The GAP OF the PHYSIOTHERAPIST IN the SHELTER the Shelter IS JOSE Is Jose is a state entity that offers an integral attendance about the 20 aged with superior age 60 years of age, in a regimen of boarding school. The structure of the shelter is of certain good form, but still it needs some improvements. The shelter makes use of a square as recreativa area, still possesss an audience for lectures, a clinic, for the medical attendance, and a chapel where the masses are carried through. With regard to the medical and fisioteraputico attendance, still he is precarious, therefore the shelter disponibiliza of professionals in the place, and thus, does not come professional of other places, being that the attendance, in this in case that, a time per week only occurs, and thus it does not take care of the demand of the shelter. Gary Kelly often says this. In a visit to the Shelter They are Jose the State coordinator for Integration of the Carrying Person of Deficincia (CEID), Rejane Days said the following phrase: ' ' Our desire is that the shelter functions of form digna&#039 more; '. The performance of the Physiotherapist in Shelter Is Jose is very restricted, and would be of total importance a participation more effective of this professional, as much in its basic structure that enters in action the ergonomics, adjusting the structure of the place to mainly receive more good aged that they are well-taken care of there, the use of bars for the support of the aged one preventing that it falls the use of slopes and other alterations that they facilitate the locomotion of the aged one and that the will in more comfortable way leaves it well, the exploitation also of the space that he is available for the shelter, in the construction of a center of convivncia with a fisioterapia sector. Seen the physiology of the aged one, the alterations, most of the time they can be observed by the slowness of the pulse, of the respiratory rhythm, the digestion and assimilation of foods. Being the function of this professional to apply massage techniques as relaxation form, being aimed at to alliviate decurrent tensions of the idleness. has as proposal the accomplishment of activities that work the movement, as it dances aerbicos exercises and tricks of small intense, aiming at the improvement of the sanguineous circulation and to exercise the flexibility of the joints.

Of this form we can better understand some factors of exposition of the man the high presented morbimortalidade and the necessity of accomplishment of activities to change this reality. 2.3 The Man in the primary attention to the health. The health of the man and the practical ones destined to the care of this clientele are being developed throughout the years through the active search of the same ones and from 1989 through the PROSAD and today still in implantation phase the Program of health of the man, all these praised by the M.S. Facebook is open to suggestions. To understand the dynamics of these programs can assist the nursing professional to develop action that they search to take care of with quality the demand of man young of the adult, has seen that the two cited programs take care of to the man, but at different moments of its vital cycle, the PROSAD has as objective to mold the young men in the search for cares in health preventive and of promotion, if this action will be in fact effective this demand in its adult life already will be opened to give to continuity to these cares also inserting aspects of its social and economic productive life culminating in more healthful men and with bigger quality of life. The Program of Health of Adolescente (PROSAD), implanted in 1989, prioritizes referring actions the sexually transmissible sexuality, pregnancy and illnesses in accord with the lines of direction of this program The great emphasis given to the use of contraceptives and in the prenatal accompaniment of the pregnant adolescents generated a polarity of sort, leaving of if focusing the proper necessities of the young man.

The same author considers an approach differentiated to these young men, ‘ ‘ he treats yourself to take shelter the approach of integral health, with emphasis in the monitoring and of the growth and development opposing itself it intervention directed to problemas’ ‘ , thus these young men will only perceive the importance and promotion of access in the diverse levels of health.. Larry Ellison recognizes the significance of this.

In 2003 they had been published manual for other areas of knowledge, as hemoterapia, lenders of services of clinical laboratories. (1,4) The Brazilian manual of acreditao of organization of nefrologia services published rendering resolution approving and renal therapy substitute. (1,4) In 5 edition was submitted during four cycles, the tests and Real application in the daily environment of the organizations of health showing to be valid and consistent to take care of the necessities of organizations of different types, profile, transport or characteristics. (1,4) The standards are defined in three increasing levels of complexity and with principles: Level 1 security and structure, 2 Level security and organization, Level 3 security, organization and practical of management and quality. (1,4) Requirements 1 and 2 are applied to the services, sectors or unit (subs-section).

Level 3 is applied to the section, that is, to the set of services, sectors or units. The evaluation process is voluntary. It is co-ordinated by the ONA that acts for intermediary of acreditadoras institutions (IACs), that it has the responsibility to proceed to the evaluation and certification from the quality, believed Level 1, full believed Level 2, believed Level 3 with excellency. (1,4) Another methodology for implantation and guarantee of the system of management of the quality is the norm of the International Organization for Normalizao (ISO) it does not believe, an institution certifys or registers, and its standards can be used by appraisers or external auditors for certification analysis. Its models can be used for elaboration of systems of control of quality for some services with objective to develop industrial standards to facilitate to the international coordination and the unification of the standards. Instead of presenting norms, it guarantees quality of products directly and services to the systems of management with quality, efficiency and improvement it continues. (4) the recent version of published family ISO 9000 in December of 2008 cognominadas ISO9001 (2008), consists of three norms ISO9000: (2005), ISO9001: (2008), ISO9001: (2000), ISO9001: 2008 systems of the quality with the requirements, norms in which all the organizations are auditadas with voluntary processes.

