Fractura Humerus

C!$CLU) U , 7/,,7+*+* 9?* +* =/9/,+6/ 9 ,**+* * ,/9+>,* / , *+* ,*. & 9+,9+ **,9 ** ,** 6+* 9 =/9/, 9 =/*8** + 6* 8/*+*. I,*> =/9/,+6/ ,=,?/*  9*/99+9, ** @ 6,9 /**/*. F/9/,+* 9*/99+9, 6,9,* 7/6,,8 50J , ?9/,+* =/9/,+6/ *D/*+6/ 97*/,6/*. C *< @ ;**/+ D/D>,, 9 , 7/*,79, + =/9/, * =**,+*< +9/9 /* ** *7+, 7/, 7/,,7/* +6/ , /* + 9 =,?,. F**, /* /, =,?,6+6;,*<  * **7+9 /,< 7*/,6 * +7/*< *679?< 6*676/6?< @ /* * ** , 9*7,D,+ *  =* =/9/,. M*,9+ 7/69*/,, *6/ =/9/, ** 7/, */* 8,6+* 7* D/ 9 9/< 7* 6 9 7/, />,9* =6/>  D/>9+9,. P/,9+ 96/ /*D9,*  * *=*9*?*  , /*7** ,  , 6/* /76/9+ 7,*9+9, + 7,+. T/*D9,* +9* 9/,  @ ,79+ /76/9+9, + 7,+< 6*+* =/9/*  9 * *7+*?* , 9+ * @ 6*9+ 7/69*/,, =/9/,,. E*9+ /,6+6;, ** 6D+,;6/,9 @ ?9+ =/9/,+6/. F/9/,+* **, 6D,+,?/, @ 7/ ;,7< *+* 9 ,*8*>,, ,/9/;,+* 7*/9 =,/* =/;**+6/ 66*. T/*9+ *,*6-,/9/;,+ , 667*, 9//** /*9*/*  , 7/*6*  =/9/,,< ,6D,+,?/* /, , 6,9 7 + 66+,/* *, 7*/=*. E86+9>, , 7/6;6,9+ =/9/,, ,=,?/*  9*/99+9, 9 * 6D,*, =86/D,+*< ** =/9/, 66+,9-* @/-9 ,7 /*+,8 9/. C67+,>,,+* * 6/*? * *+* , 9+* 6/, 99, /* ,6/*. A** 67+,>,, 76 9* + 7/+,?,,< +*//* 9,9+9, *+6,< *?+,7,/, + ,8*+9+ /,+9+9, * /**/*. P*9/6? @ ** ?9/, ** //. U*+* =*>,9,  * **7+9 *,7+*;,< *?*+* 6*+6/< 6*6+,< 6*676/6?< 76+,6,+,< 76 =86/,? 7/69*/* =/9/,+6/.

5

CUPR$S

MOTTO:..... MOTTO:................. ......................... .......................... .......................... ......................... ......................... ....................................2 .......................2 MOTIVAREA LUCRĂRII............................................................................3 LISTA ABREVIERILOR...............................................................................4 CAP. I - PARTEA GENERALĂ....................................................................5 1. SCHELETUL SCHELETUL MEMBRULUI MEMBRULUI SUPERIOR............................................5 SUPERIOR............................................5 2. FRACTURA EXTREMITĂŢII SUPERIOARE A HUMERUSULUI.... 3. EPI!EMIOLOGIE. EPI!EMIOLOGIE.............. .......................... ......................... ......................... .......................................... ............................."" 4. CLASIFICAREA FRACTURILOR........................................................# 5. MECANISMUL !E PRO!UCERE.......................................................# . SIMPTOMATOLOGIE...........................................................................$ ". INVESTIGAŢII INVESTIGAŢII PARACLINICE ARACLINICE............. .......................... ............................................ ...............................10 10 #. EVOLUŢIE EVOLUŢIE %I PROGNOSTIC.............. PROGNOSTIC.......................... ......................... ..................................10 .....................10 $. !IAGNOSTIC........ !IAGNOSTIC..................... ......................... ......................... .......................... ........................................11 ...........................11 10. COMPLICAŢII... COMPLICAŢII................ .......................... .......................... ......................... ......................... .............................11 ................11 11. TRATAMENT.....................................................................................11 CAP. II - PARTEA PERSONALĂ...............................................................14 ROLUL ASISTENTEI ME!ICALE ME !ICALE &N &NGRI'IREA &NGRI'IR EA PACIEN(ILOR PACIEN(ILOR CU FRACTURĂ !IAFI)ARĂ A HUMERUSULUI.........................................14 CA)UL I........................ I.................................... ......................... .......................... .......................... ......................... ........................1$ ............1$ CA)UL II..................................................................................................32 CA)UL III..................... III.................................. .......................... .......................... .................................................44 ....................................44 CONCLU)II........ CONCLU)II..................... ......................... ......................... .......................... .......................... ......................... ........................5 ............5 BIBLIOGRAFIE..........................................................................................5"

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M!##!, 4 Ceea ce5l 6ace pe o+ +ai +are dec7t si+pla l*i via8a9 este dra:ostea pentr* via8a celorlal8i ; L.F C*++,*

2

M!#,6/*< 6,8 7*/9 /*  9/ 9/9/,+* **, =9+>,. A +* * * *6/** 9 , 7/,,7+*+* 9?* +* =/9/,+6/ 9 ,**+* * ,/9+>,* / , *+* ,*. & 9+,9+ **,9 ** ,** 6+* 9 =/9/, 9 , * @ * , =/*8** + 6* 8/*+*. A6//* 7/,9+9, 96/ + +69+ ,*9+9,  , 7/*8*,/* 67+*  =/9/,+6/ 7*/9  9 =* =9>,,+* =9>,,+* 8,+* ** =6/* ,76/. ,76/. N*;+,*> N*;+,*> /*9+9, /*9+9, ,  @;/,,/,+6/ *,+* * 7*,+,* 9 + 7,*/*/* 67+*,>,, =9>,6/,, D/>9+9,. !, =*/,,/* *86+9>, , 7/6;6,9+ =/9/,, */*,>,, 97*/,6/*  9*/99+9, 9 * 6D,*, =86/D,+*< ** =/9/, 66+,9-* @/-9 ,7 /*+,8 9/.

3

LS#A LS#A ABRE<ERL!R ABRE<ERL !R #A /. Min i.+ i.v +: E=G s.c. =:. i.d :.

*,9* /*/,+ 6/ ,9 ,/99+/ ,/8*6 ,+,;/* *+*/6/,6;/=,* 9D9 ,+6;/ ,/*/, ;/

4

CAP.  5 PAR#EA GE$ERAL" 2. SCHELE#UL MEMBRULU SUPER!R H*+er*s*l ** 9 6 +9;< 7*/**. S* /,9+*? 9 79+ ,/ ,,+ 9 6*+* *D/>9+9,.

F,; 1 *+*9+ *D/9+9, 97*/,6/. C6/79+ 9*/99+9, ,=,? 7/*?, /*, =*>* , /*, /;,,. F> 6/+ 7/*?, 9 > 6D+,< >9+ */89+9, /,+ , + /*/*, 9*/+* 7/6=9*. F> 8*/6-+*/+ 7/*?, @ 7/* 97*/,6/ ,* /9;6?,>, @ =6/ * V< 9D*/6?,* *+6,,. M, 6 6D*/8 >9+ */89+9, /,< /* * 7/*+9;** * 7* => 6/+. F> 8*/,9+6*,+ 7/*?, /* ,+6 /9;6?,>, 7*/9 ,*/>, 9,9+9, 6/6-D/,+. M/;,* 8*/+ 7/*?, @ 7/* * 9 /* 9D*/9+9, /*< 7* /* * ,*/ 9,9+ /*+* 7*6/+.

E>tre+itatea s*perioară *7,=,? 7/6,+ 7/*?, 9 7 /,9+/ 9, 79+ 9*/+< /* /* 6 =6/ 686+/ , ** 6/,* *,6+ , 76*/,6/. C79+ 9*/+ ** /;,, * 9 > ,/9+/< 9, 6+9+ ;9+ 6,. & 7/* +*/+  79+9, * =+ 69 9D*/6?,>, : 76*/,6/< 9D*/9+9+ /* , */,6/< 9D*/9+9+ ,< 7* /* * ,*/ 9,,. &/* *, 6, 9D*/9+, ;, >9+ ,*/9D*/9+/ 9+, D,*7,+< 7/, /* +9* *69+ 76/>,9,, +9;,  9,9+9, D,*7. E>tre+itatea in6erioară *7,=,? ,,+ /* 6 =6/ /,9;,9+/ , ** 9/, */676*/,6/. P/,8, , =>< +*/+ 7/*?, 6 7/6*,*>  *7,6,+9+ +*/+< 7* /* 5

* ,*/ 9, **6/, , *D/>9+9, , 97,6/,. S9D *7,6,+9+ +*/+ * =+ 6 7/6*,*> /,9+/< =*/,< 6,+9+ 9*/+< /* * /,9+*? 9 /,99+. M*,+ * 6,+ * ;** 6 97/=> /,9+/ 9, /6+**< /* * /,9+*? 9 ,,?, /6+*/  9+*,. & 7/* *,+  *7,=,?*, * =+ *7,6,+9+ *,+< 7* /* * ,*/ 9,, =+*6/, , *D/>9+9, , 7/66/,. !*97/ /6+*,,< */,6/< * =+ 6 8,*  =6 6/66,  @ /* 7/9* 76=,? 6/66,  9+*,. L*/+ * * * =+ =6 /,+. P6*/,6/< *7,=,? 7/*?, =6 6+*/,< 7*/9 8/=9+ 76=,?*, 6+*/,**< @ ,/,+* * **,*  69+9,.

0. (RAC#URA E?#REM#"@ SUPER!ARE A HUMERUSULU A* */*,* ** *+,, 7/6,+ * ,*/+,,9+ 79+6-9*/+ < ,/ @ ,,+ * 9 7+ 6/8*>,6+ /* /** 6/,?6+ + ,8*+9+ V-9+9, *+6,,. A** =/9/, 9 76+,6/=* , 9/8, @ 7*,+ + 6*,, 8/,, , 9 7/**/* + =**,< ** 7/*?* * 6D,*, 6 / 6*676/6?.



