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    FUNDAIA ECOLOGIC GREENCOALA POSTLICEAL F.E.G.

    FILIALA-VLCEA

    DOMENIUL : SNTATE I ASISTEN PEDAGOGICSPECIALIZARE : ASISTENT MEDICAL GENERALIST

    PROIECT DE DIPLOMPROIECT DE DIPLOM

    INDRUMATOR STIINTIFIC:

    Prof. nursing:

    ABSOLVENT:

    Z

    VLCEA-2012

    1

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    FUNDAIA ECOLOGIC GREENCOALA POSTLICEAL F.E.G.

    FILIALA-VLCEA

    TITLUL LUCRRII:TITLUL LUCRRII:!N"RI#IREA PACIENTULUI CU TENTATIV $E!N"RI#IREA PACIENTULUI CU TENTATIV $E

    SUICI$SUICI$

    NDRUMTOR TIINIFIC :

    PROF.NURSING : DUMITRESCU ELENA

    ABSOLVENT :ZOTIC DUMITRU

    VALCEA-2012

    2

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    CUPRINS

    I!"#$%&'"'%%%%%%%%%%%%%%%%%%%%%%%%%...&

    C()*!#+%+I: $'fini(i')*+,sifi*,r')%%%%%%%%%%%%.%%%%.... $,(' 'i/'io+ogi*' riin/ sui*i/u+%%%%%%%%%.%.. 3,*(ori /' ris* 'n(ru *r's('r', sui*i/u+ui%%%%%%%.%... Ins(,n(' ,+' f'no'nu+ui sui*i/,r%%%%%%%%%%%....11 4'(o/' fo+osi(' 'n(ru r',+i5,r', ,*(u+ui sui*i/,r%.%%%%.12

    C()*!#+%+II:C,u5' ,+' sui*i/u+ui)%%%%%%%%%%%%%%%%%16 Sui*i/u+ +, 'rso,n' *u 7o+i si8i*'%%%%%%%%%%%16 $'r'si,%%%%%%%%%%%%%%%%%%%%%%1& S*8i5ofr'ni, %%%%%%%%%%%%%%%%%%.22 Sui*i/u+ in ,+*o+is si (o9i*o,ni%%%%%%%%..%........2 A+*oo+isu+ *roni*%%%%%%%%%%%%%%%%%....2 Sui*i/u+ +, 'rso,n'+' *u (u+7ur;ri /' 'rson,+i(,('%%%%%.

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    MOTTO:

    S(!(!'( '!' ,'!"'( * $"')!%+ #!"%3

    '( '!' %*%'( )+'! * $')+* $*!"'

    %/+'! 34*!'3") 5

    (&'(!( % '!' % *$'(+ *$')"!(! * $*/*&*+ $' #!*%!3 $*4)#!"*6 '!' % *$'(+ (!%"(+ * (&&'**+3

    )' &("' 4%+7* $*!"' #* *+ '+*8'(,9

    D". E $%("$ B(&

    INTRODUCERE

    6

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    In +u*r,r', /' f,(; , r'uni( *unos(in('+' ('or'(i*')/'rin/'ri+' r,*(i*' )no?iuni /'

    f,r,*o+ogi' si '/i*in; in('rn; ' *,r' +'-, ing+o7,( in ('8ni*i+' /' ingri=ir' nursing /u;

    o/'+u+ *on*'u( /' Virgini, @'n/'rson.

    S*ou+ +u*r,ri 's(' /' , r'5'n(, ingri=iri+' *' (r'7ui's* ,*or/,(' 7o+n,u+ui *' r'5in(; o7o,+, *' ,f'*(',5; s(,r', si8i*; ' 7,5, unui +,n '(o/i* '+,7or,( .

    Pro*'su+ /' nursing 's(' o '(o/; r,(ion,+; /' +,nifi*,r' si roo,r' , in('r'n(i+or

    in/ii/u,+i5,(' in s*ou+ o7?in'rii un'i ,i 7un' s(,ri /' s,n,(,('

    A*',s(, +u*r,r' ,r' *, s*o *uno,s('r', o7i'*(i'+or *' s(,u +, 7,5, ingri=iri+or ,*i'n?i+or

    *u ('n(,(i; /' sui*i/ in 7,5, unui +,n /' nursing.

