9ar$a 3asi8- Fa$ i mi ri d$ 4l$#i$ i rota i$ al$ a3!l!i - Contin!a i s 4a$ i $#$ri ii al$ m$mr$lor s!3$rioar$ i in4$rioar$ 3rin mi ri d$ 4l$#i$1 $#t$nsi$1 ad! i1 add! i$1 s!3ina i$ i 3rona i$ - moili9a i toat$ arti!la iil$ ! lnd$ $ - Com!nia i ! 3ai$nt!l 3$ntr! a a4la da ar$ d!r$ri i os$r8a i 4ai$s!l - "asa i m$mr$l$ 5n s$ns!l ir!la i$i d$ 5ntoar$r$ - Controla i 3!ls!l


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2? Ridiar$a 5n 3o9i i$ $9nda= @n 3at- A>!ta i 3asi8 3ai$nt!l s s$ ridi$ i s3ri>ini i-l ! 3$rn$ sa! 4olosi i r$9$m tor!l moil- "onta i d$as!3ra 3at!l!i o a toar$ moil i stim!la i 3ai$nt!l s s$ ridi$1 s3ri>inind!-l ! 3$rn$ da $st$ n$$sar= %a marin$a 3at!l!iM E#$!tar$a d$ tr$ o sin!r 3$rsoan - Introd!$ i o mn s! r$i!n$a omo3la ilor1 iar $alalt s! r$i!n$a 3o3lit$$ - Da $st$ a9!l r!a i 3ai$nt!l s s$ 3rind d$ t!l d!mn$a8oastr - Roti i 3iioar$l$ 3ai$nt!l!i 5ntr-!n !n6i d$ (0 i l sa i-l$ s atrn$ !or la marin$a 3at!l!i- Os$r8a i 4ai$s!l 3ai$nt!l!iM E#$!tar$a d$ tr$ 2 3$rsoan$- A$9a i-8 s3r$ a3!l 3ai$nt!l!i i introd!$ i minil$ s! omo3la i - R!a i a>!tor!l s introd! minil$ s! r$i!n$a 3o3lit$$ - Sinroni9a i mi ril$ i ridia i s3at$l$ 3ai$nt!l!i rotind 3iioar$l$ ! (0 i ad!$ i-l$ la marin$a 3at!l!i- "$n in$ i 3ai$nt!l 5n a$ast 3o9i i$ - la 5n$3!t t$8a min!t$1 a3oi r$t$ i tr$3tat tim3!l- R$a$9a i 3ai$nt!l 3$ 3at1 $#$!tnd mi ril$ 5n s$ns in8$rs

= A$9ar$a 3ai$nt!l!i 5n 4otoli!- A$9a i 3ai$nt!l la marin$a 3at!l!i- O4$ri i 3ai$nt!l!i 3a3!ii- A$9a i 4otoli!l ! r$9$m toar$a lat$ral li3it d$ marin$a 3at!l!i - A$9a i-8 5n 4a a 3ai$nt!l!i i introd!$ i minil$ s! a#il$1 r!nd!-l s in a3!l 5ntors 5ntr-o 3art$ - Da a8$ i a>!tor1 a$9a i-8 d$ o 3art$ i d$ alta a 3ai$nt!l!i - Prind$ i 4i$ar$ 3ai$nt!l 3$ s! a#il i ridia i-l 5n 3iioar$ - Roti i 3ai$nt!l ! s3at$l$ s3r$ 4otoli! i a$9a i-l ! ri> 5n 4otoli! - Ao3$ri i 3ai$nt!l ! !n 3l$d da sit!a ia o $r$ ini i-l d$ s! a#il$ - Ridia i 3ai$nt!l 5n 3iioar$- Os$r8a i 4ai$s!l 3ai$nt!l!i i m$n in$ i-l 5n ortostatism t$8a min!t$ - @ntr$a i 3ai$nt!l da s$ simt$ in$ - A$9a i 3ai$nt!l 3$ 3at da a!9 am$ $li - R$a$9a i 3ai$nt!l 3$ 3at $#$!tnd mi ril$ 5n ordin$ in8$rs $= E4$t!ar$a 3rimilor 3ai- @ntr$a i m$di!l da 3ai$nt!l s$ 3oat$ d$3lasa - Ridia i 3ai$nt!l mai 5nti 5n 3o9i i$ $9nd t mai a3roa3$ d$ marin$a 3at!l!i i a3oi 5n ortostatism- S3ri>ini i 3ai$nt!l d$ ra i a3oi a>!ta i-l s 4a 3rimii 3ai 3rin salon

- Cr$t$ i distan a d$ d$3lasar$ 5n 4!n i$ d$ r$omandar$a m$dial - O4$ri i 3ai$nt!l!i !n adr! moil da star$a $n$ral 5i 3$rmit$ s s$ d$3las$9$ sin!r- S!3ra8$6$a i 3ai$nt!l 5n tim3!l d$3las rii - @n!ra>a i 3ai$nt!l s s$ ridi$ i s s$ d$3las$9$ 3$ m s!r $ star$a $n$ral 3$rmit$@NGRIHIREA PACIENTU%UI- Os$r8a i star$a 3ai$nt!l!i i m s!ra i P1 R1 TA1 da $st$ a9!l - A$9a i 3ai$nt!l 5n 3o9i i$ omod - @ntind$ i l$n>$ria 3$ntr! a 3r$8$ni a3ari ia $sar$lor REORGANIAREA %OCU%UI DE "UNC


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- A$9a i mat$rial$l$ 4olosit$ 5n lo!ril$ d$ d$3o9itar$- S3 la i minil$ NOTAREA PROCEDURIINota i:- Ti3!l d$ moili9ar$1 d!rata1 n!m r!l moili9 rilor1 orar!l a$stora i om3ortam$nt!l 3ai$nt!l!i- In4orma ii !til$ l$at$ d$ r$omand ril$ m$dial$? E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- 3ai$nt!l s$ moili9$a9 on4orm 3roram!l!i- n! 3r$9int om3lia ii 4a8ori9at$ d$ imoili9ar$ R$9!ltat$ n$dorit$ B C$ 4a$m da :M Pai$nt!l r$4!9 moili9ar$aC$r$ta i a!9a

- 3r$9int d!r$ri- s$ t$m$ d$ d!r$r$- $st$ sl it- 3r$9int am$ $li

@n!ra>a i 3ai$nt!l- aorda i-i mai m!lt tim3- asi!ra i-l s!nt$ i aolo 3$ntr! a-l a>!ta

Administra i !n almant 5naint$ d$ moili9ar$


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- D$9r a i 3art$a in4$rioara a or3!l!i !ta i 3ai$nt!l sa s$ 5mra$ $ria d$ or3 i d$ 3at- @nd$3 rta i al$9a sa! 5nlo!i i-o da s-a !m$9it REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i 3ara8an!l - @nd$3 rta i 3losa sa! !rinar!l 5n 8$d$r$a olirii - " s!ra i antitat$a i os$r8a i as3$t!l d!3 ar$ oli i i l ti i 3losa sa! !rinar!lNOTAREA PROCEDURII