. EPDEM!L!GE I,*> =/9/,+6/ */*,>,, 97*/,6/*  9*/99+9,< ** @ 6,9 /**/*. F/9/,+* */*,>,, 97*/,6/*  9*/99+9, 6,9,* 7/6,,8 50J , ?9/,+* =/9/,+6/ *D/*+6/ 97*/,6/*. A** =/9/, 697 7/,9+ +6 + =/9/, @ ?9+ 7*/6*+6/ @ 8/. S,,,+* /  =/8*> *6/ =/9/, /** 6 9 @,/* @ 8/< 7** 0J , =/9/, 9/8, 97 8/ * 0 * ,. R /*9  *6/ * 6/*? 8/*, ,,* 8/ *,*  7,*>,+6/ ** * 2 - " ,< 6/, 6,=,/,, *D6+,9+9, 66. C *< @ ;**/+ D/D>,, 9 , 7/*,79, + =/9/, * =**,+*< +9/9 /* * *7+, 7/, 7/,,7/* +6/ , /* + 9 =,?,. T69, , =**, /* /, =,?,6+6;,*  * **7+9 /,< 7*/,6 * +7/*< *679?< 6*676/6?< @ /* * ** , 9*7,D,+ *  =* =/9/,. E, 9*+* 9+D9//, +* /99/,, 66*< ,,=*/*  ** 86/D *7/* //*=,*/* 66*.

"

. CLAS(CAREA (RAC#URL!R !, 79 * 8**/* 66-76+6;, 9 /,*9+ * =/9/ 76* =, ,9 + @+>,, ,=*/,*< =*+ ,,;*:

(ract*ri ale col*l*i anato+ic sa* n zona s*pra6e8ei artic*lare (ract*ri ale col*l*i c/ir*r:ical9 ** 9/8, 9*6/, 9 6 7/9*/* ,9+/  =/;*9+9, ,=*/,6/ @ *+ *=+,< 7/6,+. C * =/9/ ** 6< /* +6 9*6/, 6 *+/* 6,*/D,+  =/;**+6/. 

(ract*ri t*-erozitare sa* parcelare< ** =/9/, 9 9 *, * 7/69*/* 7/* , 9* *+ 7/, s+*l:re. S* ,*  7* 6,*/ * ,*/ /66/,, **/, , 9/9+9,: 9,, 97/7,69+9,< 9D7,69+9, , ,9+ /69. O 6/>,* D/9  *6/ , 9/ 9,<  * **7+9 @/-6 ,/* * /9/*< 76* 9? 6 =/9/ 7/*+/ 7/, 9+;*/*. F/9/,+* 7/*+/* * ;* **6/,  +*?,9, ** +* 96/ +9,, * 9/. . MECA$SMUL DE PR!DUCERE F/9/,+* + * ,8*+ 76 =, 7/69* : 

direct, 7/, +68,9/, 7/,,* 7* => */,6/ 9 76*/,6/  9/9+9,<

indirect, 7/, */, 7* 6 9 7* 9/ 9 D/9+ @ 7*,+ @ D9>,*<  * 7/69* 6 *;*//*  9/D9/,+6/ 6/+*  9*/99+9,. 

(i:. 0. F/9/, ,=,?/*  9*/99+9, M*,9+ * 7/69*/* *+ , =/*8* ** 7/, 9? ,,/*< 7/, */* 8,6+* 7* 9/< 7* 6 9 7/, />,9* =6/  D/>9+9,. L ,*/, < 7/*8+,? =/9/,+* 7/, 9>,*.

#

L =/9/,+* 7/, D9>,*< 9;,9+ =6/ 7* =/;** ** *, @ =/< + *+* 7/, 9>,*< 9;,9+ 7* /* @+ =6/*? =/;**+* ** *, @9/9. A**6/, @< 9;,9+>, =/;**+6/ * =* , @ 7+ ;,+< 9;,9+ =,, *, @76,. U*+* =*>,9, 9 9: *,7+;,< B6+ P/,6< *?*+* 66*< 6*6+, 76 =86/,? 7/69*/* =/9/,+6/.

. SMP#!MA#!L!GE & =/ * **+* 69* 99/6/ =/9/,+6/ 9/*/* , ,76*> =9>,6+ + ,7*>,* * 6 9 9/ ?9< 9*=,< 9 >9+ *+6-76/+ ,7/9< 79+ =,, @+,+ @7/* 7/* +*?,9,,< ,/ 69+ /*7*,8 =,, 9>,9 *  679. E,6?*+* 7/ /,8 , 7/6;/*,8 7* 6 /,* @,  D/>9+9, => ,*/ ,  6/*+9, => */6-,*/< 6D6/ 7 + ,8*+9+ /**/,+6/ ,+,*. A* *,6? ** /*/,,< 8, 76;66, ,  =6 */, * H**K9,.

(i:.  T*/,6/,9+ E,6?*, +9, H**K9,. A* *,6? * *7+, 7/, **  ;*+* , *69+ =/9/+ ,9 @ * =/9/ *97/ ,8*+9+9, * ,*/>,*  *69+9, /*+9, 7*6/+< ** +,? @ * *9, *6  9,9+9, , * /7** 9+*/,6/ 7* => */6-**/  *,6/*+9, /*7*,8. L 7+7/* 7/9* , D+ * 6 9/*/* @/-9 79 =,< /* 6/*79* * 6D,*, =6/9+9, * =/9/. !, 9? 9*, /+,8* ,76*>* =9>,6+*< 9/8,* 9 ;/ 6/*/* * /6=,*  *+6,9+9, D9>, D/>9+9, =,, +,,. $

& =/9/,+* ,//,9+/* =/9/ ;9+9, 6,< 9 9/8, *,6?*< *69+ =/9/+ =,, *>,9 @ /,9+>,*.

3. $a+en*l radiolo:ic< @ ?9+ @ /* /,6+6;, 9 ** /*+*8 , ,;6,9+ ** ,*/ * 76* 7*+ + +* *6* 7/+,,*:  to+o:ra6ia si+plă sa* co+p*terizată C# 

scito:ra6ia osoasă radio:ra6ia si+plă e>a+en*l de la-orator,

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VSH

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/. * +*96,*

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+*,*

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*6;+6D,

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*6/,

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;+,*,*

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TS. TC

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** 9/ * 9/,

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,8*,;>,, ,676+6;,* @ ?9+ 69+9, 76+6;, 7*/9  *67*/,, *8*9+*+* 9?* =86/,?*  =/9/,,< 6*676/6?< 6*6,*+,< *.

F. E,*< /,,/* , /6>,*  D/>9+9,.

. DAG$!S#C  Dia:nostic pozitiv, * 79* 7* D? **+6/ ,  **9+9, /,6+6;,< => , 7/6=,+. 10

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Dia:nostic di6eren8ial, * =* @ 7*,+ 9 +9>, 9+6-9*/+. A*

=/9/ * *6*D** * +9>,* 7/, 7//* /69,,, 9/9+9, 9 7/, +,7 9/9+9, @ *76+*  , 7/, 7/67,*/* 69+9, /*7*,8 * 6/*. & =/9/,+* /6,69+9,< @ *+* +* +8,9+*, 13 **/ 9 ,/ @ 69?,,+* ,7+* +* 9/9+9,< 6* ,76*+* 9 6*/*. & 6/,* ? **9+ /,6+6;, ** 6D+,;6/,9.

21. C!MPLCA@ (ract*ri desc/ise Co+plica8ii vasc*lare Lezi*nea nerv*l*i circ*+6le>< 9 , *+* , =/*8** 67+,>,,< /* 9,  ** ,/*8*/,D,+< 9* + 7/+,?, , /6=,*/* 9,9+9, *+6,.  Lezi*nea tendon*l*i l*n:ii por8i*ni a -iceps*l*i , ,*/76?,>, *9, @/* =/;**+* =/9/,,. A* , 9/ 67+,>,* ** * 6D,*, ;/*9 * ,;6, ,76,D,+,* /*9*/,, , *>,*/* **, /*9*/, , 6D+,; * 6D,*, + 9 /* ,/9/;,+. A6,*/* =/9/,, 9 +9>,* 79+6-9*/+< @ * ? 79+ =,, +9< 7/* 9/9+ @ *76+*< / 69+ ** 7/67, * 6/*< *6/** 7/;, 9*/+ =,, =/9/< * 6 7/* 7/67, * 6/*. L ,*/,, 9D 20 * , 76 9/8*, , *?+,7,/, + ,8*+9+ /,+9+9, * /**/*. 

22. #RA#AME$# Pri+*l a*tor la loc*l accident*l*i F/9/ /*D9,* ,*, ,6D,+,? 7/68,?6/,9 + +69+ ,*9+9,< + *86,* */* 9/*/,, 9 67,**: A+;6+,< M,+;,< R6*/;< *. T/*D9,*  * *=*9*?*  , /*7** ,  , 6/* /76/9+ 7,*9+9, + 7,+. S* 86/ +9 9/,  @ ,79+ /76/9+9, + 7,+< 6*+* =/9/*  9 * *7+*?* , 9+ * @ 6*9+ 7/69*/,, =/9/,,. #rata+ent*l de specialitate T/*9+ =/9/,+6/ */*,>,, 7/6,+*  9*/99+9, ** @ ;**/+ 6/67*, , ** 9, @ ?9/, **7>,6+* ,/9/;,+. T/*9+ *6/ =/9/, 9/*? 7/,,7,9+ ,7+9 * * *  =/;*9+ ,,+ 97 *+ 7/6,+. P/,/-6 D9>,*  D/>9+9,< * * 76* /*+,? 7/67* @ 6* ?9/,+*. ! + />,9* D/>9+9, * 9; , 6 7/*,9* 7* +69+ =/9/,,< 6/*9-* 11