    Proi'*(u+ /' ,7so+ir' r'5'n(,( in *on(inu,r' r'r'5in(; o ,+i*,(i' /' or/in r,*(i* ,

    *unos(in('+or ,*uu+,(' ' ,r*ursu+ *'+or (r'i ,ni /' s(u/iu.Pun*(u+ /' +'*,r' +-, r'r'5'n(,( i/'n(ifi*,r', (''i: I"*8*"'( )(&*'!%+%* &% !'!(!*6( $'

    %*&*$. In (u+7ur,ri+' /' 'rson,+i(,(' s' inr'gis(r',5, o +,rg, ,+'(; /' ,*(' ,gr'si' si

    ,u(o,gr'si'. Sinu*i/'r', r'r'5in(; un, /in(r' *'+' ,i ior(,n(' i ,i *o+'9'

    ro7+'' ,+' si8o,(o+ogi'i. E, 's(' ,nif's(,r', unui in/ii/ us in(r-o si(u,(i' +ii(, /'

    i,?,

    Lu*r,r', *urin/' 2 )("!*rin*i,+':

    ri, ,r(' in *,r' , /'s*ris %*&*$%+ /in un*( /' '/'r' ,+ '(io-

    ,(og'ni'i)s'n'+or si si(o'+or *+ini*')rin*i,+'+or *o+i*,(ii si o/u+ui /'

    r''nir' si (r,(,'n(

    , /ou, ,r(' in *,r' , r'5'n(,( no(iuni s'*ifi*' /' ingri=ir' in 7,5, unui +,n /'

    ingri=ir')'9'+ifi*,(' rin ; !%$** $' &(,)inr'gis(r,(' +, ,*i'n(ii /' ,rs(' /if'ri(')*u

    f,*(ori '(io+ogi*i /if'ri(i)/,r '*,nis ,(og'ni* i/'n(i*.

    A /'s*ris ingri=iri+' ,*or/,(' fi'*,rui ,*i'n( in ,r(' in fun*(i' /' n'oi+' fun/,'n(,+'

    ,f'*(,('),n; +, r's(,7i+ir',in/'n'n/'n('iin s,(isf,*'r',n'oi+orfun/,'n(,+' si ,sigur,r',

    r'+u,rii ro*'su+ui /' /'5o+(,r' fi5io+ogi*,.

    . Ro+u+ ,sis('n('i '/i*,+' 's(' 's'n(i,+ si *ons(; in , ,=u(, 'rso,n, 7o+n,, s,-si r'*,s(ig'

    s,u 'n(in' s,n,(,(',)r',+i5, o('n(i,+u+ fi5i* )si8i* s,u so*i,+ in *on('9(u+ '/iu+ui in *,r'

    (r,i's(' si +u*r',5;.

    Asis('n(, '/i*,+; (r'7ui' s; ,sigur' i+i*,r', ,*(i; , in/ii/u+ui si , f,i+i'i s,+' ),

    ri'('ni+or si gruuri+or so*i,+' r'*u si , *ouni(,?i in (o,(' ,s'*('+' /' ingri=ir' ,

    s,n,(,?ii.

    &

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    CAPITOLUL I

    $E3INIIE SI CLASI3ICARE.

    Sui*i/u+ *, f'no'n /' /'i,n(; so*io-*oor(,'n(,+; )*ons(i(u' o ro7+', '/i*o-

    so*i,+; *o+'9;. As'*('+' si ro7+''+' ('or'(i*' sun( ,9,(' ' s(u/iu+ f,*(ori+or

    sui*i/og'ni),+' o/,+i(,?i /' /'*+,ns,r' , sui*i/u+ui si , ro7+''+or *' /u* +, sui*i/.

