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color:#605E5C; background:#E1DFDD;} span.Tablanormal31 {mso-style-name:"Tabla normal 31"; mso-style-priority:19; mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; color:gray; font-style:italic;} p.font8, li.font8, div.font8 {mso-style-name:font_8; mso-style-unhide:no; mso-margin-top-alt:auto; margin-right:0cm; mso-margin-bottom-alt:auto; margin-left:0cm; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman",serif; mso-fareast-font-family:"Times New Roman"; mso-ansi-language:ES-EC; mso-fareast-language:ES-EC;} span.Ttulo2Car {mso-style-name:"Ttulo 2 Car"; mso-style-priority:9; mso-style-unhide:no; mso-style-locked:yes; mso-style-link:"Ttulo 2"; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; 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{mso-style-name:"Tabla normal 51"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastRow {mso-style-name:"Tabla normal 51"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51FirstCol {mso-style-name:"Tabla normal 51"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128; text-align:right; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastCol {mso-style-name:"Tabla normal 51"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"MS Gothic"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51OddColumn {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51OddRow {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51NECell {mso-style-name:"Tabla normal 51"; mso-table-condition:ne-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51NWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:nw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal51SECell {mso-style-name:"Tabla normal 51"; mso-table-condition:se-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51SWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:sw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal21 {mso-style-name:"Tabla normal 21"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; border-top:solid #7F7F7F 1.0pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; border-left:none; border-bottom:solid #7F7F7F 1.0pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; border-right:none; mso-border-top-alt:solid #7F7F7F .5pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; mso-border-bottom-alt:solid #7F7F7F .5pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal21FirstRow {mso-style-name:"Tabla normal 21"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastRow {mso-style-name:"Tabla normal 21"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21FirstCol {mso-style-name:"Tabla normal 21"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastCol {mso-style-name:"Tabla normal 21"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21OddColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21EvenColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:even-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21OddRow {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2053"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=ES-EC link="#0563C1" vlink="#954F72" style='tab-interval:35.4pt'> <div class=WordSection1> <p class=MsoNormal align=center style='text-align:center'><a name="_Toc274847643"><b><span style='font-size:20.0pt;line-height:106%; mso-bidi-font-family:Calibri;color:black;background:white;mso-ansi-language: ES-EC'>Actividades<span style='mso-spacerun:yes'> </span>de<span style='mso-spacerun:yes'> </span>cuidados en pacientes con enfermedades terminales. Unidad de cuidados paliativos.<span style='mso-spacerun:yes'> </span>Hospital de Especialidades Guayaquil Dr. Abel Gilbert Ponton</span></b></a><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn1' href="#_ftn1" name="_ftnref1" title=""><span style='mso-bookmark:_Toc274847643'><span class=MsoFootnoteReference><b><span lang=ES style='font-size:20.0pt;line-height: 106%;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:20.0pt;line-height:106%;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-language:AR-SA'>[1]</span></b></span><![endif]></span></span></b></span></span></a><span style='mso-bookmark:_Toc274847643'><b><span style='font-size:20.0pt;line-height: 106%;mso-bidi-font-family:Calibri;color:black;background:white;mso-ansi-language: ES-EC'><o:p></o:p></span></b></span></p> <p class=MsoNormal align=center style='margin-bottom:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:EN-US;mso-bidi-font-weight:bold'>Care activities in patients with terminal illnesses. Palliative care unit. Hospital of Specialties of Guayaquil Dr. Abel Gilbert Ponton</span></span><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-bidi-font-weight: bold'><o:p></o:p></span></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-bookmark:_Toc274847643'></span><span style='mso-bookmark:_Toc274847643'><span lang=EN-US style='mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-bidi-font-weight: bold'><o:p>&nbsp;</o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-font-weight:bold'>Narcisa Delgado Zambrano</span></span><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn2' href="#_ftn2" name="_ftnref2" title=""><span style='mso-bookmark:_Toc274847643'><sup><span lang=X-NONE style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-fareast-language:EN-US;mso-bidi-font-weight: bold'><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;mso-bidi-font-size:11.0pt;line-height:106%; font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:X-NONE;mso-fareast-language:EN-US;mso-bidi-language:AR-SA; mso-bidi-font-weight:bold'>[2]</span></sup><![endif]></span></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-font-weight:bold'>Margarita&nbsp;de Jess Tobar Solrzano</span></span><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn3' href="#_ftn3" name="_ftnref3" title=""><span style='mso-bookmark:_Toc274847643'><sup><span lang=X-NONE style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-fareast-language:EN-US;mso-bidi-font-weight: bold'><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;mso-bidi-font-size:11.0pt;line-height:106%; font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:X-NONE;mso-fareast-language:EN-US;mso-bidi-language:AR-SA; mso-bidi-font-weight:bold'>[3]</span></sup><![endif]></span></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-font-weight:bold'>Ana Mara Cevallos Franco</span></span><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn4' href="#_ftn4" name="_ftnref4" title=""><span style='mso-bookmark:_Toc274847643'><sup><span lang=X-NONE style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-fareast-language:EN-US;mso-bidi-font-weight: bold'><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;mso-bidi-font-size:11.0pt;line-height:106%; font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:X-NONE;mso-fareast-language:EN-US;mso-bidi-language:AR-SA; mso-bidi-font-weight:bold'>[4]</span></sup><![endif]></span></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-font-weight:bold'>Gregoria Mara Romero Gonzlez</span></span><span style='mso-bookmark:_Toc274847643'></span><a style='mso-footnote-id:ftn5' href="#_ftn5" name="_ftnref5" title=""><span style='mso-bookmark:_Toc274847643'><sup><span lang=X-NONE style='mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-fareast-language:EN-US;mso-bidi-font-weight: bold'><span style='mso-special-character:footnote'><![if !supportFootnotes]><sup><span lang=X-NONE style='font-size:10.0pt;mso-bidi-font-size:11.0pt;line-height:106%; font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:X-NONE;mso-fareast-language:EN-US;mso-bidi-language:AR-SA; mso-bidi-font-weight:bold'>[5]</span></sup><![endif]></span></span></sup></span></a><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size: 