- Nota i antitat$a1 !loar$a i as3$t!l1 5ntr$r!3$r$a >$t!l!i1 $8$nt!al$l$ s$n9a ii n$3l !t$ $n 1 !st!rim$= E'A%UAREA EFICACIT II PROCEDURIIREU%TATU% ATEPTAT- Pai$nt!l 5i ol$t$ ! !!rin 8$9ia1 $#3rim star$ d$ on4ort i n! a!9 >$n- Cantitat$a $st$ normal 1 !loar$a l!i$1 as3$t lar REU%TATE NEDORITEB CE FACE IL- Urin$a9 ! di4i!ltat$1 5n antitat$ mi 1 a!9 !st!rimi - Urina $st$ t!l!r$1 d$olorat 1 6i3$rrom 1 roi$ a i 3ai$nt!l s -i 5n8in >$na i s soliit$ s$r8ir$a 3lotii at!ni nd ar$ n$8oi$- Asi!ra i 3ai$nt!l i s$ 8a r$s3$ta 3!doar$a i intimitat$a - Staili i ! 3ai$nt!l !n orar


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- E8al!a i r$s!rs$l$ 3ai$nt!l!i 3$ntr! a staili !m 3oat$ 3artii3aEFECTUAREA PROCEDURII:- S3 la i-8 minil$ - @mr a i mn!il$ d$ !ni 4olosin - Ridia i 3 t!ra i 3rot$>a i 3at!l ! al$9 i m!ama - D$9r a i 3ai$nt!l d$ la r! 5n >os - @n l9i i a9in$t!l m$tali 3rin l tir$ ! a3 ald !sa i-l 3rin t$r$r$ ! 6rti$ ii$ni- Asi!ra i on4ort!l 3si6i 3rin ridiar$a a3 t!l!i $4ali al 3at!l!i da star$a 3ai$nt!l!i o 3$rmit$- A$9a i m!ama!a s! a9in!l 3ai$nt!l!iBli$nt!l!i- R!a i 3ai$nt!l s s$ ridi$ s3ri>inind!-s$ 3$ oat$ i 3lant$ - Introd!$ i o mn 3$ s! mi>lo!l 3ai$nt!l!i 3$ntr! a-l s!s in$ - Introd!$ i 3losaBa9in$t!l s! 3ai$nt ! $alalt mn i asi!ra i-8 $st$ in$ a$9at- Soliita i a>!tor!l !n$i alt$ 3$rsoan$ 3$ntr! ridiar$a 3ai$nt!l!i da star$a n!-i 3$rmit$ s 3artii3$- Asi!rati-8 la 3ai$n ii d$ s$# mas!lin 3$nis!l $st$ ori$ntat 5n a9in$t - Ao3$ri i 3ai$nt!l 3an t$rmina at!l d$4$ rii - %asa i 3ai$nt!l sin!r1 dar n! 8 5nd$3 rta i 4oart$ m!lt1 ast4$l 5nt s 8 3oat an!n a nd t$rmin

- O4$ri i 3ai$nt!l!i 6rti$ ii$nia d!3 d$4$ar$1 da star$a a$st!ia o 3$rmit$- @nd$3 rta i a9in$t!lB3losa1 ao3$rind-o ! !n mat$rial im3$rm$ail - E4$t!a i la n$8oi$ toal$ta r$i!nii 3$rianal$ 3$ alt a9in$t s3$ial 3r$ tit - O4$ri i a3 1 s 3!n i 3roso3 3ai$nt!l!i 3$ntr! s3 lar$a minilor da a 4olosit 6rti$ ii$ni@NGRIHIREA PACIENTU%UI- @nd$3 rta i m!ama!a - Coor i a3 t!l $4ali al 3at!l!i 3n la o 3o9i i$ omod 3$ntr! 3ai$nt - '$ri4ia i l$n>$ria d$ 3at i d$ or3 s n! 4i$ !m$d sa! !tat - A>!ta i 3ai$nt!l s 5mra$ 3antalon!l d$ 3i>ama - A$9a i 3ai$nt!l 5n 3o9i i$ omod REORGANIAREA %OCU%UI DE "UNC

- @nd$3 rta i 3ara8an!l i a$risi i salon!l - @nd$3 rta i mat$rial$l$ !tili9at$ i asi!rati-8 3losa a 4ost olit i !r at NOTAREA PROCEDURII- Nota i antitat$a $liminat 5n 4oaia d$ t$m3$rat!r sa! 5n 3lan!l d$ 5nri>iri - D$sri$ i $8$nt!al$ as3$t$ 3atoloi$ al$ sa!n!l!i


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O&IECTI'E%E PROCEDURII- Pr$8$nir$a r s3ndirii in4$ i$i - Os$r8ar$a as3$t!l!i- O in$r$a !nor mostr$ 3$ntr! $#am$n$ d$ laoratorPREG TIREA "ATERIA%E%OR- Pa6ar oni radat1 s!i3 toar$ sa! !ti$ P$tri st$ril - Sol! i$ d$9in4$tant os1 s n! s!i3$ 5n atist 1 s ao3$r$ 8as!l d$ 4i$ar$ dat 1 s n! 3!n r$st!ri d$ iar - S6ima i s!i3 toar$aB !tia P$tri d$ $l 3! in 2 ori 3$ 9i sa! d$ t$ ori $st$ n$8oi$@NGRIHIREA PACIENTU%UI- A>!ta i 3ai$nt!l imoili9at s -i l t$as !ra ! a3 3$ntr! a 5nd$3 rta s$n9a ia d$ r$a i o4$ri i-i $r8$t$l$ d$ 6rti$ 3$ntr! a s$ t$r$ - S4 t!i i 3ai$nt!l s st$a 5ntr-o 3o9i i$ ar$ s 4ailit$9$ o mai !n r$s3ira i$ i $li$rar$a ilor r$s3iratorii REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i on in!t!l s!i3 torii d!3 $ a i os$r8at as3$t!l1 !loar$a1

antitat$a- R$s3$ta i ! strit$ $ 3r$a! i!nil$ !ni8$rsal$ 3$ntr! 3r$8$nir$a transmit$rii in4$ iilor- Asi!ra i-8 d!3 olir$1 ol$toar$l$ a! 4ost s3 lat$ ! a3 r$$ a3oi ! a3 ald 4olosind o 3$ri$ in!t 5n sol! ii d$9in4$tant$ - P stra i s!i3 toril$ 5n lo!ri i9olat$ i asi!ra i-8 s$ st$rili9$a9 or$t 5n 8$d$r$a 4olosiriiNOTAREA PROCEDURIINota i:- Cantitat$a


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FIA Nr? 2?(?,?CAPTAREA ' RSATURI%OR