    Sui*i/u+ /' +, sui /' sin' si *i/i*u oor,(orD 's(' ,*(u+ /' /is'r,r' ,+ unui o *,r' nu

    ,i /or's(' s, (r,i,s*;.

    $E3INIII:

    E. DURC?0 :sui*i/u+ 's(' un ,*( u,n /' in*'(,r' /in i,(,),u(oro/us si *u

    in('n(i' roi'.

    Sui*i/u+ 's(' ,*(u+ rin *,r' un in/ii/ isi roo,*, '+ insusi o,r(',. Sui*i/u+ s' in(,+n's('

    in ,ro,' (o,(' so*i'(,(i+'. Proor(i+' s,+' sun( gr'u /' s(,7i+i( *u r'*i5i' /'o,r'*' u+('

    *,5uri /' o,r(' o+un(,r, sun( ,s*,(' in ,**i/'n('.un'+' sinu*i/'ri o(i,(' /'

    *onsi/'r'n(' or,+'s*,,r', /' o si(u,(i' /'5onor,n(,D s,u so*i,+' , nu fi o o,r, 'n(ru

    *'i+,+(iD ,/u* , s,*rifi*ii.A+('+' ,i fr'*'n( /i*(,(' /' o ,f'*(ii(,(' 'r(ur7,(, )*or'sun/

    unui *oor(,'n( ,(o+ogi* )n'ro(i*i /'ri,(i)in*,,7i+i s, s' in('gr'5' ,ronios in i,(,

    si s, g,s',s*, un s'ns '9is('n('i +or s,u '+,n*o+i*i .

    O.M.S/'fin's(' sui*i/u+ *, ' un ,*( rin *,r' un in/ii/ *,u( s s' ,u(o/is(rug; fi5i*) *u

    in('n(i, ,i u+( s,u ,i u(in ,u('n(i* /' ,-si i'r/' i,(,.

    Au fos( '/if'r'n(' 'i/'io+ogi*' in(r' /ou; gruuri )si rous ('r'nii F%*&*$G si

    F!'!(!*6($'%*&*$G 'n(ru , /is(ing' *'+' /ou for' /' *oor(,'n(. S-, r'suus *, un

    gr,/ /' in('n(i' sui*i/,r , fos( 's'n(i,+ in ,7'+' gruuriH *u ,+(' *uin(') *'i *,r' ,u

    sur,i'(ui( nu r'usis'r, s, s' sinu*i/;. .

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    In(r' 0 i 0 /in(r' 'rso,n'+' *,r' ,u *ois sui*i/ ,u *ouni*,( in('n?i, +or) Jn(r-o

    for; s,u ,+(,) /in (i. Unii o,'ni Jn*',r*; s; s' sinu*i/;) Jn (i *' un ,+( nu;r o( f,*'

    g's(uri sui*i/,r' *,r' sun( *8';ri Jn ,=u(or s,u Jn*'r*;ri /' , f,*' *unos*u( *K( /' ,/Kn*;) /'

    ,r' 's(' /is'r,r', +or.

    4u+?i o,'ni *,r' *oi( sui*i/ sun( /'r'sii) /,r fo,r(' u+?i /'r'sii nu ,u sufi*i'n(;'n'rgi' s; *oi(; sui*i/u+ i) /' ,*'',) J+ *oi( ,(un*i *Kn/ s' si( ,i 7in'.$'i

    u+(i(u/in', /'*i5ii+or /' *oi('r' , sui*i/u+ui o,(' r'+', s(r'su+ s,u /'r'si,) u+'

    'rso,n') Jn,in(' /' , *oi(' ,*(u+ sui*i/,+) ,r ,i u?in /'r'si'.

    T'ori, *onfor *;r'i, r,s, ,r fi un f,*(or ior(,n( ,+ Jn*+in,?i'i *;(r' sinu*i/'r' r'suun'

    i+i*i( *; sinu*i/'r', 's(' 'r'/i(,r;) *;*i) Jn *,5 *on(r,r) nu ,r u(', ,', un *,r,*('r '(ni*.