11.0pt;font-family:"Calibri Light",sans-serif;mso-ascii-theme-font:major-latin; mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font: major-latin;mso-bidi-font-family:"Calibri Light";mso-bidi-theme-font:major-latin; mso-ansi-language:ES;mso-fareast-language:EN-US;mso-bidi-font-weight:bold'><o:p></o:p></span></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:150%'><span style='mso-bookmark:_Toc274847643'><span lang=ES style='mso-bidi-font-size:11.0pt;line-height:150%;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-fareast-font-family:Calibri;mso-fareast-theme-font: minor-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family:"Calibri Light"; mso-bidi-theme-font:major-latin;mso-ansi-language:ES;mso-fareast-language:EN-US; mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span></span></p> <span style='mso-bookmark:_Toc274847643'></span> <p class=MsoNormal align=center style='margin-bottom:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span lang=ES style='font-size:10.0pt; mso-bidi-font-family:Tahoma;color:black;mso-bidi-font-weight:bold'>Recibido en 19 de agosto 2018, aceptado en 3 enero 2019</span><span lang=ES style='font-size: 10.0pt;mso-bidi-font-size:11.0pt;font-family:"Calibri Light",sans-serif; mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin;mso-bidi-font-family: "Calibri Light";mso-bidi-theme-font:major-latin;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b><span style='font-size:10.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES'>RESUMEN<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:ES-EC;mso-fareast-language:ES; mso-bidi-font-weight:bold'>Introduccin. La atencin del Equipo paliativo a los pacientes con enfermedades terminales. Objetivos. Describir las actividades de cuidado que se realizan a pacientes con enfermedades terminales en la unidad de cuidados paliativos. Materiales y mtodos. El estudio ser Cuantitativo, documental bibliogrfico, Retrospectivo el que se realizara con un corte transversal de tipo descriptivo, probabilstico se tomaran los informes realizados por el equipo paliativo despus de la atencin del paciente, mediante gua de evaluacin validada por expertos. Resultados. De los informes emitidos por el grupo paliativo atendieron pacientes que presentaron con enfermedades terminales en mayor proporcin de<span style='mso-spacerun:yes'> </span>41 a<span style='mso-spacerun:yes'> </span>50 aos en<span style='mso-spacerun:yes'> </span>un 24,44%, en proporcin de 66,67% pacientes con patologa de cncer, valoracin de enfermera enseanza y educacin, entrevista, registro y ayuda social, se aplica en un 100%, y en menor proporcin la valoracin nutricional en un 33,33%, aplicacin de test de Edmonton 94,44%, en menor proporcin 50% sistema de valoracin por componentes, respecto a la enseanza y educacin impartida por enfermera, en un 100% higiene integral, administracin de medicamentos, educacin, higiene del entorno, consultas subsecuentes, y en un 33,33% cambio de sonda vesical, actividad realizada en los subcentros, escala de<span style='mso-spacerun:yes'> </span>Pfeiffer se aplica en un 61,11%, en un 77,78% se da la entrevista con pacientes y familiares, sobre conocimiento del programa de Paliativos en la unidad de salud el 60% conoce sobre el programa, el 20% conoce las guas de prctica clnica del programa y en un 10% recibe capacitaciones.</span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:115%'><b><i><span style='mso-ansi-language:ES-EC'>Palabras clave:</span></i></b><span style='font-size:12.0pt;line-height:115%;font-family:"Times New Roman",serif; mso-fareast-font-family:Arial;mso-ansi-language:ES-MX'> </span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold'>Paciente, equipo paliativo, muerte, actividades realizadas</span><span lang=ES-MX style='font-size:12.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-fareast-font-family:Arial;mso-ansi-language: ES-MX'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b><span lang=EN-US style='font-size:10.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES'>ABSTRACT<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:normal;tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt; background:white'><span lang=EN-US style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-ansi-language:EN-US;mso-fareast-language:ES; mso-bidi-font-weight:bold'>Introduction Palliative care for terminally ill patients. Objectives. Describe the care activities performed on terminally ill patients in the palliative care unit. Materials and methods. The study will be Quantitative, bibliographic documentary, Retrospective the one that will be realized with a transverse cut of descriptive type, probabilistic the reports made by the palliative team after the attention of the patient will be taken, by means of guide of evaluation validated by experts. Results Of the reports issued by the palliative group attended patients who presented with terminal diseases in greater proportion from 41 to 50 years in 24.44%, in proportion of 66.67% patients with cancer pathology, nursing assessment teaching and education, interview, registration and social assistance, is applied in 100%, and in less proportion the nutritional assessment in 33.33%, application of Edmonton test 94.44%, in less proportion 50% component assessment system, with respect to teaching and education provided by nurses, in 100% integral hygiene, administration of medicines, education, hygiene of the environment, subsequent consultations, and in 33.33% change of bladder catheter, activity carried out in <span class=SpellE>subcentres</span>, Pfeiffer scale is applied in 61.11%, in 77.78% there is an interview with patients and relatives, on knowledge of the Palliative <span class=SpellE>programme</span> in the health unit 60% know about the <span class=SpellE>programme</span>, 20% know the clinical practice guides of the <span class=SpellE>programme</span> and in 10% receive training.</span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold'><o:p></o:p></span></p> <h2><b><i style='mso-bidi-font-style:normal'><span lang=EN style='mso-bidi-font-size: 12.0pt;line-height:106%;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: EN;mso-fareast-language:ES'>key words</span></i></b><span lang=EN-US style='font-size:10.0pt;line-height:106%;color:windowtext;mso-ansi-language: EN-US'>: </span><span lang=EN-US style='font-size:11.0pt;line-height:106%; font-family:"Calibri",sans-serif;color:windowtext;mso-ansi-language:EN-US'>Patient, palliative equipment, death, activities performed<o:p></o:p></span></h2> <p class=MsoNormal><span lang=EN-US style='mso-ansi-language:EN-US'><o:p>&nbsp;</o:p></span></p> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:38.65pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:normal;tab-stops:66.45pt'><b><span style='font-size:16.0pt; mso-bidi-font-size:12.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES'>1. Introduccin<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Con el inicio del siglo XXI, se han experimentado grandes cambios tanto cientficos como tecnolgicos que han repercutido en la atencin de la salud y en el cuidado de personas cercanas a la muerte. El proceso de muerte pas de ser un suceso que se viva en casa, dentro del seno familiar, a un evento que se desarrolla generalmente dentro de los hospitales. De acuerdo con Saunders los cuidados paliativos se desarrollaron desde el siglo IV en Europa</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock: yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.1053/j.ajkd.2016.06.002&quot;,&quot;ISSN&quot;:&quot;02726386&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Fogo&quot;,&quot;given&quot;:&quot;Agnes B.