Brevard Pedi Ortho

However, in the case of some tumors, the majority of the patients already presents metstatica illness at the moment of the diagnosis. In the evaluation of a surgery of great transport for patient determined one, it is important to evaluate the relation risk, benefits of the procedure I contest in it of the general health of the patient, the extension of the tumor and the probability of that the tumor can completely be removed, the type of necessary anesthesia and the experience of the team that also must take consideration. As advance in such a way in the x-ray how much in the chemotherapy, the necessity dede a radical surgery diminishes. However, the surgery continues to be a primary boarding of the biggest importance in the curativa therapy of the cancer (AUSIELLO, 2005). The breast cancer occurs in any point of the breast, however the majority is found in the external superior quadrant, where if it locates most of the fabric mammary. In general the injuries are painless, instead of painful; it fixes instead of you move; induradas with irregular edges, instead of encapsulated and smooth (SMELTZER; BARE, 2005). With regard to the surgical treatment for Smeltzer; Bare, (2005), discloses that the main goal of the surgical treatment is to eradicate the presence of the evasivo cancer of breast is the mastectomia, with or without reconstruction and the surgery of conservation of the agreed breast to the x-ray.

On the basis of the studies of Smeltzer; Bare, (2005), cares after – operatrios of the patient who if submits the surgery of the cancer of breast as well as any another surgery, the immediate focus is the recovery of the general anesthesia and treatment pain. Moreover, the patient who suffered the surgery from the breast can try the effect physical and psychological. The possible ones, complications accumulate include it of blood, hematoma besiege in it of incision, infection and accumulate delayed of serossanguinolento liquid, and seroma after the drain.

In accordance with DSM IV, many Bulimicos individuals present periods of Anorexy, being able to transit of a state for another one. The people with AN present an intense fear to get fat, that she persists as intrusiva an idea and sobrevalorada, associated to a preference for the extreme magreza. They present a riot of the corporal image that makes with that they perceive as fatter of what really they are. The treatment is made with a farmacoterpica boarding. The selective inhibitors of recaptao of the serotonina (ISRS) have been the studied antidepressants more in the treatment of an. The antipsychotics must eventually be used in those more difficult and refractory patients.

The Mannering treatment can be fact, with description that the person has of its copor and the real description for the therapist, showing it how much its vision is distorted of the reality. The subjective corporal image is therefore when its perception does not correspond to its true appearance. The individuals Upheaval of the Periodic Alimentary Compulsion, eat compulsory do not make regular vomit use or abuse of exercises, laxative or diurticos. The similarity of the individuals with BN is that both hide this compulsoem public. Queapesar of the insatisfao with the body does not present riot of its corporal image. The antidepressants must be prescribed when associate has a clear evidence of an affective upheaval, the antidepressants can be prescribed for patients who remain gotten depressed, although the improvement of the symptoms of the alimentary behavior, and for patients who do not answer or answer partially to the psicoteraputica intervention. The indicated drugs more are the ISRS, between them the fluoxetina and the fluvoxamina, that more they had been studied. The mannering psicoterpico treatment can concomitantly be made together with the farmacolgico treatment. It is important to leave clearly that it has genuine interest in helping it, that is not gone to deceive it and that the symptoms can be manejados (Fairburn and Cooper, 1991).

Frankl describes 3 ways or means of finding that sense: 1) performing a mission that transcends the very existence. Leave a legacy. (2) Welcoming gifts of life. For example: by the internal disturbance caused by the beauty of a work of art, nature or love. (3) By suffering.

The latter serves to find a meaning for life only if it is absolutely unavoidable, since otherwise it would be just masochism. In this case, as human beings, have the unique ability to make, through the acceptance of pain, that this makes sense and we serve to grow inwardly and find a reason to go on living. A very common case is that of the people who lost a loved one because of an incurable disease such as cancer, and finds a way to overcome founding a Center for research to combat this disease. These people have not only found a way to overcome the pain of the loss, but they have gone beyond creating something bigger than themselves. Is clear that we can turn to 3 media to find our sense of life: for example, I can work to achieve the Mission of creating an oranizacion for the care of the environment (1), and strengthen through the respect that I have for nature and love for my children, whom I want to leave them a better future (2). At the same time he would be willing to deal with all the suffering necessary to make that dream a reality (3). In conclusion, I invite you to reflect on this concept so important and so elusive today, in that the tedium and boredom take away our passion be somebody in life and transcend our own problems.

All we need is that inner fire that moves us and gives us the conviction of knowing that we can really make anything that we propose in life. It is just a matter of finding a purpose, a meaning. That is our biggest challenge.