9;,9+>,< * 76* 7/*8*, 6 ,+6/* , /*. P6?,>, * /*79 9/8,* @/-9 7/ ;,7 @ D9>,* @ /* =/;*9+ ,+ **   , 7*/=* 97 *+ 7/6,+. U*+* =/9/, * + 9=,,* ,6D,+,?* 7/,/-9 D !*9+ 9 6 7*+6 ;/6 * 8 @ +< 9 69+ 7+, 7* 6/*. F/, * * D< /* / +,, @ 9/ ,/,+* 9/9+9,< ** 9, 9, 9,=,<  *+ ** *>,9 , 9+ * 14 ?,+*. L 7,*>,,< /* , 9? 96/ +*?,9, 6/+* 9 76 976/ 7+,/* *  99, 7/ ;,7 6/6-D/,+< 79*/* @ /*76  =/9/,, * =* *+ , D,* />,9* 7+, @ 7. T/>,9* * /*+,?*? 7/,/-6 D/6 /*9 7/, 6+*/< *D/>9+ =,, 79 6/,?6+< D/>9+ 8*/,+< ,/ 7668 * />,9* =,, @, * 6 / /*9 7** , 9+>, /,7*>,. L =/9/,+* /* 9 ;/** @/-6 , 9;,9+>,* * 76* /*9> + 6 /*79*/* *. L 9,, 7,*>, =6/* D/, /*D9,*  * 9+>9, , 9 6 /*9*/* /*+,8 , @*7 * @ 9 6 /**9/* =9>,6+< * 76 6D>,* /*?9+* /*+,8 D9*. C79+ 9*/+ 9 /* + =*9/+ 9  ;9+ =*9/+ =9>,, ,,* , 6 ,/* 9;,9+/* 9 6 +,,/*  ,/,, 9/9+9, + *, 7,*>, D/, 9 9 6 ,76/> 7/* /*. L ,*/,, 9 *7,=,?,6+, *+,7,/* ,=,?6-*7,=,?,/ * ,79* 6 /*9*/*  , 7*/=*< @/9 6 /*9*/* ,67+* /*  9//* 6 9+D9//* * /**/* @ +9;,*  69+9,. F/9/,+* 7/*+/* 7/, 9+;*/* +* 9D*/6?,>,, * /*? 9 79*/* @ /*76 @ D9>,*  D/>9+9, , /*+9/* ,/,+6/ 97 2 - 3 7,. C,/9/;,+ * /*?6+8 9, ?9/,+* @ /* /*9*/,+* ,7*/=** 9 ,67,D,+* 9 6 D9 8,*/*  +*?,9,+6/. A* 6*6,*? * 7/, * 6D,*, 9 6D* 9 D/6>* ,/,*/. F/9/,+* +9>,*, 79+9, 9*/+< **, =,/** 6 ,*/8*>,* ,/9/;,+ /* /*  6D,*,8 /*79*/* 79+9, , =,/* =6/9+9, * =/9/. ! =,, =79+  =6/* 9+* , ** =/9/, 9/8, + 6*,, @,>, @ 8/< 9 ** @6*9 **/ 6 /*9*/* ,*+< 9*+* *?/, ,, , ,/ 9//,, =,, 7*/=* 67,D,+* 9 6 D9 =9>,6+,*< , +*  /*9*/* =9>,6+  =6 @*79 * ,79/,9.

#rata+ent*l i:ieno5dietetic Re:i+*l ali+entar, @ 7/,*+* ?,+* 97 67*/>,* * ,,9,* 9 /*;, +6 - =,6. !,  /*, ?, * + /*+9/* /?,9+9, ,*,+ * /** + 9 /*;, 69. Re:i+*l de +o-ilizare, 8/,? @ =9>,* * ,*/8*>, ,/9/;,+ *=*9 , * *,9+ , ;/8,* =/9/,,. & ,79+ 7/*?*>*, 7/9+9, ;,7 * 8 *=*9 6D,+,?/* 7,8 , 76, ,8 /*7 7/, */* , D,+,/* *,D,+,>,, + ,8*+9+ ?6*, 67*/*.

12

!97 6*/* 7/9+9, ;,7 * 8 /** + 6D,+,?/* ,8  *D/9+9, /*7*,8< 8 ;/,  + *+ , , * * 6D6*+< 9/*/*< ,76*> =9>,6+  /*9* ,79+ * 6D,+,?/*. U+*/,6/ ** ,,  * *8, *=6/9/,+* =,?,* ,** 9 7/*,+*>,* 7* *D/9+ 67*/.

13

CAP.  5 PAR#EA PERS!$AL" R!LUL ASS#E$#E MEDCALE %$ %$GR&REA PACE$'L!R CU (RAC#UR" DA()AR" A HUMERUSULU & +9//* * -9 9, /*, ?9/, +* =/9/,, ,=,?/*  9*/99+9,< /9* *86,+* * *7**> *,+* + * ,7 * =/9/. & @;/,,/* 7,*>,+6/ * >,* 6 * **/9+ ,,>,=,< /*7* *7*+* =9*+* +* *9, **/ C9+*;*/* *+6/ A+,? , ,*/7/*/* *+6/ =6/9+ ,;6,9+ * @;/,,/*. P+,=,/* ,*/8*>,,+6/< D,+, 6D,*,8*+* @ +*;9/ 9 7,*9+ /*?9+*+* *7* I*/8*>,,+* ,**,< *+*;* , 966*. E8+9/* /*?9+*+6/. C/9+ 6*79+ + V,/;,,*, H**/6 * D?*? 7* *=,,/* *+6/ 14 *86, =9*+*< 676**+* D,6-7,,6-6,+*< 9+9/+* , 7,/,9+* +* ,,8,9+9,. A,;*/* * /* 7,* @ ,=*/* *6/ *86, ** >*+9+ 7/6=*,*, * ,* *,+. P*/9  7+, 6*+9+ 6*79+ + V,/;,,*, H**/6< ,* /*D9,*  ,*  : 6 *86,* =9*+ ** 6 **,* 8,+ **>,+  =,,>*, 9* 7*/9 -, ,;9/ /* * D,*< @ 7//* =,?, , *+. C*+* 14 *86, =9*+* 9 :

2. 0. . . . . 3. F. . 21. 22. 20. 2. 2.

 /*7,/ ,  8* 6 D9 ,/9+>,*  D* ,    *+,,  * , ,  8* 6 D9 769/  * 6,, ,  6/,  * @D/  * *?D/ -, *,* *7*/9/ 6/79+9, @ +,,*+* 6/+* *  =, 9/< @;/,,< *  7/6* *;9**+* , 96*+* *  *8, 7*/,6+*+*  69, *  >,6 97 7/67/,,+* 68,;*/, , 8+6/,< *  7/, /*+,;, *  =, 7/*697 @ 8**/* /*+,?/,, *  * /*/* *  @8> 9  @>, 7/*?, * 14

2. C*le:erea datelor C9+*;*/* *+6/ * 7*/,*  =* 6 ,8*/,*/*  99/6/ 7**+6/ 7/,8, 7,*9+ @ ;+6D+,* . N* ,=6/*? 97/  ** * ** 7,*9+< 97/ 9=*/,>*,< 97/ 6D,,9/,+6/ +* * 8,> , 97/ /,, * ,=*/*  *86,+6/ =9*+*.

0. Analiza Ii interpretarea datelor P9* @ +9, 7/6D+**+* 7*,=,* * *7**> , 9/ * ,=,9+* /* +*- ;**/< , *+D6//*  7/6*9+9, * @;/,,/* . . Plani6icarea interven8iilor * 7*/,* : - **/,/* 6D,*,8*+6/ * , /*?9+9+ *7 - D,+,/* ,+6*+6/ 7*/9 /*?6+8/* 6D,*,8*+6/ . nterven8ia asistentei U,+,?/* 7+9+9, * ,*/8*>,, *+D6/< 7/*,?/* +6/ 6/*. . Eval*area rez*ltatelor C6 @ +,? /*?9+9+9, 6D>,9 ,  9 7/9 6, * @ *86+9>, /,, 7,*9+9, , *8*9+<  ** **/ /*9/* ,*/8*>,,+6/ , 6D,*,8*+6/ 7/6*9+ +,,. A,* *,+ * ,7+, ,8 @ @;/,,/,+* 7,*>,+6/ 9 =/9/ ,=,?/  9*/99+9,< * + ,*//* 7 + **//* , * ,;9/  7+,* ,*/8*>,,+* 9 /6+ 7/67/,9 , *+*; @ //* 7,*9+9,. aJ nterven8iile proprii s*nt concretizate de , Q A,;9//* 99, microclimat 6/*79?6/  ,;,**, 76, 6 **/* 6,,6/* , *8 7* ,79+ 7,+,?/,,. S* /*7* 6/*+* * ,;,*  79+9,< +**/,*,< +69+ 9/ , */,, 7+9 /*;9+,+* * *?,=*,* , */,+,?/*  ,/9*/9+9, =6+6,. U ,/6+, 6/*79?6/ 6/* 7*/9  ,D/,+* D/9* , , +* ?9* * *7*/9/ , 9,,* /*9 76 =* /* * D,*  7,*9+9, Q E* =6/* ,76/  ,* *,+  ,;9/* îngrijirile de bază  7,*9+9, ,6D,+,? + 7 / , 7,*>,+6/ 9 6D,+,* ?9. A,, * 76* 7*,=, ,;,* 7,*9+9, 7/,8, 6+* ;**/+ , 7/,+ Q Regimul dietetic ,766< ,76+,7,< ,767/6*, , 66/> 9 =*,9* 7,*9+9, , 9 *,>, 7/*/, * *,. & * /*;, 8 ,/ 6 +,*>,* *6 , 9? ,,=+6/*+6/ **/6,,**. R*;, +,*/ ,76+,7,, , ,767/6*, 7/, *>,*/* 9*, ;/*9>, 6/76/+* 67,*  7,*9+9,. A,* *,+ /*D9,*  8*/,=,* 69+ @ /* * */8** 7,*9+ @ /9+ *,*, / , *8*9+*+* +,** /* 76 =, ,/69* * /* 7/,6/,, 7,*9+9,. 15