&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Lusco&quot;,&quot;given&quot;:&quot;Mark A.&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Najafian&quot;,&quot;given&quot;:&quot;Behzad&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Alpers&quot;,&quot;given&quot;:&quot;Charles E.&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;American Journal of Kidney Diseases&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2016&quot;]]},&quot;page&quot;:&quot;e13-e14&quot;,&quot;publisher&quot;:&quot;National Kidney Foundation, Inc.&quot;,&quot;title&quot;:&quot;AJKD Atlas of Renal Pathology: HIV-Associated Nephropathy&nbsp;(HIVAN)&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;68&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=c3fa955a-410b-42e7-815a-1afd95e2f7e9&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Fogo, Lusco, Najafian, &amp; Alpers, 2016)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Fogo, Lusco, Najafian, &amp; Alpers, 2016)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Fogo, Lusco, Najafian, &amp; Alpers, 2016)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Fogo, Lusco, Najafian, &amp; Alpers, 2016)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>. En el ao de 1842 se utiliz el trmino  hospices para referirse al cuidado de pacientes terminales en Lyon, Francia y en el ao de 1967 se abre el primer hospice en Sydenham al sur de Londres. Posteriormente se puso en marcha el  movimiento hospice que dara lugar a lo que actualmente se conoce como  cuidados paliativos . Arranz, P., Barbero, J.J., Barreto, P. y Bays, R. (2003)<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Los cuidados paliativos son un tipo especial de cuidados diseados para proporcionar bienestar o confort y soporte a los pacientes y sus familias en las fases finales de una enfermedad terminal</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.5294/aqui.2015.15.3.10&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Arredondo-Gonzlez&quot;,&quot;given&quot;:&quot;Claudia Patricia&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;La Cuesta-Benjumea&quot;,&quot;given&quot;:&quot;Carmen&quot;,&quot;non-dropping-particle&quot;:&quot;De&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;vila-Olivares&quot;,&quot;given&quot;:&quot;Jos Antonio&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;AQUICHAN&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2017&quot;]]},&quot;title&quot;:&quot;Un mundo en transicin. Objetos para los cuidados en Espaa entre 1855 y 1955&quot;,&quot;type&quot;:&quot;article-journal&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=1e5d176f-98a1-3f9f-b82e-fd9aed8cd5f4&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Arredondo-Gonzlez, De La Cuesta-Benjumea, &amp; vila-Olivares, 2017)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Arredondo-Gonzlez, De La Cuesta-Benjumea, &amp; vila-Olivares, 2017)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Arredondo-Gonzlez, De La Cuesta-Benjumea, &amp; vila-Olivares, 2017)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Arredondo-Gonzlez, De La Cuesta-Benjumea, &amp; vila-Olivares, 2017)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Los cuidados paliativos pretenden mejorar la calidad de vida de las personas con enfermedades graves (degenerativas o terminales) que no responden al tratamiento curativo, con el objetivo de ofrecer el mayor confort posible al paciente y a su familia</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.15649/cuidarte.v5i1.105&quot;,&quot;ISBN&quot;:&quot;3204748367&quot;,&quot;ISSN&quot;:&quot;2216-0973&quot;,&quot;abstract&quot;:&quot;Introduccin: La labor de Enfermera a travs de inter- venciones que contribuyan a la adaptacin del binomio es fundamental para permitir la vinculacin de los pa- dres en el cuidado de sus prematuros y contribuir con su bienestar. Es indispensable que las instituciones de salud basen el cuidado ofrecido a sus pacientes en la evi- dencia emprica aportada por Enfermera. Materiales y Mtodos: Artculo de reflexin basado en mi experien- cia profesional y en la evidencia encontrada en la litera- tura que demuestra el papel fundamental que desempe- an los profesionales de Enfermera y los padres en la adaptacin de sus prematuros. Resultados: La labor que realiza Enfermera es esencial para contribuir con la vin- culacin de los padres y la supervivencia del prematuro. Discusin: El poco reconocimiento en la sociedad de nuestra disciplina es causado por el condicionamiento a otras profesiones de la salud en la ejecucin de las actividades que realizamos a diario en las Unidades de Cuidado Intensivo Neonatal. Conclusiones: A travs de intervenciones de Enfermera se podrn mejorar la situacin que vivencian los padres de prematuros, las cuales servirn de soporte en la toma de decisiones so- bre las polticas en las instituciones de salud. (Rev Cuid 2013; 4(1): 540-3). Palabras&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Fernandes, A., S. &amp; Coelho&quot;,&quot;given&quot;:&quot;S. P. F.&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Distansia Em Unidade De Cuidados Intensivos E a Viso De Enfermagem: Reviso Integrativa&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2014&quot;]]},&quot;page&quot;:&quot;564-568&quot;,&quot;title&quot;:&quot;Revista CUIDARTE&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;5&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=5222d29f-f57f-4a7c-bb35-2dcec99c9b52&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Fernandes, A., S. &amp; Coelho, 2014)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Fernandes, A., S. &amp; Coelho, 2014)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Fernandes, A., S. &amp; Coelho, 2014)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Fernandes, A., S. &amp; Coelho, 2014)</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>. Los cuidados paliativos deberan ser una parte esencial del sistema sanitario de cualquier pas que persiga la cobertura universal de salud de sus ciudadanos. <o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>El mundo vive una ola de reformas para alcanzar cobertura universal de salud, siendo el objetivo lograr que todos obtengan los servicios de salud que necesitan, prevencin promocin, tratamiento, rehabilitacin, y cuidados paliativos, sin correr el riesgo de ruina econmica o empobrecimiento, ahora y en el futuro (OMS<span style='mso-spacerun:yes'> </span>informe de la salud en el mundo 2013)<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>A pesar de conocer las repercusiones del proceso de muerte para la familia, la formacin acadmica y las experiencias del equipo de salud en el campo de los cuidados paliativos</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.6018/eglobal.13.4.178931&quot;,&quot;ISSN&quot;:&quot;16956141&quot;,&quot;abstract&quot;:&quot;This study aims to present a theoretical reflection that enables to expand nursing care as a complex phenomenon, in which and for which, frequently, are not have linear and predictable answers. Signal up aspects that drive the need to adopt new models of thought, capable of admit the adverse and contradictory processes in everyday life of being and doing nursing. It discusses, need to overcome the logic of fragmentation, of predictability, of certainty and of the excessive order - ready recipes of care -still outstanding in care practices.