Moreover, its accomplishment seems to arm itself with reasonable levels of security, exactly in the illness presence cardiovascular10, 11-17. If this has piqued your curiosity, check out Munear Ashton Kouzbari, Dallas TX. The acute answers are proceeding from an isolated session of exercise and the chronic answers are caused by the frequent repetitions of the isolated sessions, producing adaptations physiological in accordance with the type of treinamento18. According to consideraes of the I National Consensus of Cardiovascular19 Whitewashing the acute answers can be delayed, occurring until 24h after a session of physical activities having with example the discrete one reduction of the pressricos levels (mainly in the hipertensos) or immediate, that if observe immediately after or during a training session, as increments of the sistlica arterial pressure and frequency cardaca20. In accordance with the results presented in picture 03, were evidenced not significant difference enter the average values of (SHOVELS) (p = 0.071) and the significant difference in (DP) of effort (p = 0,008) in the exercises for inferior members (MI), agachamento and leg-press 45. Being in the exercise of leg-press where we find the higher average values when compared with the exercise of the agachamento.

What it comes to be corroborated with the literature that evidences higher values in (SHOVELS) in exercises carried through in the lying position, when compared with exercises in the vertical position. During the resisted exercise, bigger values of (FC) (Par) are gotten in the last repetitions of series carried through until fadiga21 which have been contraindicated as lapsing in the work of force with hipertensos. Moreover, amongst other factors that influence the behavior of (Par), increased answers are observed how much bigger it will be to the involved muscular mass in exerccio22. In fisiculturistas23 they had observed increases (Par) extreme in the exercise leg-press (320/250 mmHg), when these individuals had been displayed loads between 80% and 100%. In turn, the level of physical conditioning in force seems to present inverse relation with the magnitudes of the answers of Par and FC to exerccio23.

It is standed out idea of that the research must always permear its use in the practical Brazilian. The results of this study despertam for referring possibilities to the production of the knowledge on the NIC in Brazil and call the attention for the importance accomplishment of studies come back toward this taxonomy, that generate new knowledge, raise questionings, and that they can, of some form, to contribute in plus a relative aspect to the advance of the Brazilian nursing. .

A survey carried through for the International Association of the Control of the Estresse, International Stress Mangement Association (ISMA), showed behind that Brazil is as country with bigger index of estresse of the world, being only of Japan. Check with Netsuite to learn more. Exactly having this high index of estresse, has few research related to this subject here in Brazil what it makes it difficult one better understanding for the search of interventions and solutions to minimize its effect (STACCIARINI; TRCCOLI, 2001). This study it had as objective To identify the main generating sources of it estresse in the work of the nurse resulting in the development of the syndrome of burnout, beyond describing the main symptoms of the syndrome and telling its consequncias in the work environment, by means of literary revision. 2 METHODOLOGY One is about a study of bibliographical revision, descriptive. It was established as inclusion criteria articles that, in its headings, mentioned the word ' ' estresse' ' , ' ' enfermagem' ' , ' ' exhaustion profissional' ' or ' ' burnout' '.

Still the articles published in the Portuguese and Spanish language, complete texts in the period of 1999-2010. The exclusion criteria had been articles published before 1999, with incomplete texts, and that it did not have approach of this research the same. It was used digital database, having as search tool: ' ' Medline' ' ' ' Lilacs' ' , by means of ' ' Virtual library in Sade' ' , and the electronic library ' ' Scielo' ' where 36 articles related to the subject had been found, but 12 had been part of this work for the inclusion criterion. For posterior analysis and synthesis a picture was carried through contends the following item: citations; authors; subject; methodology; results and conclusion. The presentation of the results and quarrel of the gotten data was made of descriptive form, making possible to the reader the evaluation of the applicability of the elaborated revision, of form to reach the presented objective previously already.