    3,('+' ,r,(; *; /,*; nu;ru+ sinu*i/'ri+or Jn *,/ru+ unui oor sun( ,i ,ri /'*K( Jn ,+(u+)

    ,s(, nu s' /,(or',5; r,s'i) *i *ii+i5,?i'i ooru+ui r's'*(i.$in un*( /' '/'r' ,+ Krs('i) sinu*i/'r', ,,r' /o,r Jn *,5uri '9*'?ion,+' +,

    *oii)', Jn*'Kn/ s; s' ,nif's(' /in*o+o /' 10-1& ,ni. !n *on*+u5i') nu s' o,(' ,(ri7ui

    'r'/i(;?ii o ('n/in?; *,r' ,,r' /o,r +, ,/u+( i *,r' s' ,**'n(u',5; 'r'u ' ;sur; *'

    Jn,in(',5; Jn i,?;.

    3,i+i, 's(' un '/iu u('rni* ro('*(or Jo(ri, sinu*i/'rii) ', ro('=Kn/ *u ,(K( ,i 7in'

    *u *K( 's(' ,i u('rni* Jn*8'g,(;. S(,(is(i*i+' ,r,(; *;:

    ;/uii s' sinu*i/ ,i u+( /'*K( *;s;(ori?ii i *'+i7,(,riiH

    *;s;(orii+' r', (iurii ,u o inf+u'n?; ,gr,,n(; ,sur, sinu*i/'rii) Jn s'*i,+ 'n(ru

    7;r7,?iH

    /u; 20 /' ,ni) 'rso,n'+' *;s;(ori(' s' sinu*i/ ,i r,r) Jn *o,r,?i' *u *'+i7,(,riiH

    , *r's*u( r,(, *oor(,'n(u+ui sui*i/,r +, ,/u+?ii (in'ri i +, ,/o+'s*'n?iH

    sinu*i/'r', 's(' '9(r' /' fr'*'n(; +, 'rso,n'+' Jn Krs(;H

    7;r7,?ii s' sinu*i/ Jn(r-un nu;r ,i ,r' /'*K( f''i+'.

    S' o,(' *on*+u5ion, *; sinu*i/'r', ,ri,5; in'rs roor?ion,+ *u

    gr,/u+ /' in('gr,r' ,+ gru;ri+or so*i,+' /in *,r' f,*' ,r(' in/ii/u+.

    >

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    D(!' ')*$'4*#+#*&' )"*6*$ %*&*$%+

    Nuru+ ,r' /' *,5uri /' sui*i/ , ,(r,s ,('n(i, s'*i,+is(i+or. $u

    r,o,r('+' O4S) s' sinu*i/ ,ro9i,(i 2000 /' 'rso,n'5i si un i+ion,n.U+(i, r,or(,r' , O4S riin/ r,(, g+o7,+, , sui*i/u+ui in +u' /,(',5, /in

    2000 s i 's (' /' 2&ooooo 'n(ru 7,r7,(i s i 00000 'n(ru f''i. In ,f,r,

    /is*r',n('i /in(r' *'+' /ou, s'9' in *'', *' ri's(' fr'*'n(, sui*i/u+ui s'

    *ons(,(, si o /in,i* '9(r' /' /if'ri(, , f'no'nu+ui ' ,r*ursu+ , &0 /'

    ,ni in(r' 1&0 s i 2000) 'rio,/, in *,r' s' *ons(, (, o *r' ('r' *ons(,n(, s i

    ,**'n(u,(, +, 7,r7,?i. .

    L, ni'+u+ Euro'i ,nu+ui 2002 sinu*i/'r', r'r'5in( rin*i,+, *,u5, /'

    /'*'s ro/us rin ,*(' in('n(ion,(' s i n'in('n(ion,(' ,/i* 21 /in (o(, +u+

    ,*'s(or, si in ,*'+,si (i r'r'5in( ,i u+( /' =u(,(' /in (o(,+u+ ,*('+or

    in('n(ion,(' /',sin/ /' ,i u+( /' /ou, ori r,(, 8'('ro,gr'siuni+or si /' ,i u+( /' 10

    ori r,(, +'5iuni+or ro/us' in r,57o,i' .