Q Supravegherea generală  7,*9+9, , mobilizarea activă şi pasivă 7*/9  7/*8*, 7/,>, 67+,>,,+6/ ,8+,* P/, 97/8*;*/* ;**/+ * @*+*;* 9//* =9,,+6/ 8,+* TA< *7*/9/< 79+< /*7,/,*< D,+9+ ,;*-*/*< 7*9+ 9*+6/ , 6/* +6/ @ =6, * 6D*/8,* FO. L =*+ * ,76/ 76* =, , 6D,+,* ,=,,+ 7* /* 6 7/*?, 7,*9+ =*+ ,* *,+ 8 ,;9/ 9 ;/ * 966,* , 7/, ,,9/* 9/*/,, , /76/9+ 7,*9+9, @ =9>,* * **,>,+* +9,. A,* *,+ 8 6=*/, , 9 976/ 7,6+6;, /*9 , @/**/* @ *,7 *,+ *6/ 7,*>, *6/** 9 9, ;/ * ,6D,+,?/* ,/ , 7/68,?6/,9 + 7,*9+9, 76* 8* *=** *;,8* 7* 7+ 7,6-*6,6+ , 6,+. Q P/*;,/* 7,,  7,*9+9, 7*/9 tehnicile de imagistică şi tratament 7*,=,* ** *6*D, * ,76/ @ ,8,* ,**, *,+* @ 69+ 9 7,*9+ ,*/. P,*9+ /* *86,* , * 6 7/*;,/* =,?, *8 + 6,>,,+* * /* =,?,+-,*, 7/,8, 769/. A,* ,;9/ 6 7/*;,/* =,?,  7,*9+9, , @ ?9+ ,8*,;>,,+6/ 7/+,,* 7*,=,* *>,,+6/ * 6/67*,*. Q Educaţia pentru sănătate. !* 6D,*, 7,*>,, 9 9+>, , /* 9 =6 =*>, , 9?* /9,* , 9; @ /, *9+ * 8* +* D6+,, + 7,+ ,/ @;/,,/,+* 6/* * /* ,* *,+ *8, , 67+**. A,* *,+ * ,;9/  , 7,*9+  @>*+* *,9+ =*>,9,, +* ,  * 8 6=6/ /*;9+,+6/ * 7/6=,+,* *9/ , * 6,9/*  /*9+9, + 6,,+,9 ,  /*6/,+6/ * **//*. P*/9 recuperarea eficientă ,  , /7,  7,*9+9,< ,* *,+ * ,7+, =6/* 9+ , @ ,=6//* 7,*9+9, 7*/9  D6/ 9 ,+ * 8,> 6 , * -, *>,* /* * *. A,* *,+ 8 +9/, 7,*9+ + **//* 97/ 9/6/*+6/ 7** : -  9 /,,* ;/*9>, -  7/,* @ =,*/* ?, ;,, *,+ * 10-15 ,9* ,,*> , + =/,9+ 7/6;/9+9, -  *8,* /**/* 76*/+< /*7* ,* 6=6/ *?69+9, , *=6/9+9, =,?, 7* /*-+ 7/, -  * /**?* *,9+9, + 6/,* 6,=,/*  /,, * *

1

E9/* 7,*9+9, 7/,8, 9 6 * 8,> 6 < 7*/9  7/*8*, 67+,>,,+* D6+,,< ! 7,*9+  @>*+* 9/,+* 7* /* /*D9,*  +* **9* , 97 *  =6 **/ 9, 7/6;6,9+ D6+,, ** =86/D,+ , ,* *,+ ,- @*7+,, 9 9* 99+ , 6D,*,8*+* 7/679* 7*/9 //* 7,*9+9,. A,* *,+ /* @ 8**/* , 9+* 6D,*,8* / 99+ ,/* *+* , 7/6* /*D9,*  =,* *+,6//* 9/*/,, 7,*9+9, *6/** 7/, 7/6D+* * *7**> ** 9/*/* @ ** =*>,9,. -J nterven8ii c* rol dele:at. I*/8*>,,+* *+*;* 69 @ : Q P/,,7/* + examenul clinic *=*9 * /* *, + ,*//* , + 8,?, @ +6. A,;9//* 6,>,,+6/ 67,* * *,9 @ + * /* , @ +6 7*/9 69+>, *,9+9,. &6* =6, * 6D*/8,* , 7/*;* 69**+* *,+* **/* ,*//,, 6,>< /***< /*?9+*+* +,?*+6/< =,+* /,6+6;,*. M*>,*/* 7,*9+ @/-6 76?,>,* 7*,=, *,/,, * /* *, 7*/9 *8,*>,*/* 9,6/ 9?* 76+6;,* @ **9+ 6D,*,8. & *+, ,7 * 9//** D6+89+ 7*/9  6D*/8 9,* 6,=,/, * /, /*7,/6/ 9 * 6+6/>,*  *;9**+6/ @ ?9+ 97/6+,,/,+6/ =,?,* , ,79+ ,79+/,, * /* *,. Q P/+,,*: - recoltarea de probe de laborator 7/6D* * ;*9/, VSH< *6+*96;/< D,6,,*< ** 67+* * 9/,< *,*  9/ - participarea la examenul radiologic , 7/*;,/* 7,*9+9,< *8,*>,*/* ?6*, **/* * *,< 66/* 7,*9+9, 9 */ * 6D9/,* @ /* * 8 7*/** *,/* /,6+6;,. Q Administrarea medicamentelor , 7/*;,/* 7/*67*/6/,* , @;/,,/,+* 7667*/6/,, 9* ** ?9+. & =9>,* * /* 7,*9+9, ,* *,+ 8 ,,/ *,>,* ,+;, , ,,=+6/,*

**/6,,

,*D,+*D+**< A+;6+,< T/6+< !,+6=*< *6+

9D ,=*/,* =6/* /6+9+ *+*; **

67+* * 97/8*;*/* 7,*9+9, @ 8**/* /*7*/,, 7/6;/9+9, /*97*/6/ + + * ,*6-*/7,* , + 7/6*9/,+* * =,?,6*/7*9,* ;*6,=+9< 9+/9**< D, ;+8,*< 9/*, ,,,, 9 ,*/=*/*>,+,< Q revenirea complica!iilor 7/, *=*9/* ,*/8*>,,+6/ 7*,=,* 6/**< * /* ,*>,, *,+, 7,*>,+6/ 9 =/9/ ,=,?/  9*/99+9,< 9 @ //* D6+,, , 7/*8,* 67+,>,,+* *9/6+6;,* , 66/,,< /* * 6D,*, 9 *86,* * ,*/8*>,, ,/9/;,+* , =*+ ,79+ * 8,*/*  7,*9+9, * 7/*+9;** =6/* 9+ ,/ /*9+ *8,* ,8?,8 , 9/*/6. 1"

U/ ** *,, 7*,=,*< ,* *,+ /*9**  9 + ,*7+,,/* /,,+* * ,;/,,/* 7/,8, 7,*,, ,*/, 9 =/9/ ,=,?/  9*/99+9,.

1#

CA)UL  PLA$UL DE %$GR&RE PE$#RU PACE$#A P. <. CULEGEREA DA#EL!R

A. Date relativ sta-ile,      

$*+e , P. Pren*+e, V. $ationalitate, R6 Data naIterii, 25.05.1$" Reli:ia, O/66 Li+-a vor-ită, R6

B. Date relativ varia-ile,



n6or+a8ii :enerale, <7rsta, 31 , Starea civilă, C6/,



Do+icili*l, B/68< /. G*6/;* C+,*9< /. 25





Caracteristici :enerale, !c*pa8ia, P/6=*6/ Ho-K, G,9+ Ali+enta8ia, !,8*/,=, Cons*+*l de ca6ea9 t*t*n9 alcool, 2 - 3 =*+* 7* ?,< 99 1 7* * >,;/, 7* ?,< +66+ 6?,6+. Eveni+ente -iolo:ice le:ate de sănătate, Boli anterioare, ,;+, Sarcini, 6 /, =,?,6+6;,



nterven8ii c/ir*r:icale, ,;+*6,*



Accidente, 9  89

   



Ele+ente 6izice Ii reac8ionale,   



Gr*p san:*in, A II< R 76?,,8 De6icien8e senzoriale, 9 7/*?, Aler:ii, *; Re8ea*a de s*s8inere a persoanei, 7,* ** 6/,< 6>9+ ** ,;,*/< 9 6 =*,> * 5 ,< 7/,>,, 9 7*,6/,. A9 =6/* 9+>, 7/,**,. Date varia-ile le:ate de starea 6izică, #e+perat*ra, 3." 6C 1$

       

     

P*ls, #0 79+>,,,9 #.A, 120#0 H; Respira8ia, =,?,6+6;, Eli+inare, ,>,9, , 9* 6/+* Gre*tate, " ; nalti+ea, 1."0  C*loarea oc/ilor, *;/,, !r:ane de si+8, *,+,D/9+< 8?9+< 9?9+< 9 6/+* Date variate le:ate de condi8ii psi/osociale, An>ietate, 6*/ Stres, 9 ** /* Con6ort, ,6=6/< * 66*? ;/*9 + *,9+ 7,+,* Stare depresivă, 9 7/*?, Stare de constien8ă, OTS Capacitate de co+*nicare, ** 69,,8 ECHPA DE $#ER9+. C9 96/9+ 6>9+9, *,< * /*9**  * /,,*< 6>9+ *, * +8/*. L 9/;*> ** ,;6, 9 =/9/ ,=,?/  9*/99+9,. P,* ** ,*/ 7* *>, O/67*,*-T/96+6;,*. M!#


S/* ;**/+ +*/



!9/*/* 8,* + ,8*+9+ D/9+9, , + 9/9+9,



I76*> =9>,6+



C/*7,>,, 66* A$AM$E)A ASS#E$#E MEDCALE P,* @ 8/ * 31 * ,< *,+,D/ , 79 * 8**/* =,?,< * ,*/*? @  * 23.01.201" 9 9/6/*+* ,=*/, * *7**>:



!9/*/* 8,* + ,8*+9+ D/9+9, , + 9/9+9,



T.A.: 120#0 H; 20



P9+: #0 79+>,,,9



T*7*/9/: 3." 6C



R*7,/>,: =,?,6+6;,

A$AL)A Ş $#ERPRE#AREA DA#EL!R $E
SURSE DE D(CUL#A#E - ,** - 9/*/*

MA$(ES#"R DE DEPE$DE$@" - 76,D,+ ,7**

DAG$!S#C $URS$G - 76*>,+ ,=,9+* *  /*7,/

0. de a -ea Ii de a +anca

- 6/;*/, =,?,* -,**< 9/*/*

- ,7,* *  * /, =/ 96/

. de a eli+ina

- +,*>,* ,9=,,* - +,7 **/,>,,+6/ =,?,*

- D*> 9*+6/ * , 9+* ?,+* - ,=,9+* *  *=*

- ,=,9+* @  * +,* , ,/ - 6,7>,*

. de a se +iIca Ii de a +en8ine o post*ră corectă

- 6/;*/, =,?,* - ,** - 9/*/*

- ,7,* *  * ,< /,,< *? , */;*

-,6D,+,*

. de a dor+i Ii de a se odi/ni

- *,9 *6/*79?6/ - *8*,** *,>6/* - ,66,* - 9/*/* - ,**

- *,*< 6D6*+ - *+,,* - *9//* - ,=,9+* @  6/, - /*?,/* =/*8* - ;,>,*

- *79,?/*

. de a se +-răca Ii dez-răca

-6/;*/, =,?,* - ,6D,+,* , 9/*/*

- ,=,9+* @  * @D/ , *?D/

-;,*

3. de a5si +en8ine te+perat*ra corp*l*i n li+ite nor+ale

- +*//* ,/9+>,*, 7*/,=*/,*

- */* *7*/9/,, 9D +,,*+* 6/+*

- */*,>, /*, - ,76*/,*

F. de a 6i c*rată9 n:riită Ii a protea +*coasele Ii te:*+entele c*rate

- 6/;*/, =,?,* - ,6D,+,* - 9/*/*

- 9 76* -, 6/* @;/,,/, * ,;,*

- ,=,9+* @ -, 6/ @;/,,/, * ,;,*

. de a evita pericolele

- 9/*/* + ,8*+9+ =6/9+9, * =/9/

- ;,>,* - *+,,*

- ,**

2. de a respira Ii a avea o -*nă circ*la8ie

21

- ,6,*

- **7/* D6+,, - *,9 **8 - 6/;*/, =,?,* - +,7 966/6+9+9, - /9,* - 9/*/* *8*,** *,>6/*

- ,6,*

- 7,+,?/* - D6+ - *,9 **8

- *7/*, *,**+6/ * ,;9/* , /*7,;*/*

- ,;9/*

22. de a ac8iona - **7/* D6+,, con6or+ propriilor convin:eri Ii valori9 de a practica reli:ia

- ,7,* *  *=9/ 7/,, /*+,;,6*

- ,=,9+* *  7/,,7 + ,8,>, /*+,;,6*

20. de a 6i preoc*pată n vederea realizării

- ,** - *79,?/* , /* *7/*,8 - *8*,** *,>6/* - ,** - 7,+,?/* -,6D,+,*

- ,7,* *  - *8+6/,?/* /79* *7/,+6/ +6/ - *,*9+ * ,67**>

- +,7 * ,=/>,, , * 96,,>* **/* *>,*/,, >,, - * * *969 - 9/ , *,9 *969

- +,7 * 96*/*  D6+,,<  9/,+6/ * 7/*8*,/*  67+,>,,+6/

21. de a co+*nica

2. de a se recrea 2. de a nvă8a

- ,/,D,+,* - 7+;*/,< 7+

- 9/*/* + ,8*+9+ =6/9+9, * =/9/

- **/, - 7,

- =/,< *

- ,7,* *  * /*/* - ,,9+* *  @*7+,, ,8,>, /*/*,8*

DAG$!S#CUL $URS$G P,* 7/*?,: !9/*/* * ,*,* /*< I76*> =9>,6+ S/* ;**/+ 96/ +*/ *>*+< =,* 7+,< A,** R, * 67+,>,,. DAG$!S#CUL MEDCAL F/9/ ,=,?/ * 9*/9.

S#ABLREA PR!R#"@L!R PRE!PERA#!R 22

- ,9=,,* 96*/*

P/*8*,/* 6/>,, 9D,*9 C+/* 9/*/,,9 P/*8*,/* ,6D,+,>,, L,,,/* 9 7/,8,/* + ,*/8*>, ,/9/;,+ C/*/* 6,>,,+6/ 67,* * 6, M*>,*/* *;9**+6/ 9* , 9/* P/*8*,/* ;/*>9/,+6/ , 8/9/,

PLA$ DE %$GR&RE PRE!PRA#!R PR!BLEMA

!BEC#
!9/*/* + ,8*+9+ *D/9+9, 97*/,6/ ;.

S +*? 9/*/* @  , 9/ ,7 76,D,+.

S/* * ,6D,+,* 6+ ,79 * +*?,9*.

S-, ,;9/ 6* @;/,,/,+* **/*. S 7/*8, ,6D,+,* 7* 7/9/9+ *+6/ 3 ?,+*.

F/,< * * ,*/8*>, ,/9/;,+.

S 6 +,,* 9 7/,8,/* + ,*/8*>, ,/9/;,+.

$#ERE<$@ AU#!$!ME S97/8*;*? =9>,,+* 8,+*. C/**? 6,>,, * ,/6+,. A,;9/ 6 76?,>,*  , 66 7,**,. M6D,+,?*? =/*8* 7*/9 7/*8*,/* */*+6/. I7**? *,9+ , /*/9+ 9/*/,,. P,6*/7,*. A7+, 79; 9 ;*>. I, *7+, **,* ,6D,+,?/,, 7*/9  9 * ;/8 D6+. S*/8* 7,* + 7 9 *+* **/*  7*/9 +,*>,*  , 7*/9 *+,,/*. I8*,;*? 7,* * 6D,+,?/*. U//* 79*+* * 7/*,9*. E=*9*? 6+*. P/*8, ,6D,+,*. &*/  6 +,,* ,=9-, */*/* * ,=6/>,, 9 7/,8,/* + ,*/8*>, ,/9/;,+. &9/*?< @*/ 23

$#ER
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A*+ 7/68,?6/,*.

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F*6D/D,+ 21 D+*  ?,.

S 6 +,,* @ 7/,8,> ,*/8*>,*, ,/9/;,+*.

!97 30 ,9* * 9/*/*.

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S /**? 6,>,, 67,* * 6, , 6.

A*/,* +69+ , !,?*7 76/ ,9>,, 9 10 ; ?,. 7,*. M ,*/**? * 7/6;/9+ *, * 6. &, *7+, **,* 6,*, 7*/9 6/;,. O *9  *8,* **+* 67,6*.

P/*?, 7*/,6* * 6 +,,,.

!,=,9+* *  * +,*.

S =,* +,* 6/*79?6/.

C9/D 76*/+ * *>,*. A76/ +6/, +,,8 6/*79?6/.

!,=,9+* * -, *>,* *;9**+* 9/*.

S-, ,;9/ ,;,* 6/76/+.

O 9  * R*;, 69. +,**?*. I8*,;*? 6D,*,9/,+* , 96,>*+* *7/* 6 +,*>,* 6/*. O */8* + 7. O 9  *=*9*?* 6+* 8,>,, D9+*. &+9/ +,*>, * 7/*,79* + 6,7>,*. &, ,;9/ 9 76/ * ,, 2 L +,,*. P//* 9/D*, 76*/+*. E=*9*? 6+* 7/>,+ 7* /*;,9,. &, ,;9/ +**/,* * 7 , 6/7 9/*. I;,* 6/*  /*;,9,, 7*/,+*

C6,7>,

E+,,/, =,?,6+6;,*

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A 2- ?, /* 9.

24

E* 9/ , @;/,,.

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P,* @>*+*;* , 79* @/*D/, @ +*;9/ 9 /*  9+.

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P,* /* 69+ +,,,.

!,=,9+* *  * , , * -, *>,* 6 769/ 6/*.

S-, ,;9/ 6 A*? *D/9+ 67*/ 7* 6 76?,>,*  7*/ , 9/. , 6/* , O 9 -, ,D*  , 76?,>,. 66. E=*9*? 6+* 6/76/+ 7/>,+ 6/, * * 6/, ** *86,*. I9 9/, **/* 7*/9 7/*8*,/* */*+6/ * *9D,. S*/8* 7,* + 7. I8*,;*? 7,* * 6D,+,?/*.

S/* * 6/>*+ * *+,6/*?.

U,9* + ,8*+9+ 8,>,, D9+* ,  D9?*+6/.

S 7/*?,* 96* 9** @ 7*/*>.

C8,* D9+ , D9?*+* 9 9**.

S 9//* /* 7,**,. C/**? 6,>,, 67,* @ +6. I7**? /*/9+ , *,9+ 9/*/,,. P9; * ;*>. P,6*/7,*.

&, *=*9*? 6+* 8,>,, R*;, ,/,. D9+* 9 ;+,*/, D6/ , ,, 9*?* D9?*+* 9 *, / 6/, * * 6/, ** *86,*. !97 1" 6/* 2#

TA120#0 H; P9+0 79+>,,,. T3<$6C R*7,/>, =,?,6+6;,.

@*7 -, ,,/*? +,,* 7*/ 6.

0.12.0123 5 10.10.0123 PR!BLEMA !BEC#
$#ERE<$@ $#ER,*  S @;/,* E=*9*? 6+* ?,+,  T6+* , 7*9+ 67+,>,,+6/. 6/* 7+; , 7+;,, 9 +66+ ,/ 7+;,,.  6D*/8 6/,* I 9/9+ *,< 7* 9/ 6,=,/*  *,. 9 +66+ ,6 , 7+, 7* 9 R,86+< /*7* /*;9+,+* * *7,* , ,*7,*.

E
T9+D9//, * 6: ,6,*.

S-, /**? 6,>,, 67,* * 6 , 6,.

A*/,* +69+. &, *7+, **,* 6,*, 7*/9 6/;,. &, 79  *8,* 699+ * =* @,* * 9+/*.

!,=,9+* *  * , , * -, *>,* 6 769/ 6/*.

S-, ,;9/ 6 76?,>,*  , 6/* ,  , 66

A*? *D/9+ 67*/ 7* 6 7*/ , 9/. O 9 -, ,D* 76?,>,. E=*9*? 6+* 7/,+ 6/, * * 6/, ** *86,*. I9 9/, **/* 7*/9 7/*8*,/* */*+6/ * *9D,. S*/8* 7,* + 7. I8*,;*? 7,* * 6D,+,?/*. &, =  96/ +  67*/ , @ ?6*+* 7/*,79* */*+6/.

S/* * ,6=6/ * *+,6/*?.

R,9+ 7/,>,*, */*+6/.

P/*8*,/* */*+6/ ,  7*96,*, * *9D,.

&, =  96/ , 6 79/*? 9 79/ * +. P/6**? +,*+*< 9 6+, * 8. &, ,D 76?,>, @ 7  , * , 30 @ 30 * ,9*.

S/* * 6/>*+ * *+,6/*?.

2$

!,?*7 D.10 ;  ?, P,* 7/*?, 7*/,6* * 6 +,,,.

&, */*=9+ 7  9 *, 9*. R*7* 9/,+* 7 7/*8*,/* ,=*>,,+6/ 666,+*. S*?>,* * /,* + ,8*+9+ 7+;,, , 96,>* ,9=,,** *7/* D6+.

&, 6=*/ ,=6/>,, *7/* 676/*9+ @ 7*/,6 * 68+**.

