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Holistic analysis of patients with Tegumentary Leishmaniasis in the light of the Roy Model
The cutaneous leishmaniasis is a disease that affects many regions of the world. In Brazil, from 1980 to 2004 the detection rates ranged from 3.8 to 22.9 per 100,000 inhabitants. Affects mainly adult men generally areas of forest because the vectors and reservoirs of disease that are region. The theory of adaptive Roy leads the adequate planning for the student nursing care to a patient with cutaneous leishmaniasis, whereas the carrier be a holistic. Objective: Analyze holistically the holder of leishmaniasis tegumentary the light from the reference to Roy. Methodology: This is a report of experience developed during the discipline of Semiology and the seizure of Semiotécnica concepts of the theory of a supposed bearer Roy of cutaneous leishmaniasis from March to April 2008. In the procedure the students had classroom dialogue on the model of adaptive Roy and disciplines of Parasitology, Immunology and Pharmacology. Results: There is in focal stimulation of the bite of sandflies genus Lutzomyia that inoculate the protozoan Leishmania sp in the host, identified in the contextual stimulus: the sand fly when send food to human ways promastigotes, which are internalized by macrophages, turning into amastigotes. They multiply by binary division until the cell is broken, releasing the amastigotes tissue that are phagocytized starting reaction inflammation at the site. There is as yet contextual stimulus - the entry of people into regions of forest, where are the shells of disease, exposes these individuals to the risk of contamination. There are as stimuli Residual: fear and insecurity in the patient, for not know the disease and not know what is happening to your body. Depending on the coping mechanisms of innate and acquired categorized by Roy on the regulator and cognator bearer of the parasite presents answers ineffective depending on the specific form infected. Known as clinical cutaneomucosa shows ulcerations in the mucosa nose, mouth and trachea affecting the way physiological: oxygenation and nutrition. As diffuse, nodular lesions shows no ulcerated because a patient's immune deficiency, protection and thus affects the process of regulation, smell and taste are altered in consequence of diseases of leishmaniasis tegumentary cutaneomucosa. The patient has his affected role, feeling unable to face family and society, lack of self concept (shame on its image). Interdependence: emotional relationships change - dependent on family and people close by need of help. Conclusion: The model adaptive ability of the assistance of Roy nursing bearer of leishmaniasis tegumentary helping you, as a holistic being, to face their own challenges of the coming State compensation for the entirety. Keywords: cutaneous leishmaniasis; nursing; model of Roy.