    3r'*'n(, *,5uri+or /' sui*i/ , *r's*u( in RoKni, in ,nii .

    10) f,(, /' 10) *u 20. In(r' 10 si 2006 r,(, , *r's*u( i,r *u

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    M i5o+,r' so*i,+,)

    M ,ni'rs,ri 'rson,+' ior(,n('

    M so'r s,u ro7+'' fin,n*i,r')

    M ,7u5u+ /' ,+*oo+ /roguri

    M '9'ri'n(' r'*'n(' /' ui+ir'F(&!#"* 4'!(+* * /*,*&*

    M /'r'si, in s'*i,+ 7o,+, ,ni,*o-/'r'si,D

    M ,gi(,(i') insoni') ,n9i'(,('

    M s'n(i'n(u+ ino,(i'i) in,/,(,r') n'f'ri*ir'

    M iu+sii(,(') 'rson,+i(,(' os(i+,

    M io8on/ri, g,n/u+ * ,r' /i'rs' 7o+i gr,': *,n*'r) 7o+i *,r/i,*' '(*.D

    M 8,+u*in,(ii) in *,r' o*', *o,n/, ,*(u+ sinu*ig,sM 7o+i *roni*' /ur'ro,s') u(i+,n(') in s'*i,+ /,*, 'rso,n, , fos( ,n('rior

    s,n,(o,s,

    M fo+osir', /' /roguri) *,r' /'('rin, /'r'si' s''r;

    F(&!#"** $'4#"(/*&*

    Vrsta

    S-, o7s'r,( o *or'+,(i' o5i(i, in(r' Krs(, si *oor(,'n(u+ sui*i/,r in

    ,nui(' '(,' *rono+ogi*' ,+' i'(ii in/ii5i+or *' r'*urg +, ,*(' ,u(o+i(i*'.

    R,(, sui*i/,r, *r's(' *u Krs(,) +, 7,r7,(i 's(' 45 ,ni) +, f''i 's(' 55 ,ni)

    o7s'rKn/u-s' o *r's('r' s'nifi*,(i, 's(' >0 /' ,ni +, 7,r7,(i) in *on('9(u+

    i'r/'ri+or or,+' si ,('ri,+' *' 7u+'rs',5, '*,nis'+' ,/,(;ri.

    Sexul

    $in +i('r,(ur, /' s'*i,+i(,(' s' s'n,+',5 o uso,r, *r's('r' , r,('i sui*i/,r'

    +, ,7'+' s'9'. In ,=ori(,(', (,ri+or ,*',s(, *r's('r' 's(' us; in +'g(ur *u

    o s'ri' /' f,*(ori ,7i'n(,+i) s*8i7,r', s(ru*(uri+or /' Krs(,) r'+,(ii+or si

    s(,7i+i(,(ii f,i+i,+' si , nu'ro ,s'+or ''ni'n(' /' i,(, s(r's,n('.

    4,=ori(,(', ,u(ori+or ,r,(, *, sui*i/u+ r',+i5,( s' in(K1n's(' +, 7,r7,(i in(r-o

    roor(i' /' 2:1 Kn, +, >:1 f,(, /' f''i . $' ,s''n',) s-, *ons(,(,( *;

    7,r7,(ii ,u r'/i+'*(i' *,(r' '(o/' io+'n(' ius*,r',) sKn5ur,r',)

    /'f'n's(r,r',D) in (i *' f''i+' ,+'g '(o/' ,i u(in (r,u,(i*') r'*u

    ing's(i, '/i*,'n(o,s, s,u in'*u+.

    Mediul de provenient. Factorii geografici.