E=*9*? 6+* ?,+,  7+;,,. &, *7+,  *?>, * /,* 7* /* 6 /* ** 9 * + 8,*/,, 7+;,,.

E86+9, 7+;,, ** =86/D,+. P,*  ,*+* */,*+* 7*/9 6 *86+9,* =86/D,+.

&, 9 ,=6/>,, *7/* /*;,9+ * /9>/* , *+ =,?,. O ,=6/*? *7/* 7*/,6+9+ /*,,8*, , ?9+ */*7*/,, /*;,9+9,. O 9//*  @*+*;* , /*7* *+* 79*. A,**< *< =/, * 6*/* =,/*+6/.

S-, @+9/ /* * =/,. &9//* 7,**,.

&, *7+,  6*/* =,/*+6/ 9 ** 9/*/6 , *7,* * *86+9>, 7+;,,. &, *7+,  76* =, *7+9 / 9 9/*/6.

S6*/* =,/*+6/ @  * 02.02.201"

S976/ D,* 6*/* =,/*+6/.

E,+* =,?,6+6;,* 6/*79?6/*. E* ,/9, @ 7/,8,> : /*7*/,, /*;,9+9, * /9>/* =,?, 6,9/* /*9+9, 7/*/, * *, /*8*,/* + 6/6+ 7*/,6, 7/,9+ 7** " ?,+* /*96*/* 7/,>,*, *8*9+*+6/ ** * 67+,>,* +6+  7+;,, , 7/*?*/* + *, =,+, ** ,/9,  9//* /*;,9+ * 8,> + 7,**, #rata+ent*l *r+at, 30

O,+, 41 ;/.?, A+;6+, =,6+* + *86,*. P,=* D+**< + *86,*. !,?*7 1 D+* */< + *86,*. !9+6+ 1 D+*< + *86,*. C+,8/, 0<3 +  ?, ..

31

CA)UL  PLA$UL DE %$GR&RE PE$#RU PACE$#UL M.E. CULEGEREA DA#EL!R A. Date 6i>e,  

 

 

$*+e , M. Pren*+e, E. $a8ionalitate, R6 Data naIterii, 20.10.1$3 Reli:ia, O/66 Li+-a vor-ită, R6

B. Date relativ varia-ile, n6or+a8ii :enerale,  <7rsta, "0 ,  Starea civilă, C6/,  Do+icili*l, B/68< /. &=/>,/,,< /. 112 Caracteristici :enerale,  !c*pa8ia, P*,6/  !-icei*ri, G/,/,9+  Ali+enta8ia, !,8*/,=,  Cons*+*l de ca6ea9 t*t*n9 alcool, 6?,6+

9 69 =* , 99< +66+

Eveni+ente -iolo:ice le:ate de sănătate,  Boli anterioare, 9  89  nterven8ii c/ir*r:icale, 9  89  Accidente, 9  89 Ele+ente 6izice Ii reac8ionale,  Gr*p san:*in, A II< R 76?,,8  De6icien8e senzoriale, 9 7/*?,< OTS  Aler:ii, *; Re8ea*a de s*s8inere a persoanei, 7,*9+ ** 6/,<* @>*+*;* =6/* D,* 9 6>, +9,. A9 6, D,*>, , 7/9 *76>,. F,, =6/* 6,D,+, 9 =6/* 9+>, 7/,**,. Date varia-ile le:ate de starea 6izică, 6  #e+perat*ra, 3.2 C  P*ls, #5 79+>,,,9  #.A, 1"0$0 H;  Respira8ia, =,?,6+6;,  Eli+inare, ,>,9, , 9* 6/+*  Gre*tate, "0 ;  %năl8i+ea, 1."0   C*loarea oc/ilor, +D/,  !r:ane de si+8, *,+,D/9+< 8?9+< 9?9+< 9 @ +,,*+* 8/*, Date variate le:ate de condi8ii psi/osociale, 32



   

An>ietate, 6*/ Stres, 9 ** /* Con6ort, ,6=6/< * 66*? ;/*9 + *,9+ 7,+,* Stare depresivă, 7/*?, 6 96/ /* *7/*,8 Stare de constien8ă, 6,*< 6/,* Capaciate de co+*nicare, ** 69,,v

ECHPA DE $#ER
S#!RCUL B!L P,*9+ * 7/*?,  @  * 02.04.201" @ 9/9+ 6/*, 13 6D6/ /*7*+* @   9=*/, 9 ,* 7/, /*< *,79 -, 6D,+,?*?* *D/9+ 97*/,6/ ;. & **, ?, 6/, 9/*/,, , ,6D,+,?/,, ,,, ** 9 + U/;*>. !97 69+ * 7*,+,* * 79* ,;6,9+ =/9/ ,=,?/  9*/99+9,.

M!# =9>,6+ C/*7,>,, 66* A$AM$E)A ASS#E$#E MEDCALE P,*9+ @ 8/ * "0 * ,< *,+,D/ , 79 * 8**/* 7,,< * ,*/*? @  * 02.04.201" 9 9/6/*+* ,=*/, * *7**>:  !9/*/* 8,* + ,8*+9+ D/9+9, 6  T*7*/9/, 3.2 C  P9+: #5 79+>,,,9  T.A, 1"0$0 H;  R*7,/>,, =,?,6+6;,

A$AL)A S $#ERPRE#AREA DA#EL!R $E
SURSE DE D(CUL#A#E - ,** - 9/*/* - ,,9/* 6D,+,>,, -,**< 9/*/*< +D,,9*< ,;9/* - +,7 * 96*/*  *86,+6/ @ ,//* , ,*/+,?/*

MA$(ES#AR DE DEPE$DE$#A

DAG$!S#C $URS$G

- 86* /;9,

- +*//* 86,,

- 9 8/*  * ,, - 9 8/*  D* *+6

- /*=9? *  * +,* , ,/

33

6/;,9+9,

. de a eli+ina

- ,** - +*/;,* - +,7 ,//,, , ,,8,* 6+ ,*/+,?/,, 6/;,9+9,- 9,9* 7,*+,, ,  96*+6/ - ,** - +,,*/* ;/*,  - 9/*/* *D/*+6/ - 6/;*/, =,?,* - /*,*> @  - +,7 ,*/*9+9, @*/  = ,/,

- *,//*

- *,9 *6/*79?6/ - *,*< 6D6*+ - ,66,* - *+,,* - 9/*/* - *9//* - ,** - ,=,9+* @  6/, - /*?,/* =/*8*

- *79,?/*

. de a se +-răca Ii dez-răca

- +D,,9* - 6D6*+ - ,**

- /*=9?9+ *  * @D/ , *?D/

-*?,*/* => * >,9 8*,*/

3. de a5Ii +en8ine te+perat*ra corp*l*i n li+ite nor+ale F. de a 6i c*rat9 n:riit Ii a protea +*coasele Ii te:*+entele

- +*//* ,/9+>,*, 7*/,=*/,*

- */* *7*/9/,, 9D +,,*+* 6/+*

- */*,>, /*, - ,76*/,*

- +D,,9* - 6D6*+ - 7*/9/D/* ,;,,, * ,* - ,** - 9/*/* + ,8*+9+ =6/9+9, * =/9/ - **7/* D6+,, - *,9 **8 - *+,,* - 6/;*/, =,?,* - +,7 966/6+9+9, - +,7 6/6+9+9, ,*>,, - *7/* + D6+ - *,9 **8

- *;+,/* @*7+,,/,, @;/,,/,+6/ ,;,*,*

- *?,*/* @ -, 6/ @;/,,/, * ,;,*

- ;,>,* - *+,,* - ,6,* - ,/,D,+,* - 7+;*/,< 7+ - **/, - 7,

- ,** - 9/*/* + ,8*+9+ =6/9+9, * =/9/ - =/,< *

- ,?6+/* * 9/ , * *,9 - *7/*, *,**+6/ * ,;9/* , /*7,;*/* - +,7 * ,*/*

- ,;9/* - ,?6+/* 6,+

. de a se +iIca Ii de a +en8ine o post*ră corectă

. de a dor+i Ii de a se odi/ni

. de a evita pericolele

21. de a co+*nica

34

- 769/ ** - /*=9?9+ *  * ,

- ,6,*

22. de a ac8iona con6or+ propriilor convin:eri Ii valori9 de a practica reli:ia

- **7/* D6+,, - 7/697/* => * - =/, * 6/* *,=,>, 9=*/,>*, - *7/* + *,9+ - ;/, => * *9+ 8,*>,, 7,+,* ,  6/>,, - /*=9?9+ *  * 6=6/- 969?/* /*9+9, - 967**7,/* - 7*/*7*/* D6+,,  6 7**

20. de a 6i preoc*pat n- *7/* + /*+,* - ,7,* *  +9 vederea - +,7 * 96*/*  *,?,, realizării /,, +* * * - ,7,* *  /*?6+8 ,  /**+6/ 7/6D+**+* 2. de a se - ,** - ,7,* *  * recrea - 7,+,?/* /*/* -,6D,+,* 2. de a nvă8a - +,7 * ,=6/>,, , - +,7 * 96*/* * 96,,>*  D6+,,<  9/,+6/ **/* *>,*/,, * 7/*8*,/*  >,, 67+,>,,+6/ - * * *969

- *+,,* => * *,=,>, 7/67,*, *,*>* - *,* * 9+7,D,+,*

- *79,>

- ,,9+* *  @*7+,, ,8,>, /*/*,8* - ,9=,,* 96*/*

DAG$!S#CUL $URS$G P,*9+ 7/*?,: 

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

T9*=>,* +6+

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I76*> =9>,6+



S/* ;**/+ 96/ +*/ *?>,* *>*+< =,* 7+,



A,**



R, * 67+,>,,

DAG$!S#CUL MEDCAL F/9/ ,=,?/  9*/99+9,.

S#ABLREA PR!R#"@L!R PRE!PERA#!R 

P/*8*,/* 6/>,, 9D,*

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P/*8*,/* ,6D,+,>,, 7* 7/9/9+ *+6/ 3 ?,+* 35

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L,,,/* 9 7/,8,/* + ,*/8*>, ,/9/;,+



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M*>,*/* *;9**+6/ 9* , 9/*



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PLA$ DE %$GR&RE PRE!PERA#!R

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L 6/ $30 * =* */* + X,+,: 0<1 + ,..

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L 6/ 10 * ,** /*?9+9+ */,, + X,+, : * =,, *;,8.