O&IECTI'E%E PROCEDURIIM E8itar$a m!rd ririi l$n>$ri$iM E8itar$a as3ir rii on in!t!l!i astri 5n il$ r$s3iratorii PREG TIREA "ATERIA%E%OR- 2 t 8i $ r$nal$ !rat$1 !sat$ - "!ama- Al$9- Pa6ar ! a3- $r8$ $l$ d$ 6rti$1 3roso3PREG TIREA PACIENTU%UIa= PSIIC :- @n!ra>a i 3ai$nt!l s r$s3ir$ adn 3$ntr! a r$d!$ 3! in s$n9a ia d$ 8om - Asi!ra i 3ai$nt!l s!nt$ i ln $l = FIIC :- Ridia i 3ai$nt!l 5n 3o9i i$ $9nd da star$a 3$rmit$ sa! a$9a i-l 5n d$!it ! a3!l 5ntors 5ntr-o 3art$ ! !n 3roso3 sa! o al$9 s! a3EFECTUAREA PROCEDURII:- @nd$3 rta i 3rot$9a d$ntar da $#ist

- S!s in$ i ! o mn 4r!nt$a 3ai$nt!l!i iar ! $alalt t 8i a r$nal s! ri$ sa! ln 4a a 3ai$nt!l!i 5n 4!n i$ d$ 3o9i i$ @NGRIHIREA PACIENTU%UI- O4$ri i 3ai$nt!l!i !n 3a6ar ! a3 s -i l t$as !ra i ol$ta i 5ntr-o ta8i r$nal !rat - t$r$ i !ra 3ai$nt!l!i ! !n $r8$ $l sa! o4$ri i-i $r8$ $l!l da star$a 3$rmit$- A>!ta i-l s s$ a$9$ 5ntr-o 3o9i i$ omod - S!3ra8$6$a i at$nt 3ai$nt!l a$9at 5n d$!it s n!-i as3ir$ on in!t!l stomaal da 8 rs t!ra s$ r$3$t REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i t 8i a r$nal din salon - Goli i1 s3 la i i d$9in4$ta i t 8i a


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CAPITO%U% III? A%I"ENTAREA PACIENTU%UI

FIA Nr? *??A%I"ENTAREA ACTI' I PASI'

O&IECTI'E%E PROCEDURIIM Asi!rar$a n$$sit ilor alori$ i alitati8$ 5n 4!n i$ d$ 8rsta i star$a oranism!l!iM Fa8ori9ar$a 3ro$s!l!i d$ 8ind$ar$1 onsolidar$a r$9!ltat$lor t$ra3$!ti$ i3r$8$nir$a ronii9 rii !nor 5moln 8iri PREG TIREA "ATERIA%E%OR- '$s$l i tam!ri- Can sim3l - Can s3$ial ! io sa! 5n 4!n i$ d$ star$a 3ai$nt!l!i1 t! 3$ntr! administrar$a li6id$lor- Ta8 1 r!ior 3$ntr! alim$nt$ - Alim$nt$ on4orm r$im!l!i r$omandat- $r8$t$l$ d$ mas- 2 3rosoa3$ $ri$i d$ or3 i 3atPREG TIREA PACIENTU%UI

CU%EGE I DATE DESPRE:- A4$ i!n$1 r$im1 orar!l m$s$lor1 r$3arti9ar$a alim$nt$lor 3$ m$s$- Posiilit il$ d$ moili9ar$1 da 3ai$nt!l $st$ imoili9at1 da ar$ india i$ d$ r$3a!s- Posiilitat$a d$ a-i 4olosi m$mr$l$ s!3$rioar$ i ni8$l!l d$ a!tonomi$ !tor!l d!mn$a8ostr- A>!ta i 3ai$nt!l s s$ s3$l$ 3$ mini - A$9a i 3ai$nt!l 5ntr-o 3o9i i$ on4ortail 5n ra3ort ! star$a sa $n$ral :

M $9nd la mas 5n salon sa! 5n 3atM S$mi$9nd 3$ntr! 3ai$nt!l ar$ s$ 3oat$ ridia 3! inM @n d$!it lat$ral stn da 3ai$nt!l $st$ dr$3tai1 ! a3!l !or

ridiatEFECTUAREA PROCEDURII:- '$ri4ia i da s!nt 5nd$3linit$ ondi iil$ 3$ntr! s$r8ir$a m$s$i: salon!l $st$ a$risit1 a! 4ost 5nd$3 rtat$ 3lotil$ i !rinar$l$1 n! s$ 4a tratam$nt$1 n! s$

4a$ !rat 5n salon- Id$nti4ia i 3ai$nt!l i r$im!l alim$ntar r$omandat- A>!ta i 3ai$nt!l s -i s3$l$ minil$ - Pr$ ti i alim$nt$l$ 3$ o ta8 aordnd at$n i$ as3$t!l!i $st$ti - @mr a i !n 6alat !rat i man!i a=Alim$ntar$a ati8S$r8ir$a m$s$i la 3at 5n 3o9i i$ $9nd sa! s$mi$9nd- A$9a i 3ai$nt!l 5n 3o9i i$ on4ortail - Prot$>a i l$n>$ria 3ai$nt!l!i ! a>!tor!l !n!i 3roso3 da $st$ a9!l - A$9a i ta8a ! alim$nt$ 5n 4a a 3ai$nt!l!i sa! ada3ta i o mas! s3$ial - A>!ta i 3ai$nt!l s tai$ alim$nt$l$ da $st$ n$$sar


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- Os$r8a i da 3ai$nt!l ons!m toat$ alim$nt$l$ Alim$ntar$a ati8 la 3at 5n 3o9i i$ d$ d$!it lat$ral - A$9a i 3ai$nt!l 5n d$!it lat$ral l snd li$r ra !l dominant a i 3at!l 3ai$nt!l!i ! !n 3roso3 !rat- A$9a i s! ria 3ai$nt!l!i !n 3roso3 !rat - P!n$ i ta8a ! alim$nt$ 3$ marin$a 3at!l!i1 3$ !n ta!r$t sa! 3$ no3ti$r aa 5nt 3ai$nt!l s 8ad $ m nn - Taia i alim$nt$l$ 5n ! i mii - A>!ta i 3ai$nt!l s $a li6id$ 3rin s! i!n$ sa! ! a>!tor!l !n$i ni s3$ial$= Alim$nta ia 3asi8 - A$9a i 3ai$nt!l 5n 3o9i i$ $9nd $ria d$ 3at i d$ or3 4olosind 3rosoa3$ !rat$- Plasa i ta8a ! alim$nt$ 3$ no3ti$r 1 3$ !n ta!r$t sa! 3$ o m s! ada3tail la 3at- As$9a i-8 5n 3art$a dr$a3t a 3ai$nt!l!i a i 3ai$nt!l s ons!m$ alim$nt$l$ 3!rtnd o dis! i$ ar$ail - Folosi i lin!ri a sa! o 3i3$t da 3ai$nt!l $st$ 5n star$ 4oart$ ra8 sa! ar$ t!l!r ri d$ d$l!ti i$ - Os$r8a i 3$rman$nt 4ai$s!l 3ai$nt!l!i@NGRIHIREA PACIENTU%UI- A$9a i 3ai$nt!l 5n 3o9i i$ omod da n! 3oat$ sin!r - R$4a$ i 3at!l1 5nd$3 rta i $8$nt!al$l$ 4irmit!ri sa! s6ima i l$n>$ria da $st$ n$$sar- '$ri4ia i da 3r$9int !m8a s$n9a i$ d$ r$a