&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Backes&quot;,&quot;given&quot;:&quot;Dirce Stein&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Zamberlan&quot;,&quot;given&quot;:&quot;Claudia&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Freitas&quot;,&quot;given&quot;:&quot;Hilda Barbosa&quot;,&quot;non-dropping-particle&quot;:&quot;de&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Colom&quot;,&quot;given&quot;:&quot;Juliana&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Souza&quot;,&quot;given&quot;:&quot;Martha Teixeira&quot;,&quot;non-dropping-particle&quot;:&quot;de&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Costenaro&quot;,&quot;given&quot;:&quot;Regina Santini&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Enfermeria Global&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;4&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2014&quot;]]},&quot;page&quot;:&quot;275-281&quot;,&quot;title&quot;:&quot;Del cuidado previsible al cuidado complejo de enfermera&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;13&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=dd808fa8-e587-4cd5-8056-f78a4b38fad2&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Backes et al., 2014)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Backes et al., 2014)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Backes et al., 2014)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Backes et al., 2014)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>, y la atencin que se da a este tipo de pacientes en los servicios hospitalarios, est dada por los conocimientos referentes al tema.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Es necesario aprender a percibir la muerte como algo natural; parte de nuestra vida cotidiana, ya que siempre el personal de salud</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.1016/j.reu.2014.10.001&quot;,&quot;ISSN&quot;:&quot;1665-7063&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Mggenburg&quot;,&quot;given&quot;:&quot;C&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Olvera&quot;,&quot;given&quot;:&quot;S&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Riveros&quot;,&quot;given&quot;:&quot;A&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Hernndez-guilln&quot;,&quot;given&quot;:&quot;C&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Aldana&quot;,&quot;given&quot;:&quot;A&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Enfermera Universitaria&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;1&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2015&quot;]]},&quot;page&quot;:&quot;12-18&quot;,&quot;publisher&quot;:&quot;Universidad Nacional Autnoma de Mxico, Escuela Nacional de Enfermera y Obstetricia&quot;,&quot;title&quot;:&quot;Autoevaluacin de enfermeras respecto a la comunicacin percibida con pacientes como resultado de un entrenamiento&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;12&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=9ccbe51d-33d2-4586-8040-65fdec4013d3&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Mggenburg, Olvera, Riveros, Hernndez-guilln, &amp; Aldana, 2015)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Mggenburg, Olvera, Riveros, Hernndez-guilln, &amp; Aldana, 2015)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Mggenburg, Olvera, Riveros, Hernndez-guilln, &amp; Aldana, 2015)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Mggenburg, Olvera, Riveros, Hernndez-guilln, &amp; Aldana, 2015)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'> , considerando que prcticamente todos los profesionales en algn momento de su vida<span style='mso-spacerun:yes'> </span>tendrn contacto con la muerte, debiendo proporcionar un cuidado sensible tanto a los pacientes terminales, as como a sus familiares. Tizn Bouza, E; Vzquez Torrado, R. (2004) La falta o escasa preparacin en este campo puede llevar a producir ciertas alteraciones en el nivel emocional, como son la ansiedad, el miedo y el estrs, por ello ser de suma importancia que se desarrollen estrategias eficaces de afrontamiento.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>El estudio bibliogrfico de las actividades realizadas a pacientes atendidos por los integrantes de la unidad de cuidados de paliativos</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock: yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.5294/pebi.2018.22.1.7&quot;,&quot;ISSN&quot;:&quot;01233122&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Alcvar Trejo&quot;,&quot;given&quot;:&quot;Carlos&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Caldern Cisneros&quot;,&quot;given&quot;:&quot;Juan&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Raffo Babici&quot;,&quot;given&quot;:&quot;Vilma&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Persona y Biotica&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;1&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,&quot;7&quot;,&quot;17&quot;]]},&quot;page&quot;:&quot;90-102&quot;,&quot;title&quot;:&quot;Life Quality Protection Rights for Elderly People. Communities of Posorja and Puna&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;22&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=a6e1aa4b-fafa-3a68-905b-0f4739a2bf1e&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Alcvar Trejo, Caldern Cisneros, &amp; Raffo Babici, 2018)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Alcvar Trejo, Caldern Cisneros, &amp; Raffo Babici, 2018)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Alcvar Trejo, Caldern Cisneros, &amp; Raffo Babici, 2018)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Alcvar Trejo, Caldern Cisneros, &amp; Raffo Babici, 2018)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>, se realiz evaluando la atencin de cada uno miembros del equipo de salud realizadas al paciente con enfermedad terminal, describiendo la importancia de cada una de ellas.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Los cuidados paliativos<span style='mso-spacerun:yes'> </span>su nacimiento y<span style='mso-spacerun:yes'> </span>su historia en el mundo, hacen referencia de los avances significativos</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock: yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.31876/re.v3i25.437&quot;,&quot;ISSN&quot;:&quot;2550-6862&quot;,&quot;abstract&quot;:&quot;Introduccin.&nbsp;<span style='mso-spacerun:yes'> </span>vigilar las medidas preventivas para el dengue en las familias de la ciudadela Jaime Rolds, La Troncal<span style='mso-spacerun:yes'> </span>.<span style='mso-spacerun:yes'> </span>Objetivo.&nbsp;<span style='mso-spacerun:yes'> </span>determinar el tipo de uso de recipientes que acumulen agua.&nbsp;<span style='mso-spacerun:yes'> </span>Materiales y mtodos.&nbsp;<span style='mso-spacerun:yes'> </span>El estudio de carcter cuantitativo, con la aplicacin de un instrumento de las normas tcnicas de salud para la implementacin de la vigilancia y control del aedes aegypti, vector del dengue en el territorio.&nbsp;<span style='mso-spacerun:yes'> </span>Resultados.&nbsp;<span style='mso-spacerun:yes'> </span>El 87,5 % de las familias mantienen el larvicida en los recipientes intradomiciliario, y 50 % de los recipientes peridomiciliarios tiene el larvicida,&nbsp;<span style='mso-spacerun:yes'> </span>Conclusin<span style='mso-spacerun:yes'> </span>. Las medidas preventivas para evitar el dengue, reducir la morbilidad y mortalidad del dengue en el territorio.