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O acompanhamento de pacientes cirúrgicos é um trabalho complexo que deve ser desenvolvido por uma equipe multiprofissional atenta aos mínimos detalhes para otimizar o prognóstico do paciente, portanto é fundamental envolver diversas especialidades profissionais, como médicos, nutricionistas, enfermeiros, farmacêuticos, fonoaudiólogos, fisioterapeutas, psicólogos, assistentes sociais dentre outros. A interação multiprofissional fortalece o conhecimento da equipe e conduz com mais efetividade a tomada de decisão terapêutica e manejo do paciente cirúrgico.
Reaching beyond traditional nutrition support The care of ICU patients has seen many improvements over the years, both with regard to technical aspects and supportive measures. The first part of this book analyzes nutritional support at various levels, ranging from the cell level to the whole-body aspect; drawing on recent prospective randomized studies, the authors propose a new approach for oral, enteral and/or parenteral nutrition. The second part underlines the interference between nutrition and outcome to reach recovery, giving to this field an increased importance for better short and long term management: The best glucose control, individualized nutritional support and the avoidance o...
Divinely matched beings have a mission to fulfill on Earth prior to being joined at last. They must do their duty and complete the Plan which is inscribed upon their Souls. What links them can't ever be broken by anybody. When The Moment comes, The Magic Link, a magical dispensation granted from Heaven is forged in the Holy Bonds of Matrimony: Two beings, perfect in themselves, blessed by the joint destiny of true union. And with the support of angels and souls, joined in the Mission of Light. Guardians of an Ancient Truth. The Miracle of Love is consummated. The entire universe celebrates with a rain of stars or with the miraculous appearance of a huge symbol. "Pacts of Love" is a symbol revealed from on high. Two primogenitors in one; for all eternity, and the Inevitable Return beyond the avatars of life. Because it was, is and shall be thus.
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