- A>!ta i 3ai$nt!l s -i 4a toal$ta a8it ii !al$ REORGANIAREA %OCU%UI DE "UNC- @nd$3 rta i 8as$l$ m!radar$ i r$st!ril$ alim$ntar$ - A$risi i 5na3$r$aNOTAREA PROCEDURII- Nota i 5n dosar!l d$ 5nri>ir$ antitat$a d$ alim$nt$ i li6id$ in$rat$- "odi4i ril$ d$ a3$tit: dis3ari ia1 dimin!ar$a1 $#a$rar$a1 r$4!9!l alim$nt$lor1 n!-i 3la$ mnar$a1 r$s3$t r$stri iil$ r$liioas$1 r$4!9 an!mit$ alim$nt$ - Pr$9int s$t$ $#a$rat - A!9 s$n9a i$ d$ r$a 1 d$ r ! 5n tim3!l m$s$i sa! d!3 mas - A!9 s$n9a ia d$ 3l$nit!din$ - R$4!9 r$im!l r$omandat1 ons!m alim$nt$ n$3$rmis$ - R$omand ri s3$ial$ ar$ tr$!i$ om!niat$ t!r$i !rm toar$: m$s$ mii i d$s$1

5n tim3!l no3 ii1 r$stri i$ alim$ntar$ 3$ntr! $#amin ril$ din 9il$l$ !rm toar$ E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- Pai$nt!l ons!m 5ntr$aa antitat$ d$ alim$nt$ i s$ 6idrat$a9 or$s3!n9 tor - E#3rim star$ d$ on4ort- R$s3$t r$im!l alim$ntar1 o 3art$ din sim3tom$ a! dis3 r!t R$9!ltat$ n$dorit$ B C$ 4a$ i- Pai$nt!l n! ons!ma 5ntr$aa antitat$ d$ alim$nt$

- C$r$ta i a!9$l$: a3$tit dimin!at1 ondi ii n$or$s3!n9 toar$ d$ s$r8ir$ a m$s$i1 n!-i 3la alim$nt$l$1 ons!m alim$nt$ ad!s$ d$ a3ar in tori1 5i r$s3$ta r$liia


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- Pai$nt!l r$4!9 an!mit$ alim$nt$1 a!9 r$a - S$ ons$mn$a9 os$r8a iil$ i s$ an!n m$di!l

FIA Nr? *?2?A%I"ENTAREA PRIN GASTROSTO"

O&IECTI'E%E PROCEDURII- P!n$r$a 5n r$3a!s a $so4a!l!i ostr!at sa! l$9at d$ in$stia aid$ntal sa! 8ol!ntar d$ s!stan $ a!sti$? - Asi!rar$a a3ort!l!i 6idri i n!tri ional 5naint$a int$r8$n i$i 3$ntr! $so4ao3lasti$PREG TIREA "ATERIA%E%OR- O 3lni$ din 3lasti- R$i3i$nt!l ! li6id alim$ntar a i 3ai$nt!l s s$ alim$nt$9$ sin!r 3$ntr! a-i r$ 3 ta a!tonomia = FIIC :- As$9a i 3ai$nt!l 5n 3o9i i$ $9nd1 3$ marin$a 3at!l!i sa! 3$ !n sa!n ! s3 tar1 ast4$l 5nt sonda s 4i$ m$n in!t 5n 3o9i i$ 8$rtial 1 3aral$l ! tora$l$EFECTUAREA PROCEDURII:M E#3lia i 3ai$nt!l!i ar$ s$ alim$nt$a9 sin!r: - s -i s3$l$ minil$- s 5nd$3 rt$9$ do3!l d$ la sond - s ada3t$9$ 3lnia la a3 t!l sond$i m$n innd-o 5n 3o9i i$ 8$rtial - s introd! 3$ rnd 4$l!ril$ d$ mnar$ din r$im!l d$ st$no9 1 ast4$l:

- li6id!l s -l toarn$ 5n$t 3$ 3lni$1 n! mai m!lt d$ 00 ml o dat 3$ntr! a n! d$stind$ r!s stoma!l

- alim$nt!l solid 3asat s -l 8$rs$ 5n 3lni$ i s -l 5m3in 3$ sond ! a>!tor!l a6$t$i d$ 3lasti sa! l$mn

- s ada!$ din nd 5n nd li6id alim$ntar1 3$ntr! a !!ra 5naintar$a alim$nt!l!i 3asat

- s n! introd! la o /mas / mai m!lt d$ ,00 d$ alim$nt$ 3asat$ datorit t!l!r rilor d$ di$sti$ i d$ asor i$ $#ist$nt$

- s t$rmin$ totd$a!na /masa/ ! li6id 3$ntr! a s3 la l!m$n!l sond$i - s ast!3$ a3 t!l sond$i ! do3!l d$ 3lasti sa! a!i! - s 4i#$9$ sonda 5n 3o9i i$ 8$rtial 1 3aral$l ! tora$l$ - s $8it$ 3o9i ia d$ d$!it dorsal d!3 mas 5ntr!t 4a8ori9$a9

/r$!ritar$a/ on in!t!l!i 3$ sond - s -i s3$l$ minil$ d!3 mas

@NGRIHIREA PACIENTU%UI

- Os$r8a i t$!m$nt!l din >!r!l stom$i- Prot$>a i 3i$l$a ! !n !n!$nt ! 9in i r$4a$ i 3ansam$nt!l din >!r!l stom$i 5n a9!l r$!rit rii s!!l!i astri?E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- Pai$nt!l $st$ om3liant i r$s3$t india iil$ o4$rit$? - Tol$ran a di$sti8 $st$ !n ? - Cantitat$a d$ alim$nt$ $st$ ada3tat 3osiilit ilor d$ di$sti$ i d$ asor i$ al$ stoma!l!i?R$9!ltat$ n$dorit$ B C$ 4a$ i- Pai$nt!l n! $st$ om3liant?


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- Pai$nt!l mani4$st atit!dini d$ r$s3in$r$ a imainii or3oral$ modi4iat$?- In!ra> i 3ai$nt!l s -i a$3t$ imain$a - Tol$ran a di$sti8 $st$ s 9!t ? - Ca3aitat$a d$ di$sti$ i d$ asor i$ a stoma!l!i $st$ r$d!s iar 3ai$nt!l 3r$9int s$mn$ d$ d$n!tri i$?