    In '/iu+ ur7,n) nu,ru+ /' *,5uri /' sui*i/ 's(' /' o7i*'i ,i ,r' /'*K( i n

    '/iu+ rur,+H s' inr'gis(r',5; o fr'*'n(, ,i ,r' , *oor(,'n('+or

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    sui*i/,r' in *'n(ru+ '(roo+'+or /'*K( +, 'rif'ri, +or) in *on/i(ii /' Fi5'ri'

    so*i,+G. S' r',r*, o /if'r'n(, , r,('i sui*i/,r' si in fun*(i' /' 5on,

    g'ogr,fi*,: ro*'n(u+ *'+ ,i ri/i*,( /' sui*i/uri 'n(ru 7,r7,(i 's(' in

    Ung,ri, si 3in+,n/,) SUA ,r' o r,(, '/i') i,r *', ,i s*,5u(, r ,(, s'

    inr'gis(r',5, in "r'*i,) ur,(, /' 4'9i* si O+,n/,Anturajul

    C'+ ,i ,r' 'f'*( ,sur, in/ii/u+ui r'(u(in/'ni in +u') i+ ,r' f,i+i, '

    *,( /' ,r'*i,(, /' unii) ' ,(K( /' *on('s(,(, /' ,+(ii *, for; /' *oni'(uir'

    so*i,+,D. A*'s( ,n(ur,=) rin so+i*i(u/in', s,) ,r (r'7ui s,-+ o7+ig' 'r'u '

    o('n(i,+u+ sinu*ig,s +, ,*(ii(,(') +, +u(, 'n(ru ,fir,r') +, su+g'r', in

    fin,+ /in g8',r'+' o7s'si'i or(ii.

    Starea economicaA*',s(, ,/u*' in /is*u(i' r'+,(i, /in(r' sui*i/ si *,+i(,(', i'(ii) ,(K( in

    so*i'(,(i+' ou+'n(' *,( si in *'+' ,noi*' *,r') rin ,(rofi'r', s'nsu+ui i'(ii)

    /iinu',5, s,ns'+' /' r'5o+,r' , unor *onf+i*(' in('rn') /' i'sir' /in

    /ison,n('+' so*i,+'. Nu'ro,s' o(i' /' or/in '*onoi* s,u rof'sion,+

    f,+i'n() n'r',+i5,r' rof'sion,+;) i'r/'r', s(,(u(u+ui rof'sion,+ si so*i,+

    '(*.D sun( in*riin,(' in '(io,(og'ni, *oor(,'n(u+ui sui*i/,r.

    Anotimpul

    In (iu+ 'rii s-, *ons(,(,( ro*'n(u+ *'+ ,i ,r' /' sinu*i/'ri) *u un

    ,9i +, sfKrsi(u+ ri,'rii si in*'u(u+ 'rii. Lun, ,i , fos( no(,(; *,

    inr'gis(rKn/ r,(, *', ,i ri/i*,( /' sinu*i/'ri . R'giuni+' *u i'rni +ungi)

    o8orK(') r'*u in S*,n/in,i, si un'+' ,r(i /in A+,s,) ,u o r,(, *r's*u(,

    , sui*i/u+ui

    $' ,s''n',) 'rso,n'+' *u (u+7ur,ri ,f'*(i' s'5on,+' '9ri,(' rin

    'iso,/' /'r'si' Ji o( ,**'n(u, /'5'*8i+i7ru+ in('rior in ,nui(' *on/i(ii

    '('oro+ogi*'

    R,or(,( +, 5i+'+' s,(,Knii) ,i fr'*'n( s-,u inr'gis(r,( sinu*i/'ri)

    /uini*, si +un',) fr'*'n?, fin/ us; ' s',, ,7u5u+ui /' ,+*oo+ +, sfKrsi(

    /' s,(,Kn; si , /'r'sii+or 'ro(i*' D.

    Factorii socio-culturalii

    Cu+(ur, inf+u'n(',5; o/u+ in *,r' noi /'fini si '9'ri'n(, 'n(,+

    s,n,(,(', si 7o+i+' si8i*') ,7i+i(,(', /' , n' ingri=i si o/u+ *u o f,*')

    *,+i(,(', in('r,*(iunii /in(r' '/i* si ,*i'n(.