&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Anastacio&quot;,&quot;given&quot;:&quot;Jorge Madrid&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Robles-Amaya&quot;,&quot;given&quot;:&quot;Junes&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Cisneros&quot;,&quot;given&quot;:&quot;Juan T. Caldern&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Espirales revista multidisciplinaria de investigacin&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;25&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2019&quot;,&quot;2&quot;,&quot;5&quot;]]},&quot;title&quot;:&quot;Vigilancia de las medidas preventivas para el revdengue en la ciudadela Jaime Rolds, resultado de la fase piloto&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;3&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=cfa2f11e-7b28-3091-aa4b-6a5b87bc9671&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Anastacio, Robles-Amaya, &amp; Cisneros, 2019)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Anastacio, Robles-Amaya, &amp; Cisneros, 2019)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Anastacio, Robles-Amaya, &amp; Cisneros, 2019)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Anastacio, Robles-Amaya, &amp; Cisneros, 2019)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-spacerun:yes'> </span>en la salud, y a nivel de todos los pases como se ha ido implementando el programa y los cuidados, y como han contribuido a mejorar la<span style='mso-spacerun:yes'> </span>mejorar la calidad de vida de los pacientes atendidos. <o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:38.65pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:normal;background:white'><b><span lang=ES style='font-size: 16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-color-alt:windowtext;mso-fareast-language:ES'>2. Materiales y mtodos</span></b><b><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-fareast-language:ES'><o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>El tipo de la presente investigacin<span style='mso-spacerun:yes'> </span>ser Cuantitativo, Hernndez Sampieri documental, define la investigacin cuantitativa, Retrospectivo el que se realiz con un corte transversal al respecto sostiene Hernndez Sampieri que es porque se realiza en un tiempo y espacio determinado, de tipo descriptivo, basados en lo que sustenta Campos, G. y Sosa V. ya que describe sus caractersticas principales de acontecimientos tal y como se presenta en la realidad, mediante la revisin de 90 informes emitidos por el equipo paliativo despus de la atencin de los pacientes con enfermedad terminal</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.22507/rli.v15n2a1&quot;,&quot;ISSN&quot;:&quot;17944449&quot;,&quot;abstract&quot;:&quot;&lt;p&gt;El trabajo se establece como un resultado de investigacin en el cual se realiza una revisin bibliogrfica sobre la temtica planteada Objetivo Caracterizar los materiales de clase que utiliza dos universidades una pblica y una privad para la identificacin de tipos de tecnologas. Materiales y Mtodo: Se considera que el estudio es noexperimental y se espera la participaron todos los estudiantes matriculados en el primer semestre 2017, se cumple con los criterios de inclusin: a) edad mnima de 18 aos; b) matriculados en sus respectivas universidades; La muestra aleatoria piloto contena 98 participantes de un total de 2150 estudiantes de las dos universidades. Resultados: Mediante la aplicacin de varias tcnicas estadsticas como el anlisis: Factorial Exploratorio, alfa de Cronbach clsico. Se analiz el comportamiento de las respuestas al cuestionario de 21 tems, que tiene un formato de escala tipo Likert, definidas en 4 dimensiones. Se comprob la inexistencia de diferencias estadsticamente significativas, en tres tems del estudio. Conclusiones: Se ha analizado la validez y fiabilidad de dicho cuestionario a travs de un anlisis factorial de componentes principales con rotacin Varimax. Se concluye que bastara con introducir adaptaciones en la relacin de dimensiones propuestas en este cuestionario que tuviera en cuenta las especificidades de cada material de estudio.&lt;/p&gt;&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Caldern Cisneros&quot;,&quot;given&quot;:&quot;Juan&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Ortiz Chimbo&quot;,&quot;given&quot;:&quot;Karla Maribel&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Alcvar Trejo&quot;,&quot;given&quot;:&quot;Carlos&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Revista Lasallista de Investigacin&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,&quot;12&quot;,&quot;12&quot;]]},&quot;page&quot;:&quot;10-19&quot;,&quot;title&quot;:&quot;Anlisis factorial exploratorio como mtodo multivariante para validacin de datos acadmicos en plataformas virtuales&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;15&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=b41ac95e-04cd-305f-8ad6-806549c7d8f0&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Caldern Cisneros, Ortiz Chimbo, &amp; Alcvar Trejo, 2018)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Caldern Cisneros, Ortiz Chimbo, &amp; Alcvar Trejo, 2018)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Caldern Cisneros, Ortiz Chimbo, &amp; Alcvar Trejo, 2018)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Caldern Cisneros, Ortiz Chimbo, &amp; Alcvar Trejo, 2018)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>. Utilizando el test de<span style='mso-spacerun:yes'> </span>Zarit<span style='mso-spacerun:yes'> </span>y<span style='mso-spacerun:yes'> </span>Pfeiffer<span style='mso-spacerun:yes'> </span>(versin espaola), informe nutricional en formato de nutricin, dicho formato no reposa en los registros del informe pero son entregados al paciente y familiar. Se dise<span style='mso-spacerun:yes'> </span>una gua de observacin la que se aplic, al personal de salud<span style='mso-spacerun:yes'> </span>del hospital de especialidades Dr. Abel Gilbert Pontn para medir el conocimiento que este personal posee sobre el programa de cuidados paliativos la muestra de esta gua ser 50 personas</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock: yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;ALCVAR Trejo&quot;,&quot;given&quot;:&quot;Carlos&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;VARGAS Prraga&quot;,&quot;given&quot;:&quot;Vanessa&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;CALDERN Cisneros&quot;,&quot;given&quot;:&quot;Juan&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;TRIVIO Ibarra&quot;,&quot;given&quot;:&quot;Carlos&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;SANTILLAN Indacochea&quot;,&quot;given&quot;:&quot;Sara&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;SORIA Vera&quot;,&quot;given&quot;:&quot;Roberto&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;CARDENAS Zuma&quot;,&quot;given&quot;:&quot;Laura&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2019&quot;]]},&quot;title&quot;:&quot;The use of ICT in the teaching-learning process of teachers in the Universities of Ecuador Contenido&quot;,&quot;type&quot;:&quot;report&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=6d2f5a23-585f-3b39-abfc-f344886f90a6&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(ALCVAR Trejo et al., 2019)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(ALCVAR Trejo et al., 2019)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(ALCVAR Trejo et al., 2019)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(ALCVAR Trejo et al., 2019)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:38.65pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:normal;background:white'><b><span style='font-size:16.0pt; mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:black;mso-color-alt:windowtext; mso-ansi-language:ES-EC;mso-fareast-language:ES'>3. Resultados </span></b><b><span style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES'><o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>La realizacin de la investigacin implic la obtencin de los permisos de parte de las autoridades de salud en cada establecimiento hospitalario, y<span style='mso-spacerun:yes'> </span>la revisin de los informes realizados por los integrantes del equipo paliativo a los pacientes atendidos durante el periodo del estudio 2016-2017, aplicando la gua de observacin, verificando escalas utilizadas en la valoracin de pacientes con enfermedad terminal; Edmonton, Zarit , Pfeiffer , karnosfky, actividades por el equipo de salud paliativo, a los pacientes con enfermedades terminales</span><!