- In4orma i m$di!l 3$ntr! a staili ond!ita t$ra3$!ti

FIA Nr? *?*?A%I"ENTAREA PACIENTU%UI PRIN SONDA NAO-GASTRIC

O&IECTI'E%E PROCEDURIIM Introd!$r$a alim$nt$lor 5n stoma 4olosind sonda na9o-astri la:- Pai$n ii inonti$n i1 - Pai$n ii ! t!l!r ri d$ d$l!ti i$1 - Pai$n ii ! n$ati8ism alim$ntar1 ! intol$ran sa! 6$moraii di$sti8$1 - Pai$n ii o3$ra i 3$ t!!l di$sti8 i oran$l$ an$#$1 - Pai$n ii ! strit!ri $so4ai$n$ i al$ ardi$i1 ar$ 5m3i$dia 3 tr!nd$r$a ol!l!i alim$ntar din a8itat$a !al 5n stomaPREG TIREA "ATERIA%E%ORP$ o ta8i m$dial s$ 8or 3r$ ti:

- Sonda astri 1 sonda d!od$nal Ein6orn1 sond$ int$stinal$ din a!i! sa! sond$ din 3oli$til$n- Plni$1 t! d$ a!i!1 3r$st!- Sol! i$ d$ oain 2 - Gli$rin sa! !l$i d$ 8as$lin 3$ntr! l!r$4i$r$ - %$!o3last- S$rini- A3arat d$ 3$r4!9i$ a alim$nt$lor- Ta8 m$dial 1 m!ama- " n!i d$ !ni 4olosin - Ra ia d$ li6id$ alim$ntar$- Am$st$!ri alim$ntar$: o! r!d$1 la3t$1 9a6 r1 aao1 sar$1 8itamin$1 !nt1 smntn

EFECTUAREA PROCEDURII:- S3 la i minil$ i 5mraa i m n!i - Introd!$ i sonda astri 1 8$ri4ia i 3o9i ia a$st$ia i 4i#a i $#tr$mitat$a li$r a sond$i ! l$!o3last d$ 4a a i !r$6$a 3ai$nt!l!i !l na9o- astri=- Controla i on in!t!l astri i la n$8oi$ as3ira i sta9a - Folosi i am$st$!ril$ 3r$3arat$ 3$ntr! alim$ntar$a 3$ sond 1 li3sit$ d$ r!n>i sa! alt$ onlom$rat$1 ar$ ar 3!t$a ast!3a sonda


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- A$9a i 3ai$nt!l 5ntr-o 3o9i i$ omod i inl!d$ i sonda 5ntr$ do! administr ri- Urm ri i 3ai$nt!l 3$ntr! a s$si9a a3ari ia r$ !rilor1 8 rs t!rilor1 alon rii1 ram3$lor1 diar$$i- @nd$3 rta i sonda nd s$ t$rmin india ia d$ alim$ntar$ arti4iial 1 r$s3$tnd 3aii d$ la t!a>!l na9o-astri sa! la int$r8al$ stailit$ d$ m$di


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O&IECTI'E%E PROCEDURIIPr$8$nir$a i ontrol!l $#tind$rii in4$ iilor- d$ la 3ai$nt la 3$rsonal- d$ 3$ minil$ 3$rsonal!l!i la 3ai$nt 5n tim3!l !nor at$ d$ 5nri>ir$ sa!m$dial$ in8a9i8$- d$ la !n 3ai$nt la alt!lPREG TIREA "ATERIA%E%OR- A3 ald - S 3!n oin!it1 s 3!n li6id sa! s 3!n antimiroian - S 3!n!ri antimiroi$n$ ar$ on in l!onat d$ lor6$#idin 1 alool i iodo4orm a$st$a 5ns 3ot irita 3i$l$a- Proso31 $8$nt!al d$ !ni 4olosin - P$ri$ 3$ntr! !n6ii- Un $ ior d$ 3lasti 3$ntr! !ti!l$ - Sol! ii alooli$ - 4olosit$ 5n !rm toar$l$ ir!mstan $: 4oar$ d$ in4$ i$ 5n $8ol! i$1 $nd$mi$1 ir!la ia int$ns a !nor $rm$ni r$9ist$n i la ondi iil$ d$ m$di!

- S 3!n!l antimiroian $st$ 4olosit 5naint$ d$ $#$!tar$a !n$i 3ro$d!ri in8a9i8$ ir$a at$t$r!l!i=

- S 3!n!l antimiroian $st$ 4olosit nd n!rs$l$ tr$!i$ s r$d! n!m r!l total d$ mirooranism$1 $#? at!ni nd s!nt 5n ontat ! no! n s! ii1 o3iii

sa! li$n ii mai 5n 8rst 1 ! im!nitat$ s 9!t sa! li$n ii ar$ a! 5n 3$riol sist$m!l t$!m$ntar !sta i d$it!l $i1 r$la i t$m3$rat!ra 3n $st$ ald! - Uda i minil$ i 9ona 5n6$i$t!rii minilor? Tin$ i minil$ mai >os d$ ot 3$ntr! a 3$rmit$ a3$i s !r s3r$ 8r4!l d$$t$lor? - Folosi i a3ro#imati8 o lin!ri d$ s 3!n li6id


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- Contin!a i a$ast miar$ d$ 4r$ar$ 0- s$!nd$ - Utili9a i !n6iil$ $l$ialt$ mini sa! !n a s3$ial 3$ntr! a !r a s! !n6ii - %im3$9i i in$?- Usa i mniil$ ! !n 3roso3 d$ 6rti$ 5n$3nd ! d$$t$l$ i mind 5n s!s s3r$ ant$ra 1 i ar!na i-l im$diat1 sa! 4olosi i !n a3arat ! a$r ald? - O3ri i roin$t!l 4olosind !n alt 3roso3 !rat- Folosi i lo i!n$ d$ mini da dori i - Folosi i antis$3ti d!3 s3 lar$ da 5mr a i m n!i st$ril$ 3$ntr! a mirooranism$l$ s n! s$ d$98olt$ s! a$st$a?- Pro$da i la 4$l d!3 5nd$3 rtar$a m n!ilor 3r$!m i 5n a9!l 5n ar$ m n!il$ s$ r!3 sa! s$ 5n $a3 ? E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- N! s-a d$98oltat nii o in4$ i$- D!3 $4$t!ar$a 3ro$d!rilor d$ tr$ n!rs 1 3ai$nt!lBli$nt!l $st$ 5n si!ran a1 la 4$l i n!rsaR$9!ltat$ n$dorit$ B C$ 4a$ i- Us i!n$a 3i$lii1 r 3 t!ri1 4is!ri i irita ii a$st$a s!nt $l$ mai om!n$ d!3a !tili9ar$ar$3$tat a antis$3ti!l!i1 5n s3$ial la 3$rsoan$ ! 3i$l$a s$nsiil

- a3lia i o r$m $moli$nt 3$ mini d!3 4i$ar$ s3 lar$ sa! ontat !

a$n i d$ !r ar$ - ons!lta i s3$ialist!l 5n a9 d$ d$rmatit

FIA Nr? ,?2?@"&R CAREA I DE&R CAREA " NUI%OR

A? @"&R CAREA " NUI%OR O&IECTI'E%E PROCEDURII- F!rni9ar$a !n$i ari$r$ adi ional$ 5m3otri8a $#tind$rii !n$i in4$ ii EFECTUAREA PROCEDURII- Pr$ ti i m n!i st$ril$? - S3 la i i !sa i ! ri> minil$?