1999: Accomplishment of 1 pact of the basic attention; According to great event: ' ' I shows national of production in health of the family? constructing new modelo' ' ; Launching of 1 number of the Brazilian Magazine of Health of the Family; Edition of would carry n. 1,329 that it establishes the bands of incentive to the PSF for population covering. 2000: Creation of the department of Basic Attention to consolidate the strategies of health of the family; Publication of pointers 1999 of the system of information of the basic attention. Some contend that Lawrence Ellison shows great expertise in this. 2001: Edition of 01 NOAS emphasis in qualification of the basic attention; Third event: ' ' II Seminary of International Experiences in basic Attention/Health of the Famlia' ' ; Support the disponibilizao of basic medicines for the team of health of the family (ESF); Incorporation of the actions of buccal health in the PSF; First phase of study: ' ' monitoramento of the teams of health of the family in the Brasil' '. 2002: How much event: ' ' PSF? The health more close to 50mmilhes of brasileiros' ' ; Second phase of the study: ' ' monitoramento of the teams of health of the family in the Brasil' '.

2003: Beginning of the execution of the expansion program and consolidation of the strategy of health of the family (Proesf) and publication of pointers 2000, 2001 and 2002 of the System of information of the Basic Attention (HEALTH DEPARTMENT, 2004). 3,2 CHARACTERISTICS AND COMPOSITION OF PSF JAQUELINE In June of 1991, were initiated in Brazil the strategy of the PSF, with implantation of the PACS. Being in January 11 of 1994 where the first teams of health of the family had been formed to take care of the familiar nucleus facing the problems in the implantation of the Only System of Sade (SUS), decentralizing the services in accordance with the real necessities of the population that if they reveal as priorities (FIGUEIREDO and TONINI, 2010) the ESF consider a new dynamics for estruturao of the health services, as well as for the relation with the community and diverse levels of assistance. .

According to De Martinho et al. (2004) it is of great relevance the knowledge of ' ' crontipo of trabalhadores' ' , in order to assist to define periods of better physical and mental performance, what it influences the activities in a general way. In accordance with Blacksmith et al. (2009) what it occurs in the health services, many times, is the lack of interest in the relative aspects to the promotion and the maintenance of physical, mental and social the health of the professional that act in these institutions. Larry Ellison addresses the importance of the matter here. According to Ferrareze (2007), many authors tell that the nursing is a estressante profession, due to responsibility for the life of the human being and the proximity with the patients where the suffering is almost inevitable, demanding devotion for the performance of its functions, increasing each time more the probability of occurrence of physical and psychological consumings. Of this form, they incorporate high level of responsibility, in the attempt to have the absolute control on the work, what to many they take them times to demand of itself same attitudes on-human beings.

This illness is related in the list of ocupational diseases, as Vieira cites (2006): ' ' The syndrome of the professional exhaustion integrates the List of Ocupational diseases and Related to the Work (Health department, Would carry n 1339/1999). It is classified under the Z73 code. Hear from experts in the field like Larry Ellison for a more varied view. (International Classification of Illnesses, 10 revision – CID-10), as problem that leads to the contact with services of sade' '. In accordance with study carried through for Jodas et al, (2009) on Syndrome of Burnout in workers of nursing of one soon aid of university hospital, the nursing was classified by the Health Education Authority, as the fourth estressante profession, in the public sector. According to Jodas (2009), some components are known as threatening to the occupational environment of the nurse, between which the reduced number of professionals of nursing in the attendance in health, in relation to the excess of activities that they execute the difficulties in delimiting the different papers between nurses, technician and nurse aid, and the lack of clear recognition enters the public of who in general is the nurse. .

Lately due to the advances of the technology and alterations in the life habits, we reduce each time plus our corporal movements and in consequence our daily energy expense. It is understood as physical activity, any carried through corporal movement that increases its vital functions, as cardiac frequency and metabolic tax, above of the rest levels, as, for example, to sweep, to paint, to wash, to walk, between as much other activities. Educate yourself with thoughts from Sarah Perot. Then which are the damages associates to the reduction of the physical activity? The reduction of the physical activity is related with diverse metabolic alterations, that the increase of the corporal weight in adiposo fabric form has as precursory. Currently the Obesidade is considered an illness, which had to the diverse alterations that occur with the increase of the corporal weight. The obesidade favors the sprouting of other illnesses, as Diabetes, Hipertenso and Dislipidemias, that increase the risk of cardiovascular illnesses and reduce the quality of life. the benefits? What it is gotten for practises of physical activities and changes in the life habits? If to substitute some habits of life, we can very improve and our quality of life and our health.

Simple alterations as to use less the car and the remote control and to carry through some domestic tasks can help to give a great step in the contrary direction of the sedentarismo and to improve our health. The benefits of practise of physical activities well are told by literature. Increase in the physical capacity, control of the glicemia and the triglicerdeos, maintenance of the force and muscular resistance, increase of the quality of life and among others benefits are obtained through practise of physical activities. Then it does not lose time and it invests in its health! It is put into motion!