--[if supportFields]><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock: yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.29033/ei.v3n2.2018.06&quot;,&quot;ISSN&quot;:&quot;2550-6692&quot;,&quot;abstract&quot;:&quot;&lt;p&gt;Introduccin: La formacin de Enfermera, requiere tres elementos: conocimiento, actitud, destreza, en este sentido, la exposicin al riesgo de los profesionales es desde el inicio con las prcticas acadmica; los accidentes estn relacionados con manejo de fluidos, pinchazos; y se debe tomar en consideracin la bioseguridad para disminuir el riesgo por falta de experiencia, para la prevencin de la enfermedad desde internado.Objetivo: Analizar los accidentes laborales presentados durante la prctica clnica en estudiantes de Enfermera de la Universidad Tcnica de Machala Mtodos: Se bas en una investigacin cuantitativa, observacional, analtica, transversal, el periodo fue de octubre a diciembre de 2017, en 166 estudiantes. El mtodo fue la encuesta, con consentimiento informado.Resultados: No existe asociacin entre conocimientos de bioseguridad, con accidente laboral (=0,2287, p=0,63250021), la causa: poca adherencia al usar prendas de proteccin, prisa para ejecutar tareas; el accidente biolgico relacionado con el semestre que cursaba (=171,1015, p=0), se presentaron en estudiantes de octavo semestre, Moreno Arroyo et al, menciona que los estudiantes sin formacin prctica previa tenan menor percepcin de dao biolgico con respecto a los estudiantes con prctica previa, ocurrido en el 47% de ellos, especialmente los que iniciaron su internado. Conclusin: A pesar que existe conocimiento en internos de Enfermera, se presentaron accidentes laborales durante las prcticas clnicas y, la aplicacin de la teora a la prctica, depende de la experiencia previa del estudiante y la prioridad que d al autocuidado.&nbsp;&lt;/p&gt;&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Eras Carranza&quot;,&quot;given&quot;:&quot;Janette Esther&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Avila Fernndez&quot;,&quot;given&quot;:&quot;Katiuska Susana Susana&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Cedillo Pacheco&quot;,&quot;given&quot;:&quot;Yaritza Lisbeth&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Pacheco&quot;,&quot;given&quot;:&quot;Yaritza Lisbeth Cedillo&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Enfermera Investiga: Investigacin, Vinculacin, Docencia y Gestin&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2, Jun&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,&quot;7&quot;,&quot;4&quot;]]},&quot;page&quot;:&quot;85-94&quot;,&quot;title&quot;:&quot;Accidentes laborales durante la prctica clnica en estudiantes de la carrera de enfermera&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;3&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=daf45f8e-76b8-33fd-bca0-c707ba3818f4&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Eras Carranza, Avila Fernndez, Cedillo Pacheco, &amp; Pacheco, 2018)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Eras Carranza, Avila Fernndez, Cedillo Pacheco, &amp; Pacheco, 2018)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Eras Carranza, Avila Fernndez, Cedillo Pacheco, &amp; Pacheco, 2018)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Eras Carranza, Avila Fernndez, Cedillo Pacheco, &amp; Pacheco, 2018)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><span style='mso-spacerun:yes'> </span></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-no-proof:yes'><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f" stroked="f"> <v:stroke joinstyle="miter"/> <v:formulas> <v:f eqn="if lineDrawn pixelLineWidth 0"/> <v:f eqn="sum @0 1 0"/> <v:f eqn="sum 0 0 @1"/> <v:f eqn="prod @2 1 2"/> <v:f eqn="prod @3 21600 pixelWidth"/> <v:f eqn="prod @3 21600 pixelHeight"/> <v:f eqn="sum @0 0 1"/> <v:f eqn="prod @6 1 2"/> <v:f eqn="prod @7 21600 pixelWidth"/> <v:f eqn="sum @8 21600 0"/> <v:f eqn="prod @7 21600 pixelHeight"/> <v:f eqn="sum @10 21600 0"/> </v:formulas> <v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/> <o:lock v:ext="edit" aspectratio="t"/> </v:shapetype><v:shape id="Imagen_x0020_5" o:spid="_x0000_i1025" type="#_x0000_t75" style='width:417pt;height:262pt;visibility:visible;mso-wrap-style:square'> <v:imagedata src="listo.fld/image001.png" o:title=""/> </v:shape><![endif]--><![if !vml]><img width=417 height=262 src="listo.fld/image001.png" v:shapes="Imagen_x0020_5"><![endif]></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-spacerun:yes'></span><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Que los pacientes atendidos fluctan en<span style='mso-spacerun:yes'> </span>todas las edades siendo las ms significativas<span style='mso-spacerun:yes'> </span>de 41 a 50 aos en un 24, 44%, encontraron de 21 a 30 aos y<span style='mso-spacerun:yes'> </span>81 a 90 aos en un 8.89% , considerando que las enfermedades de terminales se presentan en diversas grupos de edades, siendo El cncer quien se presenta en mayor proporcin , en un 66,67%<span style='mso-spacerun:yes'> </span>en las ltimas dcadas estamos asistiendo el aumento gradual de la prevalencia de algunas enfermedades crnicas, junto al envejecimiento progresivo de nuestra poblacin, sin embargo segn estudios realizados sobre la prevalencia del cncer y su distribucin en adultos en Espaa (1997) cabe decir que existen otros factores que a partir de esta edad desencadenan la enfermedad</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;DOI&quot;:&quot;10.29033/ei.v3n2.2018.02&quot;,&quot;ISSN&quot;:&quot;2550-6692&quot;,&quot;abstract&quot;:&quot;&lt;p&gt;Introduccin: cualquier persona es susceptible de sufrir un traumatismo y por ello, es importante que todos los profesionales de la salud especialmente el profesional de enfermera, disponga de los conocimientos bsicos que le permitan abordar adecuadamente la asistencia inicial.Objetivo: evaluar el cumplimiento de los cuidados de enfermera al paciente politraumatizado.Mtodo: se realiz un estudio descriptivo prospectivo longitudinal. Servicio de Urgencias y Ciruga del Hospital Regional de Bata de Enero - mayo del 2017. El universo estuvo constituido por 37 enfermeras (os), y la muestra por 20. Se aplic una gua de observacin. Las variables fueron: acciones de Enfermera: si ejecuta las medidas de proteccin para la atencin a estos pacientes, si prepara el servicio de urgencias para recibirlos, si realiza una evaluacin inicial al paciente, si desempea&nbsp; los cuidados de enfermera segn procedimientos.Resultados: en las acciones de enfermera el 95% de los enfermeros (as) prepara el servicio para realizar las acciones correspondientes, el 90%, ejecuta las medidas de proteccin y el 100% realiza la evaluacin inicial a los pacientes; un 85% coloca al paciente en posicin adecuada, el 90% le realiza aspiracin de cavidad bucal y broncopulmonar, el 95% &nbsp;realiza la colocacin de sonda nasogstrica y vesical, un 90% hace la cura local de heridas, el 80% de los profesionales cumple con el aseo del paciente y un 95% brinda educacin sanitaria al paciente y familiares.Conclusiones: la Enfermera realiza un trabajo eficiente cuando sus profesionales tienen un buen desempeo. De los profesionales evaluados el mayor por ciento cumplen de forma correcta con los cuidados de enfermera a los pacientes politraumatizados en los servicios de Urgencia y Ciruga.