- Po9i iona i 3a6$t!l ! man!i st$ril$ 3$ o s!3ra4a !rat 1 !sat d$as!3ra tali$i d!mn$a8oastr ?- D$s6id$ i amala>!l d$ s!s 3rin l!ar$a ! ri>a a strat!l!i d$ s!s? @nl t!ra i 3a6$t!l din !ntr!1 atinnd doar $#t$rior!l?- D$s6id$ i ! ri> 3a6$t!l int$rior i $#3!n$ i m n!il$ st$ril$ t mai a3roa3$ d$ d!mn$a8oastr ?- C! d$$t!l mar$ i $l ar t tor 3rind$ i ! mna n$dominant m n!a 3$ntr! mna dominant ?- Ridia i i in$ i m n!a ! d$$t$l$ 5n >os? A8$ i ri> s n! atin oi$t$ n$st$ril$?- Introd!$ i ! ri> m n!a 3$ mna dominant i 3!n$ i-o in$? % sa i man$ta 5n >os 3n 3!n$ i i $alalt m n! ? - P!n$ i d$$t$l$ minii ! m n! s! man$ta $l$ilalt$ m n!i innd 3oli$l$

5n a4ar i tra$ i d$ m n! 5n s!s? - Introd!$ i ! ri> mna n$dominant 5n m n! ? - As$9a iBa>!sta i m n!il$ 3$ am$l$ mini atinnd doar 3 r il$ st$ril$?

&? DE&R CAREA " NUI%OR O&IECTI'E%E PROCEDURII- @nd$3 rtar$a m n!ilor 4olosit$ 3$ntr! $#$!tar$a 3ro$d!ri d$ 5nri>ir$ sa! m$dial$ 5n 8$d$r$a 3r$8$nirii $#tind$rii in4$ i$iEFECTUAREA PROCEDURII:- Prind$ i ! mna dominant man$ta m n!ii d$ 3$ $alalt mn i d$9r a i innd 9ona ontaminat s3r$ int$rior


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- Contin!a i s in$ i m n!a - Introd!$ i d$$t$l$ minii d$9r at$ iri:- Constat ril$ 4 !t$ ! oa9ia ins3$ i$i


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- E#ist$n a i ti3!l 3ara9i ilor - Data i ora $4$t! riiE'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$- %a ontrol!l $4$t!at n! s$ os$r8 3ara9i i - Pai$nt!l $#3rim star$ d$ on4ort- N! 3r$9int l$9i!ni d$ rata>R$9!ltat$ n$dorit$BC$ 4a$ iL- %a ontrol!l $4$t!at s$ os$r8 3ara9i i 8ii sa! o!


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- "$n in$ i t$rmom$tr!l s! lim tim3 d$ * min - @nd$3 rta i t$rmom$tr!l i t$r$ i-l ! ti4on - Citi i rada ia d$ 3$ sala t$rmom$tr!l!i - @nr$istra i t$m3$rat!ra 5n arn$t!l 3$rsonal notnd n!m$l$1 data 5nr$istr rii1 8aloar$a !l s ! din 3lasti1 4i$ 5n r$i3i$nt!l s3$ial 3$ntr! t$rmom$tr$- S3 la i-8 minil$ 2? "ETODA AXI%AR- S3 la i-8 minil$ - Asi!ra i intimitat$a 3ai$nt!l!i i d$so3$ri i a#ila - S3 la i i t$r$ i t$rmom$tr!l da a 4ost in!t 5n sol! i$ d$9in4$tant : - S!t!ra i t$rmom$tr!l 3$ntr! a oori m$r!r!l 5n r$9$r8or1 da $st$ a9!l - Plasa i !l!l t$rmom$tr!l!i 5n $ntr!l a#il$i1 3aral$l ! tora$l$- A3ro3ia i ra !l 3ai$nt!l!i d$ tr!n6i i 4l$ta i ant$ra !l 3$ tora$ - "$n in$ i t$rmom$tr!l 5n a#il 0 min!t$ - @nd$3 rta i t$rmom$tr!l i iti i rada ia - @nr$istra i 8aloar$a t$rmi 5n arn$t!l 3$rsonal1 notnd: n!m$l$ 3ai$nt!l!i1 data 5nr$istr rii1 t$m3$rat!ra a 5n $#$m3l!l !rm tor Data Ora T N!m$

0X ) *7*C Ion "i6ail- S3 la i1 l ti i i t$r$ i t$rmom$tr!l d!3 4olosir$ - Introd!$ i t$rmom$tr!l 5n amala>!l s ! sa! 5n r$i3i$nt!l s3$ial - S3 la i-8 minil$? *? "ETODA RECTA%- S3 la i-8 minil$ - t$r$ i1 s!t!ra i i iti i rada ia t$rmom$tr!l!i - P!n$ i-8 m n!i d$ !ni 4olosin da dori i - %!ri4ia i !l!l t$rmom$tr!l!i i 9ona din a3ro3i$r$ 3$ o distant d$ Q 21 m?- Asi!ra i intimitat$a 3ai$nt!l!i- A$9a i 3ai$nt!l 5n d$!it lat$ral i d$so3$ri i r$i!n$a 4$si$r - @nd$3 rta i 4$s$l$ 3$ntr! 8i9!ali9ar$a ori4ii!l!i anal

- Introd!$ i t$rmom$tr!l 3rin an!s a? *1) m la ad!lt1 21 m la o3il i 12 m la s!ar- "$n in$ i t$rmom$tr!l 3$ lo * 3n la min!t$ - @nd$3 rta i t$rmom$tr!l i t$r$ i-l ! o om3r$s d$ ti4on - t$r$ i ori$ !rm d$ l!ri4iant sa! d$ mat$rii 4$al$ din >!r!l an!s!l!i - Citi i rada ia t$rmom$tr!l!i - S3 la i t$rmom$tr!l 5n a3 ld! ! d$t$r$nt i l ti i ! a3 r$$: - Usa i-l i a$9a i-l 5n amala>!l s ! din 3lasti sa! 5n r$i3i$nt!l s3$ial 3$ntr! t$rmom$tr$ r$tal$:- S3 la i-8 mainil$ - @nr$istra i t$m3$rat!ra 5n arn$t!l 3$rsonal1 notnd: n!m$l$ 3ai$nt!l!i i data 5nr$istr rii- An!nta i ori$ modi4i ri anormal$?

REPREENTAREA GRAFIC A TE"PERATURII- Sooti i 3$ntr! 4i$ar$ lini$ ori9ontal din 4oaia d$ t$m3$rat!r t$ 2 di8i9i!ni d$ rad- Nota i ra4i 8aloar$a 5nr$istrat 1 3rintr-!n 3!nt d$ !loar$ alastr a$9at dir$t 3$ linia ori9ontal din r!ria or$s3!n9 toar$ 3$ntr! dimin$a a