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L 6/ 1015 * *=*9*? 6+* 6/76/+  /*;,9,, ,, 97/ *D/9+9, +*?< * /* 7,+6?,*.

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A+;6+, 1 =,6+ ,.8.

!9/*/* * @ ,*,*.

S-, ,;9/ 6 A*? *D/9+ 67*/ 76?,>,*  , 7* 6 7*/ , 9/. 6/* ,  &+ 9 -, ,D* , 66. 76?,>,. E=*9*? 6+* 7/,+ 6/, * *6/, ** *86,*. I9 9/, **/* 7*/9 7/*8*,/* */*+6/ * *9D,. S*/8* 7,*9+ + 7. I8*,;*? 7,* * 6D,+,?/*. U,9* + S 7/*?,* &, *=*9*? 6+* R*;, ,/,. ,8*+9+ 8,>,, 96* 8,>,, D9+* D9+* ,  D9?*+6/. 9** @ 9 ;+,*/, D6/ , @, 7*/*>. 9*?* D9?*+* 9 *, / 6/, * * 6/, ** *86,*. !97 1" 6/*

P,*9+ +,,,.

P,*9+ * 66*? + *,9+ 7,+,*.

!,=,9+* *  * , , * -, *>,* 6 769/ 6/*.

40

C8,* D9+ , D9?*+* 9 9**.

@*7 -, ,,/*? +,,* 7*/ 6.

1.1.0123 5 2.1.0123 PR!BLEMA !BEC#
$#ERE<$@ $#ER,*. &, *=*9*? 6+* 6/76/+ /,;9/6. A7+, 79; 9 ;*>. I6,*. S-, /**? A*/,* +69+ !,?*7 D.10 ;  ?, 6,>,, 67,* , ,9 9 *+. 9 6 =,6+  ?,. * 6 , 6,. &, *7+, **,* 6,*, 7*/9 6/;,. &, 79  *8,* **+* 67,6* */. S *8,* /,+* *,6* , ,9>,,+* 6/,6/,,. !,=,9+* *  * S-, ,;9/ 6 76?,>,* A*? *D/9+ , , * -,  67*/ 7* 6 7*/ *>,* 6 , 6/* , , 9/. 769/  , &, =  @ 6/*. 66 ?6*+* 7/*,79* */*+6/. !,=,9+* * -, 6/ 9/, * ,;,*.

S-, ,;9/ ,;,* 6/76/+.

E=*9*? 6+* 7/>,+ 6/, * * 6/, ** *86,* 9 7 , 79. &, ,;9/ +**/,* * 7 , 6/7 9/*. &, *7+, ,76/> *>,*/,, ,;,**,. 41

E
P,*9+ 7/*?, 7*/,6* * 6 +,,,.

S/* * ,6=6/ * *+,6/*?.

P,*9+ ** 9/ , @;/,,.

'* + ,8*+9+ 7+;,,.

I=6/>,, *7/* 676/*9+ @ 68+**>.

!*?,*/* => * ,8,>,+* /*/*,8*

R*7/* 9*, /, * D9 ,76?,>,*.

T* , =/, * 6*/* =,/*+6/.

&9//* 7,*9+9,.

E=*9*? 6+* ?,+,  7+;,,. &, *7+,  *?, ** 9 * + 8,*/,, 7+;,,. &, 9 ,=6/>,, *7/* /*;,9+ =,?, * /9>/*. &+ ,=6/*? *7/* 7*/,6+9+ /*,,8*, @ ?9+ */*7*/,, /*;,9+9, &*/* 7/* ,8,>, /*/*,8*.

!97 6+*< * * + ,8*+9+ 7+;,, ,7/*. E86+9>, 7+;,, ** =86/D,+.

P,*9+ ** , /*+.

&, *7+,  S6*/* =,/*+6/ S976/ *,+,D/ 6*/* =,/*+6/ @  * 13.04.201" 6*/* =,/*+6/. 9 ** 9/*/6 , *7,* * *86+9>, 7+;,,. &, *7+,  76* =, *7+9 / 9 9/*/6.

E,+* =,?,6+6;,* 6/*79?6/*. E* ,/9, @ 7/,8,> : /*7*/* /*;,9+9, * /9>/* =,?, 6,9/* /*9+9, 7/*/, * *, /*8*,/* + 6/6+ 7*/,6, 7/,9+ 7** " ?,+* /*96*/* 7/,>,*, *8*9+*+6/ ** * 67+,>,* +6+  7+;,, , 7/*?*/* + *, =,+, ** ,/9,  9//* /*;,9+ * 8,> + 7,*9+9, #rata+ent*l *r+at, O,+, 41 ;/.?, G**,, 21 =,6+* ?, A+;6+, =,6+* + *86,*. P,=* D+**< + *86,*. !,?*7 1 D+* */< + *86,*. 42

!9+6+ 1 D+*< + *86,*.

43

CA)UL  PLA$UL DE %$GR&RE PE$#RU PACE$#A =.M.

CULEGEREA DA#EL!R A. Date 6i>e,  

 

 

$*+e , . Pren*+e, M. $a8ionalitate, M;,/ Data naIterii, 10.03.1$50 Reli:ia, R*=6/ Li+-a vor-ită, R6 , M;,/

B. Date relativ varia-ile, n6or+a8ii :enerale,  <7rsta, 5 ,  Starea civilă, C6/,  Do+icili*l, B/68< S/. A I7*9< /.2 Caracteristici :enerale,  !c*pa8ia, C/6,6/*  !-icei*ri, 999+ , ;,9+  Ali+enta8ia, !,8*/,=,< 7/*6, 8*;*/,  Cons*+*l de ca6ea9 t*t*n9 alcool, 1-2 =*+* 7* ?,< 99 , +66+ 9 69. Eveni+ente -iolo:ice le:ate de sănătate, Bo



li anterioare, 9  89

Sa



rcini, 69 /,, =?,6+6;,* 

terven8ii c/ir*r:icale, 9  89

n Ac



cidente, 9  89 Ele+ente 6izice Ii reac8ionale,

Gr



*p san:*in, O I< R 76?,,8 

6icien8e senzoriale, 9 7/*?,< OTS

De Pr



oteze, 9 /*

Al



er:ii, *;

44

Re8ea*a de s*s8inere a persoanei, 7,* ** 6/,. A/* 69 =** 6/,* , 69 *76* . F,, =6/* 6,D,+< /* =6/* 9+>, 7/,**,. Date varia-ile le:ate de starea 6izică,

#e



+perat*ra, 3".2 C 6

P*



ls, #0 79+>,,,9

#.



A, 140$0 H;

Re



spira8ia, =,?,6+6;, 

+inare, ,>,9, , 9* 6/+* 

e*tate, " ;

Eli Gr %n



ăl8i+ea, 1." 

C



*loarea oc/ilor, +D/, :ane de si+8, *,+,D/9+< 8?9+< 9?9+< 9 @ +,,*+* 8/*,< Date variate le:ate de condi8ii psi/osociale, 

n>ietate, 6*/

!r

A St



res, ** 79>, /* 

n6ort, ,6=6/< * 66*? ;/*9 + *,9+ 7,+,* 

are depresivă, 9 7/*?, 

are de constien8ă, 6,*< 6/,* paciate de co+*nicare, ** ;/*9 69,,8

Co St St Ca

ECHPA DE $#ER
RE#!RCUL B!L !, ,9>,,+* 79/* 9 7,* /*,**  @ */ ?,+*, * 0.04.200< + 6/*+* 1#<  * /* + 7/,< +9* , * +68,9-* + 9/9+ ;. !97 */* ,7* 6 9/*/* * ,*,* /*. E* 9 + U/;*>< 9*< 97 69+9+ * 7*,+,* * 79* ,;6,9+ * =/9/  */*,>,, 97*/,6/*  9*/99+9,< , ** ,*/ 7* *>, * O/67*,*  T/96+6;,*. M!#
45

!9



/*/* 8,* + ,8*+9+ 9/9+9,

S



/* ;**/+ +*/

I



76*> =9>,6+

C/



*7,>,, 66*

A$AM$E)A ASS#E$#E MEDCALE P,* @ 8/ * 5 * ,< *,+,D/ , 79 * 8**/* 7,,< * ,*/*? @  * 0.04.201" 9 9/6/*+* ,=*/, * *7**>:  !9 /*/* 8,* + ,8*+9+ 9/9+9, #.  A, 140$0 H; P* ls, #0 79+>,,,9 #e  6 +perat*ra, 3".2 C Re  spira8ia, =,?,6+6;,

A$AL)A Ş $#ERPRE#AREA DA#EL!R $E
SURSE DE D(CUL#A#E - ,** - 9/*/*

2. de a respira Ii a avea o -*nă circ*la8ie 0. de a -ea Ii de a - ,**< +anca - 9/*/*< - +D,,9*< . de a eli+ina - ,** - +,7 ,//,, , ,*/+,?/,, 6/;,9+9, . de a se +iIca Ii - 9/*/* de a +en8ine o - ,** post*ră corectă - 6/;*/, =,?,* - /* *7/*,8 . de a dor+i Ii de a se odi/ni

MA$(ES#"R DE DEPE$DE$@" - 76,D,+ ,7**

DAG$!S#C $URS$G - 76*>,+ ,=,9+* *  /*7,/

- 9 8/*  * - /*=9? *  * +,* ,, , ,/ - 9 8/*  D* *+6 - +*/;,* ,,8,* 6+ - *,//* - 9,9* 7,*+,, ,  96*+6/

- ,7,* *  * 6D,+,? - ,=,9+* @  /* @ 76?,>, =9*+ - /*,,*> @  @*/  = ,/, - *,9 *6/*79?6/ - *,*< 6D6*+ - ,**< 9/*/* - *+,,* - ,66,* - *9//* - 9/*/* - ,=,9+* @  4

- 769/ ** - ,6D,+,* - /*=9?9+ *  * ,

- *79,?/* - ,6,*

- ,**

. de a se +-răca Ii dez-răca 3. de a5Ii +en8ine te+perat*ra corp*l*i n li+ite nor+ale F. de a 6i c*rată9 n:riită Ii a protea +*coasele Ii te:*+entele . de a evita pericolele