&nbsp;&lt;/p&gt;&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Rodrguez Lazo&quot;,&quot;given&quot;:&quot;Marisol&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Ada Eworo&quot;,&quot;given&quot;:&quot;Gil Mbomio Mbomio&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Esono Nchama&quot;,&quot;given&quot;:&quot;Mara Flora&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;},{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Nchama&quot;,&quot;given&quot;:&quot;Mara Flora Esono&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Enfermera Investiga: Investigacin, Vinculacin, Docencia y Gestin&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2, Jun&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2018&quot;,&quot;7&quot;,&quot;4&quot;]]},&quot;page&quot;:&quot;61-65&quot;,&quot;title&quot;:&quot;Atencin de enfermera al paciente politraumatizado, Hospital Regional de Bata, 2017&quot;,&quot;type&quot;:&quot;article-journal&quot;,&quot;volume&quot;:&quot;3&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=1cf60458-e0c6-34d5-88ec-0347d184e1c1&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Rodrguez Lazo, Ada Eworo, Esono Nchama, &amp; Nchama, 2018)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Rodrguez Lazo, Ada Eworo, Esono Nchama, &amp; Nchama, 2018)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Rodrguez Lazo, Ada Eworo, Esono Nchama, &amp; Nchama, 2018)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Rodrguez Lazo, Ada Eworo, Esono Nchama, &amp; Nchama, 2018)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>, como son los genticos, desarrollo en edad adulta, vida sexual activa, adquisicin de hbitos como tabaquismo, alcohol y drogas, en los del grupo de edad de 21 a 30 aos inician su vida, presentndose vida sexual activa, falta de control mdico, abortos, falta de autocuidado y control mdico, hbitos tabaquismo ,drogas, uso de anticonceptivos<span style='mso-spacerun:yes'> </span>y en los adultos<span style='mso-spacerun:yes'> </span>mayores se encuentran factores que por su edad rganos y aparatos estn deteriorados<span style='mso-spacerun:yes'> </span>la enfermedad causa impacto en la familia y en los cuidadores</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN CSL_CITATION {&quot;citationItems&quot;:[{&quot;id&quot;:&quot;ITEM-1&quot;,&quot;itemData&quot;:{&quot;ISSN&quot;:&quot;0121-0807&quot;,&quot;author&quot;:[{&quot;dropping-particle&quot;:&quot;&quot;,&quot;family&quot;:&quot;Universidad Industrial de Santander. Facultad de Salud.&quot;,&quot;given&quot;:&quot;Mara Isabel&quot;,&quot;non-dropping-particle&quot;:&quot;&quot;,&quot;parse-names&quot;:false,&quot;suffix&quot;:&quot;&quot;}],&quot;container-title&quot;:&quot;Revista de la Universidad Industrial de Santander. Salud&quot;,&quot;id&quot;:&quot;ITEM-1&quot;,&quot;issue&quot;:&quot;2&quot;,&quot;issued&quot;:{&quot;date-parts&quot;:[[&quot;2015&quot;]]},&quot;number-of-pages&quot;:&quot;209-213&quot;,&quot;publisher&quot;:&quot;Universidad Industrial de Santander, Facultad de Salud&quot;,&quot;title&quot;:&quot;Salud UIS : revista de la Universidad Industrial de Santander, Facultad de Salud.&quot;,&quot;type&quot;:&quot;book&quot;,&quot;volume&quot;:&quot;47&quot;},&quot;uris&quot;:[&quot;http://www.mendeley.com/documents/?uuid=597b4fa6-57df-3e75-b89d-5e48828f63b7&quot;]}],&quot;mendeley&quot;:{&quot;formattedCitation&quot;:&quot;(Universidad Industrial de Santander. Facultad de Salud., 2015)&quot;,&quot;plainTextFormattedCitation&quot;:&quot;(Universidad Industrial de Santander. Facultad de Salud., 2015)&quot;,&quot;previouslyFormattedCitation&quot;:&quot;(Universidad Industrial de Santander. Facultad de Salud., 2015)&quot;},&quot;properties&quot;:{&quot;noteIndex&quot;:0},&quot;schema&quot;:&quot;https://github.com/citation-style-language/schema/raw/master/csl-citation.json&quot;}<span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>(Universidad Industrial de Santander. Facultad de Salud., 2015)</span><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;line-height:normal'><b><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-fareast-language:ES'>4. Discusin </span></b><b><span lang=ES-TRAD style='font-size:12.0pt;font-family:"Times New Roman",serif;mso-ansi-language: ES-TRAD'><o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-TRAD;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>L</span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>as actividades de cada uno de los integrantes del equipo paliativo en la unidad estn claramente definidas, en la gua de prctica clnica, las actividades, informes, y atencin no se realizan completamente, por falta del conocimiento del proceso del programa y la falta de capacitacin del personal de salud. El personal de salud de la institucin tiene<span style='mso-spacerun:yes'> </span>conocimiento sobre el Programa de Cuidados paliativos del Ministerio de Salud Pblica, no reciben en la institucin capacitacin, desconociendo, la gua de prctica clnica de atencin de los pacientes<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><b><span style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES'>5. Conclusiones<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>El equipo de cuidados paliativos, las actividades de cuidado debe realizarlas al paciente en forma integral considerando los aspectos bio-psico social, durante todo el proceso de la enfermedad terminal, anticipndose a la etapa del duelo. El personal de salud de la institucin, no solo debe tener conocimiento del programa, debe recibir capacitacin, para la aplicacin, atencin, cuidados, y educacin al paciente y familia de todos los pacientes con enfermedades terminales, con la utilizacin de la gua de prctica clnica. <o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:normal'><b><span style='font-size:16.0pt;mso-bidi-font-size:11.0pt;mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES'>Referencias Bibliogrficas<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Garca Asencio Mara Jose.2011. Evolucin histrica de los cuidados paliativos en el mundo. Universidad de Murcia. Escuela de enfermera. Tutora<span style='mso-spacerun:yes'> </span>Purificacin Rojas Alcntara<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-spacerun:yes'></span>La Historia de los cuidados paliativos en el Mundo. </span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: EN-US;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic'>See more at: </span><span lang=ES><a href="http://www.consumer.es/web/es/salud/atencion_sanitaria/2014/06/04/220000.php#sthash.9z3v25bJ.dpuf"><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: EN-US;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic;text-decoration:none;text-underline:none'>http://www.consumer.es/web/es/salud/atencion_sanitaria/2014/06/04/220000.php#sthash.9z3v25bJ.dpuf</span></a></span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>R, Buisan, J. C. Delgado. El cuidado del paciente