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- O in$ i !ra t$rmi 3rin !nir$a 3!nt$lor ar$ indi 8aloril$ t$m3$rat!rii m s!rat$ iotidian 3$ 3ar!rs!l 9il$lor d$ s!3ra8$6$r$ i 5nri>ir$?E'A%UAREA EFICACIT II PROCEDURIIR$9!ltat$ at$3tat$Bdorit$:- T$m3$rat!ra 5nr$istrat $st$ onr!$nt ! star$a d$ s n tat$ a 3ai$nt!l!i - T$!m$nt$l$ s!nt intat$1 4 r irita ii sa! trans3ira ii R$9!ltat$ n$dorit$- Pai$nt!l 3r$9int disom4ort1 4risoan$1 t$!m$nt!l $st$ on$stionat1 iritat1 trans3irat sa! 3alid1 r$$- T$m3$rat!ra 5nr$istrat im3!n$ a3liar$a !nor m s!ri ad$8at$? "ODIFIC RI @N SITUA II%E SE%ECTATE - In4orma i 3ai$nt!l t$rmom$tr!l $st$ !n instr!m$nt indis3$nsail 3$ntr! a3r$i$r$a st rii $n$ral$1 la domiili!- E#3lia i 3ai$nt!l!iB4amili$i s s3$l$ t$rmom$tr!l ! a3 ld! i s -l introd! 1 !sat i s!t!rat1 5n ontain$r!l 3rot$ti8$ 5ntr$ !tili9 ri - O4$ri i 3ai$nt!l!i !n ta$l ! 8alori t$rmi$ ori$ntati8$ 5n 4!n i$ d$ al$a 4olosit 3$ntr! m s!rar$ a 5n $#$m3l! d$ mai >os:

Cal$a d$ mas!rar$: Sala C$ls!s Sala Fa6r$n6$itOrala *7C 01*-01+ ()1+F 01-10R$tala *71C 01*-01+ ((1+F 01-10

A#ilara *+1C 01*-01+ (71+F 01-10

FIA Nr? ?2?" SURAREA RESPIRA IEI

O&IECTI'E%E PROCEDURII- D$t$rminar$a rat$i r$s3iratorii la int$rnar$ 3$ntr! a s$r8i a a9 d$ om3arar$ ! m s!r toril$ !lt$rioar$ - "onitori9ar$a $4$t$lor olii1 tra!matism!l!i sa! str$ss!l!i as!3ra sist$m!l!ir$s3irator- E8al!ar$a r s3!ns!l!i 3ai$nt!l!i la m$dia ia sa! tratam$nt$l$ ar$ a4$t$a9 sist$m!l r$s3irator

PREG TIREA "ATERIA%E%ORPr$ ti i 3$ o ta8 m$dial : - C$as ! s$!ndar1 d$ mn sa! ronom$tr!- C!loar$ alastr


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- Nota i ra4i 8aloar$a 5nr$istrat 3rintr-!n 3!nt d$ !loar$ alastr a$9at dir$t 3$ linia ori9ontal din r!ria or$s3!n9 toar$ 3$ntr! dimin$a


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" SURAREA PU%SU%UI

O&IECTI'E%E PROCEDURII- D$t$rminar$a n!m r!l!i d$ t i ardia$ 3$ min!t - O in$r$a d$ in4orma ii d$s3r$ ati8itat$a inimii i star$a art$r$lor - A3r$i$r$a r s3!ns!l!i inimii la m$dia ia ardia 1 ati8itat$ sa! str$ss? PREG TIREA "ATERIA%E%ORPr$ ti i 3$ o ta8 m$dial : - C$as d$ mn ! s$!ndar sa! ronom$tr!- C!loar$ roi$ < r$ion1 3i# sa! ario =- Carn$t d$ adnot ri 3$rsonal$PREG TIREA PACIENTU%UIa= PSIIC :- E#3lia i 3ai$nt!l!i 3ro$d!ra 3$ntr! a r$d!$ $mo iil$1 t$ama i a o in$ olaorar$a- Asi!ra i !n r$3a!s 3si6i d$ $l 3! in min!t$ 5naint$ d$ m s!rar$ = FIIC :- Asi!ra i !n r$3a!s 4i9i d$ $l 3! in min!t$ 5naint$ d$ m s!rar$ - A$9a i 3ai$nt!l 5n 3o9i i$ on4ortail 5n 4!n i$ d$ star$a $n$ral :

- d$!it dorsal ! m$mr!l s!3$rior 5ntins 3$ ln or31 arti!la ia minii 5n $#t$nsi$1 mna 5n s!3ina i$


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- Rata 3!ls!l!i $st$ mai mar$ sa! s! normal!l arat$risti 8rst$i- P!ls!l radial n! $st$ 3$r$3tiil- P!ls!l $st$ aritmi- Am3lit!din$a $st$ mi sa! r$s!t - Pai$nt!l $st$ 3alid1 an#ios1 a!9 3al3ita ii1 $#trasistol$ - Pai$nt!l ar$ !na sa! mai m!lt$ dintr$ 3rol$m$l$ d$ d$3$nd$n !rm toar$:

- intol$ran la ati8itat$- alt$rar$a on4ort!l!i- d$4iit d$ 8ol!m li6idian:- $#$s d$ 8ol!m li6idian- alt$rar$a 3$r4!9i$i tis!lar$

"ODIFIC RI @N SITUA II%E SE%ECTATE C !ta i alt$ art$r$ a$siil$ da 3!ls!l radial n! $st$ 3al3ail i m s!ra i 3!ls!l la:

- art$ra t$m3oral - la !n lat d$ d$$t d$as!3ra i lat$ral d$ stna t$m3oral!l!i1 5n dr$3t!l 3a8ilion!l!i a!ri!lar

- art$ra arotid $#t$rn


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- E8al!ar$a st rii 3ai$nt!l!i 5n $ 3ri8$t$ 8ol!m!l d$ sn$1 randam$nt!l inimii i sist$m!l 8as!lar- A3r$i$r$a r s3!ns!l!i 3ai$nt!l!i la tratam$nt!l ! 4l!id$ sa!Bi m$diam$nt$PREG TIREA "ATERIA%E%ORPr$ ti i 3$ o ta8a m$dial : - St$toso3 ia!ri!lar- T$nsiom$tr! ! man$ta ada3tat 8rst$i- Com3r$s$ ! alool m$diinal- C!loar$ alastr < 3i#1 ario 1 r$ion= - Foai$ d$ t$m3$rat!r


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REPREENTAREA GRAFIC A T?A?- Sooti i 3$ntr! 4i$ar$ lini$ ori9ontal din 4oaia d$ t$m3$rat!r 1 0 mm sa! m?- R$3r$9$nta i ra4i 8aloril$ 5nr$istrat$ 3rintr-!n dr$3t!n6i d$ !loar$ alastr 1 a$9at 3$ 8$rtiala tim3!l!i


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O&IECTI'E%E PROCEDURII- Stailir$a r$!t ii 3ai$nt!l!i 3$ntr! a3r$i$r$a st rii d$ n!tri i$ i a r$ in$rii a3$i 5n oranism - A3r$i$r$a ra3ort!l!i dintr$ 5nal im$ i r$!tat$ PREG TIREA "ATERIA%E%OR- Cntar 3$ntr! ad!l i- Antro3om$tr! !ta i 3ai$nt!l s s$ d$9ra$ d$ 6alat - E#3lia i 3ai$nt!l!i s n! m nn$1 sa! !rin$9$ i s $limin$ sa!n!l 5naint$ d$ nt rir$- Instr!i i 3ai$nt!l s st$a ! li$l$ li3it$ d$ ti>a antro3om$tr!l!i EFECTUAREA PROCEDURII:?" s!rar$a 5n l imii - A$9a i 3ai$nt!l 5n 3iioar$ ! s3at$l$ la ti>a i s! !rsor!l taliom$tr!l!i- R!a i 3ai$nt!l s st$a ! s3at$l$ dr$3t i li$l$ li3it$ d$ ti>a

taliom$tnil!i- Coor i !rsor!l 3n la a3!l olna8!l!i i iti i 3$ ti> - rada ia 5n l imii 2? " s!rar$a r$!t ii - Ad!$ i alan a 5n $6ilir! i imoili9a i a!l indiator!l!i 5n6i9nd ra !l alan $i- '$ri4ia i da s!nt 5nd$3linit$ ondi iil$