21. de a co+*nica

22. de a ac8iona con6or+ propriilor convin:eri Ii valori9 de a practica reli:ia

- +,7 =6/>*, 99+/* - ,** - *6>,, 79*/,*

6/, - 6/* ,9=,*,** * 6 - ,7,* *  * 6D,+,? - /**/* *7*/9/,, 7** +,,*+* 6/+*

-,=,9+* ,D/,, +**/,*, ,,* - 9D=*D/,+,*

- 6/;*/, =,?,*  ,6D,+,* - 9/*/*

- 9 76* -, 6/* @;/,,/, * ,;,*

- ,=,9+* @ -, 6/ @;/,,/, * ,;,*

- 9/*/* + ,8*+9+ =6/9+9, * =/9/ - **7/* D6+,, - *,9 **8 - 9/*/* - *8*,** *,>6/* - *+,,* - 6/;*/, =,?,* - +,7 966/6+9+9, - /9,* - +,7 6/6+9+9, ,*>,, - *7/* + D6+ - *,9 **8 - *7/* + *,9+ 7,+,* - **7/* D6+,,

- ;,>,* - *+,,* - ,6,* - **/, - 7, - *,*< - +D,,9* - 7+,,*+ - ,7**>

- ,** - =/,< * - /* *7/*,8

- ,?6+/* * 9/ , * *,9 - *7/*, *,**+6/ * ,;9/* , /*7,;*/* - +,7 * ,*/* - 969?/* - 967**7,/* - 7*/*7*/* D6+,,  6 7**7

- ,;9/*

- *,* * 9+7,D,+,*

0. de a 6i preoc*pată n vederea realizării 2. de a se recrea

- *7/* + /*+,* - ,7,* *  +9 *,?,, - *79,> - *79,?/* - ,7,* *  - /* *7/*,8 /*?6+8 7/6D+**+* - ,** - 7,+,?/* -,6D,+,*

- ,7,* *  * /*/* - ,,9+* *  @*7+,, ,8,>, /*/*,8*

2. de a nvă8a

- 9/ , *,9 *969 - * * *969

- +,7 * 96*/*  D6+,,<  9/,+6/ * 7/*8*,/*  67+,>,,+6/

4"

- ,9=,,* 96*/*

DAG$!S#CUL $URS$G P,*9+ 7/*?,:  !9/*/* * ,*,* /*  R*9*/* 6D,+,>,,  E**  I76*> =9>,6+  S/* ;**/+ 96/ +*/ *?,* * *>*+< =,* 7+,  A,**  R, * 67+,>,

DAG$!S#CUL MEDCAL F/9/ ,=,?/  9*/99+9,.

S#ABLREA PR!R#"@L!R PRE!PERA#!R P/*8*,/* 6/>,, 9D,* C+/* 9/*/,, P/*8*,/* ,6D,+,>,, 7* 7/9/9+ *+6/ 3 ?,+* L,,,/* 9 7/,8,/* + ,*/8*>, ,/9/;,+ C/*/* 6,>,,+6/ 67,* * 6, M*>,*/* *;9**+6/ 9* , 9/*  =6//* 7,**, *7/* /*  9+ 

PLA$ DE %$GR&RE PRE!PERA#!R PR!BLEMA

!BEC#
!9/*/* + ,8*+9+ *D/9+9, 97*/,6/ ;.

S +*? 9/*/* @ *+ , 9/ ,7 76,D,+.

S/* * S-, ,;9/ ,6D,+,* 6+ 6* @;/,,/,+* ,79 * **/*.

$#ERE<$@ AU#!$!ME S97/8*;*? =9>,,+* 8,+*. C/**? 6,>,, * ,/6+,. A,;9/ 6 76?,>,*  , 66 7,**,. I+ ,6D,+,?*? =/*8* 7*/9 7/*8*,/* */*+6/. I7**? *,9+ , /*/9+ 9/*/,,. P,6*/7,*. A7+, 79; 9 ;*. &, *7+, **,* ,6D,+,?/,, 7*/9  9 * ;/8 D6+. 4#

$#ER
E
A*+ 7/68,?6/,*.

P,* 6+D6/*?. S @ 76?,>,* 66 , *

!97 30 ,9* * 9/*/* @ ,*,*.

+*?,9*.

F/,< * * ,*/8*>, ,/9/;,+.

I6,*

!,=,9+* * -, *,* *;9**+* 9/*.

S 7/*8, ,6D,+,* 7* 7/9/9+ *+6/ 3 ?,+*.

S*/8* 7,* + 7 9 *+* **/*  7*/9 +,*>,*  , 7*/9 *+,,/*. I8*,;*? 7,* * 6D,+,?/*. U//* 79*+* * 7/*,9*. E=*9*? 6+*. P/*8, ,6D,+,*. S 6 +,,* &*/  6 +,,* F*6D/D,+ 21 9 7/,8,/* + ,=9-, D+**  ?,. ,*/8*>, */*/* * ,=6/>,, ,/9/;,+. 9 7/,8,/* + ,*/8*>, ,/9/;,+. O @9/*?< @*/  6 66*? + *,9+ * 7,+. O 9 @ 6 9 +>, 7,*>, 9 *86+9>,* =86/D,+. S /**? A*/,* +69+ !,?*7 10 ; 6,,, 67,* * , 76/ ,9,, 9 1 D ?,. 6, , 6. 7,*. M ,*/**? * 7/6;/9+ *, * 6. I, *7+, **,* 6,*, 7*/9 6/;,. O *9  *8,* **+* 67,6*. S-, ,;9/ E=*9*? 6+* ,;,* 6/76/+ 6/76/+. 7/>,+ 7* /*;,9,. I, ,;9/ +**/,* * 7 , 6/7 9/*. I;,* 6/*  /*;,9,, 7*/,+*. !97 6+* *=*9*?  9 +66+ *6+ ,, @ ?6*+* 7/*,79* + */*. E8, 9*?,/* *+*, ;,7*. 4$

6D,+,?*?.

S* +,,** @ 7/,8,> ,*/8*>,*, ,/9/;,+*.

P/*?, 7*/,6* * 6 +,,,.

E* 9/ , @;/,,.

C6,7>,

E+,,/, =,?,6+6;,*

I9=,,* 96*/*  D6+,,

S 6 ,=6/*? *7/* /*  9+.

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ANALI)E !E LABORATOR

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P/*8*,/* */*+6/ ,P*/9 7/*8*,/*  7*9,,*, * */*+6/ @, =  @ *9D,. /*;,9,+* 7/*,79* , 6 79/*?< @, 7/6**? +,, 9 6+,. &, @, D,* */*=9+. &, ,D 76?,>, , *9D, 6/+ @ *9D, +*/+ /*7 , 2 @ 2 6/* 7*/9 7/*8*,/* 7*96,*, * *9D,. S +*? E=*9*? 6+* 7+;,, T6+* , 9/*/* @ 9 +66+ ,/ @ 9/9+ 7*9+  , 9/ *,< 7* 9/ 9 +66+ 7+;,,. ,7. ,6 , 7+, 7* 9 R,86+< /*7* A+;6+, /*;9+,+* * *7,* , 1 =,6+ ,.. ,*7,*. U//* *8*9+*+* 53

C8,* D9+ , D9?*+* 9 9**.

P,* 9 7/*?, 67+,>,,.

!9/*/* * /*9*.

** * 97/,=*,*. &, *=*9*? 6+* 6/76/+ /,;9/6. I6,*. S-, /**? A*/,* +69+ !,?*7 D. 6,>,, 67,* , ,9 9 *. 10;  ?, . * 6 , &, *7+, **,* 6,. 6,*, 7*/9 6/;,. &, 79  *8,* **+* 67,6* */. S *8,* /,+* *,6* , ,9>,,+* 6/,6/,, !,=,9+* *  * S-, ,;9/ 6 76?,>,* A*? *D/9+ 67*/ 7* 6 , , * -,  , 6/* ,  7*/ , 9/. *>,* 6 , 66 &, =  @ ?6*+* 769/ 7/*,79* 6/*. */*+6/. A9 7,* -, ,D* 76?,>,. !,=,9+* * S-, ,;9/ E=*9*? 6+* -, 6/ ,;,* 7* /*;,9, 9 7 , 9/, * 6/76/+ , 79. &, ,;9/ ,;,*. 6+ 6/* +**/,* * 7 , 6/7  7+;,,. 9/*. &, *7+, ,76/> *>,*/,, ,;,**,. '* + ,8*+9+ I=6//* E=*9*? 6+* ?,+,  7+;,, , *7/* 7+;,,. 96,,>* 676/*9+ @ &, *7+,  *?>, ** ,9=,,** 7*/,6 * 9 * + 8,*/,, *7/* D6+. 68+**>. 7+;,,. &, 9 ,=6/>,, *7/* /*;,9+ =,?, * /9>/*. O ,=6/*? *7/* 7*/,6+9+ /*,,8*, @ ?9+ */*7*/,, /*;,9+9,

P,* 7/*?, 7*/,6* * 6 +,,,.

S/* * ,6=6/ * *+,6/*?.

P,* ** 9/ , @;/,,.

!97 6+*< * * + ,8*+9+ 7+;,, ,7/*. E86+9>, 7+;,, ** =86/D,+.

T* , =/, * 6*/* =,/*+6/.

&9//* 7,**,.

&, *7+,  6*/* S6*/* =,/*+6/ S976/ *,+,D/ =,/*+6/ 9 ** @  * 6*/* =,/*+6/. 9/*/6 , *7,* * 14.04.201" *86+9>, 7+;,,. &, *7+,  76* =, *7+9 / 9 9/*/6.

S*,* * 9+7D,+,*

R*7/* @/**/,, @ ,*.

A9 D6+8  ,*,=,* 9? =/9//,,. O @9/*? -, *7/,* =/9//,+*.

54

P,*  *7, *,*9+ * =/9//*.

E : /*7*/* /*;,9+9, * /9>/* =,?, 6,9/* /*9+9, 7/*/, * *, /*8*,/* + 6/6+ 7*/,6, 7/,9+ 7** " ?,+* /*96*/* 7/,>,*, *8*9+*+6/ ** * 67+,>,* +6+ 7+;,, , 7/*?*/* + *, =,+, ** ,/9,  9//* /*;,9+ * 8,> + 7,**,.

#rata+ent*l *r+at, - O,+, 41 ;/.?, - G**,, 21 =,6+* ?, - A+;6+, =,6+* + *86,*. - *6+ 31 =,6+ ,.. - !,?*7 1 D+* */< + *86,*. - !9+6+ 1 D+*< + *86,*.

55

Fractura Humerus

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