terminal. </span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Care of the terminal patient. </span><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic'>Scielo. Anales Sis San Navarra&nbsp;vol.30&nbsp;&nbsp;supl.3&nbsp;Pamplona&nbsp;&nbsp;2007<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Resumen de la entrevista con&nbsp;Lourdes Guanter, co-directora del&nbsp;</span><span lang=ES><a href="https://il3.ub.edu/es/postgrado/postgrado-atencion-enfermera-cuidados-paliativos.html_1850970542.html"><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic;text-decoration:none;text-underline:none'><span lang=ES-TRAD>Postgrado en Atencin Enfermera en Cuidados Paliativos</span></span></a></span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>, realizada por el Canal Enfermero del&nbsp;</span><span lang=ES><a href="https://www.consejogeneralenfermeria.org/"><span lang=ES-TRAD style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;color:windowtext;mso-ansi-language:ES-EC; mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic; text-decoration:none;text-underline:none'><span lang=ES-TRAD>Consejo General de Enfermera</span></span></a></span><span style='mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold;mso-bidi-font-style: italic'>. El papel de la enfermera dentro del equipo de cuidados paliativos. Instituto de formacin continua. Universidad de Barcelona. 22 de octubre 2014<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Manual del Modelo de Atencion Integral de Salud MAIS.<span style='mso-spacerun:yes'> </span>Ministerio de Salud Publica. 2018<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-begin;mso-field-lock:yes'></span>ADDIN Mendeley Bibliography CSL_BIBLIOGRAPHY <span style='mso-element:field-separator'></span></span><![endif]--><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Alcvar Trejo, C., Caldern Cisneros, J., &amp; Raffo Babici, V. (2018). </span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Life Quality Protection Rights for Elderly People. Communities of Posorja and Puna. </span><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Persona y Biotica, 22(1), 90 102. https://doi.org/10.5294/pebi.2018.22.1.7<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>ALCVAR Trejo, C., VARGAS Prraga, V., CALDERN Cisneros, J., TRIVIO Ibarra, C., SANTILLAN Indacochea, S., SORIA Vera, R., &amp; CARDENAS Zuma, L. (2019). </span><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>The use of ICT in the teaching-learning process of teachers in the Universities of Ecuador Contenido. Retrieved from https://www.revistaespacios.com/a19v40n02/a19v40n02p27.pdf<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><span lang=EN-US style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language:EN-US;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'>Anastacio, J. M., Robles-Amaya, J., &amp; Cisneros, J. T. C. 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Universidad Industrial de Santander, Facultad de Salud. </span><span lang=EN-US style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'>Retrieved from http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072015000200013<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:1.0cm;text-align:justify;text-indent:-1.0cm;line-height:normal'><!--[if supportFields]><span style='mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: ES;mso-bidi-font-weight:bold;mso-bidi-font-style:italic'><span style='mso-element:field-end'></span></span><![endif]--><span style='mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:ES;mso-bidi-font-weight:bold; mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p> </div> <div style='mso-element:footnote-list'><![if !supportFootnotes]><br clear=all> <hr align=left size=1 width="33%"> <![endif]> <div style='mso-element:footnote' id=ftn1> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn1' href="#_ftnref1" name="_ftn1" title=""><span class=MsoFootnoteReference><span lang=EN-US style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=EN-US style='font-size:9.0pt;line-height: 106%;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman";mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'>[1]</span></span><![endif]></span></span></span></a><span lang=EN-US style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC'> </span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'>Artculo original derivado del proyecto de investigacin Factores de riesgos en personal de unidades educativas, fecha de realizacin entre octubre 2017 y marzo 2019<o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn2> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn2' href="#_ftnref2" name="_ftn2" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'>[2]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'>Licenciada en enfermera, Master en Educacin y Desarrollo social, Diplomada Superior en Currculo por competencias, Hospital de Especialidades Dr. Abel Gilbert Pontn, ndelgado.hagp.gob.ec, docente ocasional medio tiempo Universidad Estatal Pennsula de Santa Elena, ORCID http//orcid.org/0000.0002.9195-4939, ndelgado.1964@gmail.com<o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn3> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn3' href="#_ftnref3" name="_ftn3" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'>[3]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'>Licenciada en enfermeria. especialista en enfermeria en cuidados Criticos, docente ocasional tiempo completo. universidad peninsula de santa elena, orcid. http://orcid.org/0002-9195-4939, margaritatobarsolorzano@hotmail.com<o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn4> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn4' href="#_ftnref4" name="_ftn4" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'>[4]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'>Licenciad en enfermeria, especialista en enfermeria pediatrica, docente ocasional universidad peninsula de santa Elena. Lider de enfermeria Hospital Francisco de icasa Bustamante ,anita.enfer.costur@hotmail.com http//orcid.org/0000.0002.9195-4922<o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn5> <p class=MsoFootnoteText style='text-align:justify'><a style='mso-footnote-id: ftn5' href="#_ftnref5" name="_ftn5" title=""><span style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1;mso-ansi-language:ES-EC'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span style='font-size:9.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; color:black;mso-themecolor:text1;mso-ansi-language:ES-EC;mso-fareast-language: EN-US;mso-bidi-language:AR-SA'>[5]</span><![endif]></span></span></a><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'> Licenciada en Enfermeria, Hospital Maternidad marianita de jesus, docente ocasional Universidad estatal peninsula de santa elena, </span><span lang=EN-US><a href="mailto:maryromerog@hotmail.com"><span lang=ES-TRAD style='font-size:9.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-fareast-font-family: Arial;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-ansi-language:ES-EC'><span lang=ES-TRAD>maryromerog@hotmail.com</span></span></a></span><span style='font-size:9.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:Arial;mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;color:black; mso-themecolor:text1;mso-ansi-language:ES-EC'> http//orcid.org/0000.0002.9195-4739<o:p></o:p></span></p> <p class=MsoFootnoteText><span lang=ES-MX style='mso-ansi-language:ES-MX'><o:p>&nbsp;</o:p></span></p> </div> </div> </body> </html>

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