Program Care

This active participation of the nurse together with the doctor of the Program of Domiciliary Internment if of the one since the selection of the customer who will be interned in domiciliary care. The nurse as integrant of the health team, must carry through action in all the attention levels, watching over for the good attendance, diversifying, improving and promoting well-taken care of, englobando inside of this context the accomplishment of procedures. (OF SOSA, et al, 2009, P. 5). In this context the nursing assistance destines it priore to the maintenance of the physical security, to the reduction of the anxiety and agitation and to the improvement of the communication, followed of the promotion of independence in the activities of auto care, the provision for the socialization necessities; maintenance of the nutrition and control of the sleep standard. The nursing together with the objective cuidador to supply the domiciliary assistance in the following way: Physical security: to provide to an surrounding insurance restricting the risks of fall or injuries for free movement; Cognitiva function: to stimulate the calm, simple and clear communication, to carry through memory exercises and to supply regular a calm environment with activities daily routine; To diminish the anxiety and agitation: to give emotional support favoring the auto-image positive and to keep the familiar and calm environment without noises; Improvement of the communication: to promote the form communication accomplishes using simple phrases of easy understanding and the use of written language as the example a written list or instructions; Independence in the auto care: to stimulate the patient to carry through activities of auto care organizing them of simple and safe forms promoting a sensation of auto accomplishment; Socialization: to stimulate familiar contacts with and old friends, recreation, strolls; physical activities, contact with esteem animal, however such short and calm activities must be expressions of love and affection, even though the expression of the sexual necessity or not to the spouse; Adequate nutrition: being able to have lack of coordination for the patient to feed itself alone, the nurse will have: to keep a simple and calm environment in the meals; to offer familiar foods; he cuts foods in small pieces preventing the breathlessness; to verify the temperature of foods and liquids; to offer to liquid foods in gelatin form for easy deglutition preventing dehydration; when necessary serviz it preventing malnutrition.