- &olna8 n$mnat- '$9i !rinar olit - Sa!n $liminat

- Asi!ra i-8 3oart a$l$ai 6ain$ la 4i$ar$ nt rir$ - Folosi i a$lai ntar- Ad!$ i $l$ do! !rsoar$ 3$ntr! ? i ram$ a3roa3$ d$ r$!tat$a $stimat a

3ai$nt!l!i- R!a i 3ai$nt!l s !r$ 3$ ntar - D$s6id$ i ra !l a alan $i= i mia i $l$ do! !rsoar$


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FIA Nr? +??PANSA"ENTU%

RESPECTA I CONDI II%E UNUI &UN PANSA"ENT a= S 4i$ 4 !t 5n ondi ii as$3ti$ - Folosi i mat$rial$ d$ 3rot$ i$ i instr!m$nt$ st$ril$ - S3 la i i d$9in4$ta i minil$1 5mr a i m n!i st$ril$ - S$r8i i mat$rial$l$ 4olosind 3$ns$- N! introd!$ i 5n asol$t sa! 5n tr!sa d$ instr!m$nt$ 3$nsa ! ar$ a i l!rat 5n 3la - N! 4olosi i a$l$ai instr!m$nt$ la alti 3ai$n i = S 4i$ asorant- Asi!ra i asor ia s$r$ iilor 3$ntr! a 4a8ori9a iatri9ar$a - Folosi i om3r$s$ d$ ti4on i 8at 6idro4il = S 4i$ 3rot$tor- Ao3$ri i 3laa ! om3r$s$ st$ril$ i 8at - Asi!ra i-8 dim$nsi!nil$ om3r$s$lor d$3 $s marinil$ 3l i ! $l 3! in -2 m- Da 9ona $st$ $#3!s miroilor1 3rot$>a i 3laa ! !n strat mai ros d$ ti4on i 8at

d= S n! 4i$ d!r$ros- A iona i ! lnd$ $ i r dar$ - Administra i !n almant la r$omandar$a m$di!l!i da sit!a ia o $r$ - S3 la i 3laa 3rin t!rnar$ i asori i s!r3l!s!l d$ li6id i s$r$ iil$ 3rin tam3onar$- N! 4i#a i 3ansam$nt!l 3r$a strns 3$ntr! a n! >$na ir!la ia i a n! 3rod!$ d!r$r$- Asi!ra i limitar$a mi rilor 5n a$a 9on da $#ist india ii 5n a$st s$ns $= S 4i$ s6imat la tim3- '$ri4ia i india ia m$dial ! 3ri8ir$ la s6imar$a 3ansam$nt!l!i - S6ima i t mai rar 3ansam$nt!l la 3l il$ 6ir!rial$ at!ni nd s$ m$n in$ !rat i !sat- @n a9!l 3l ilor s$r$tant$ s6ima i 3ansam$nt!l ori d$ t$ ori $st$ n$8oi$

- An!n a i m$di!l i ontrola i 3laa da 3ai$nt!l a!9 d!r$r$ sa! 3r$9int 4$r 4 r alt a!9 1 s6ima i 3ansam$nt!l ! a$ast oa9i$? RESPECTA I TI"PII PANSA"ENTU%UIa= Cr$ar$a m3!l!i o3$rator- D$r$sar$a t$!m$nt$lor din >!r!l 3l ii 3$ntr! a 5nd$3 rta !rm$l$ d$ ad$9i8 d$ la 3ansam$nt!l sa! s$!m!l1 4olosind $t$r sa! $n9in iodat - @nd$3 rta i om3r$s$l$ d$ la 3ansam$nt!l 8$6i ! lnd$ $1 !m$9ind!-l$ ! sol! i$ antis$3ti da s!nt li3it$ - D$9in4$ta i t$!m$nt!l ! o sol! i$ antis$3ti $t sla d$ sol! i$ antis$3ti da 3r$9int s$r$ ii1

5nd$3 rta i t!!l d$ dr$n1 5nd$3 rta i 4ir$l$ i a>!ta i m$di!l da $st$ o 3la r$$nt - A3lia i m$diam$nt$ on4orm 3r$sri3 i$i m$dial$ = Ao3$rir$a


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ad$9i8$- '$ri4ia i 3ansam$nt!l 3$ntr! a n! >$na ir!la ia d$ 5ntoar$r$ sa! da asi!r r$3a!s!l 5n a9!l 5n ar$ $st$ limitat miar$a - '$ri4ia i da 3ansam$nt!l >$n$a9 miar$a O&IECTI'EM Fa8ori9ar$a 8ind$ rii r nilor M Pr$8$nir$a in4$ i$iM A3r$i$r$a 3ro$s!l!i d$ 8ind$ar$M Prot$ ia 3l ii 5m3otri8a 4atorilor m$anii PREG TIREA "ATERIA%E%ORS$ 4a$ 5n 4!n i$ d$ ti3!l d$ 3ansam$nt


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- Ao3$ri i ! om3r$s$ d$ ti4on st$ril$ ar$ s d$3 ras marin$a 3l ii ! -2 m i a3lia i d$s!3ra !n strat s! ir$ d$ 8at da $st$ n$$sar - Fi#a i 3rin li3ir$ ! mat$rial$ ad$9i8$ sa! 3rin anda>ar$ 4olosind !n 3ro$d$! ada3tat r$i!nii $n$9$ ir!la ia REORGANIAREA %OCU%UI DE "UNC- Col$ta i d$$!ril$ ! 3ot$n ial in4$ ios !rator RECO"AND RI- P!t$ i 4olosi mat$rial$ sint$ti$ 5n lo!l om3r$s$lor mari

PANSA"ENTU% A&SOR&ANTO&IECTI'

- Ao3$rir$a 3l ilor dr$nat$ sa! s$r$tant$ ! !n strat d$ om3r$s$ i !n strat d$ 8atRECO"AND RI- R$s3$ta i $ta3$l$ d$ $4$t!ar$ a 3ansam$nt!l!i- S!3ra8$6$a i 3ai$nt!l 3$ntr! a 3!t$a s6ima 3ansam$nt!l mai al$s da s$ 5mi- Da m$di!l mont$a9 t! d$ dr$n nota i antitat$a d$ li6id $liminat

PANSA"ENTU% OC%UI'O&IECTI'- Ao3$rir$a ! om3r$s$ i 8at a 3l ilor 5nso it$ d$ l$9i!ni osoas$ 3$st$ ar$


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s$ a3li a3arat!l i3sat 3$ntr! imoili9ar$RECO"AND RI- P$ntr! 5nri>ir$a 3l ii s$ 3oat$ 4a$ 4$r$astr

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