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    I!(7' (+' /'#4'%+%* %*&*$("

    . Ins(,n?' ,+' f'no'nu+ui sui*i/,r.Ideeadesuicidveleitarr'r'5in(; o /orin?; (r,n5i(ori'/' ,u(o/is(rug'r') *u roi'*?i, ('or'(i*; , ,*(u+ui) f;r; un'r', s, Jn r,*(i*;) /orin?, fiin/

    g'n'r,(; nu,i /' Jn*;r*;(ur, ,f'*(i; /' o'n(.

    antajulcusuicidul,,r' +, 'rso,n'+' *u o s(ru*(ur; si8i*; +,7i+; s,u +, 'rso,n'+' *u un

    *o'fi*i'n( /' in('+ig'n?; s*;5u() *u s*ou+ /' , o7?in' ,i u+(' /r'(uri) un +us /' +i7'r(,('.

    !+ Jn(K+ni ,i /'s +, f''i i ,/o+'s*'n?i. !entativele suicidare sun() ,,r'n() sinu*i/'ri

    r,(,(' /in o(i' ('8ni*' i=+o,*' /' sinu*i/'r' n',/'*,(' s,u for(ui(') in('r'n?i, unor

    'rso,n' s(r;in'D. $,('+' s(,(is(i*' ,r,(; Jns; *; '9is(; /if'r'n?' s'nifi*,(i' Jn *'', *'ri'(' s'9u+ i Krs(, *'+or *,r' nu r'u's*. T'n(,(i, sui*i/,r; ,r' , ,', *'+ ,i ,/'s',

    s'nifi*,?i, un'i n'oi *r's*u(' /' ,f'*?iun' i ,('n?i' /in ,r(', ,n(ur,=u+ui) f,?; /' *,r'

    su7i'*(u+ s' si(' i5o+,() su7's(i,() r'sins. T'n(,(i, /' sinu*i/'r' o,(' fi r''(,(;.

    Sindromulpresuicidar, fos( /'s*ris *, fiin/ *,r,*('ri5,( rin s(rKng'r', *Ku+ui /'

    *on(iin?; i , ,f'*(ii(;?ii i Jn*+in,?i, *;(r' f,n(,s'+' sui*i/u+ui.

    Suicidul disimulat (travestit)'s(' o ,*o'rir') o /isiu+,r' , ,*(u+ui sui*i/,r su7

    for, unui ,**i/'n(. In/ii/u+ ,+'g' ,*',s(; o/,+i(,(' /' , s' sinu*i/' 'n(ru , nu-i

    *u+,7i+i5, ru/'+') ri'('nii) s,u 'n(ru ,-i ro('=, ' ,*'(i, /' r',*?ii+' ,n(ur,=u+ui

    "aptusulsuicidar's(' r'5u+(,(u+ un'i ('n/in?' gr'u r'ri,7i+' /' /is,ri?i') , unui

    iu+s n's(;Kni(. P'rso,n, s' ,run*; Jn sui*i/G) fo+osin/ ori*' i=+o* ,r' +, Jn/'Kn;.

    Suicidul cronic (parasuicidul)*ons(i(ui' /' f,( '*8i,+'n?'+' sui*i/,r') *u ,r fi

    ,u(ou(i+;ri+') r'fu5u+ ,+i'n(,r) r'fu5u+ (r,(,'n(u+ui) *on/ui('+' /' ris*) ,+*oo+isu+)

    (o9i*o,nii+') ,s';nKn/u-s' rin *,r,*('ru+ si7o+i*) rin ('n/in?, /' ,u(o/is(rug'r' *u

    *oor(,'n(u+ sui*i/,r) /,r r',+i5Kn/ o /'(urn,r' , ,*(u+ui) gr'u '9+i*,7i+; 'n(ru *'i+,+?i i

    *8i,r 'n(ru sin' .

    #onduitasuicidarr'suun' org,ni5,r', *oor(,'n(u+ui Jn '/'r', ,*'s(ui s*o)

    un f'+ /' r'gi5,r'G , ,*(u+ui sui*i/,r. In/ii/u+ Ji i5i(',5; +o*uri+' /in *oi+;ri') fo(ii

    ri'('ni) Ji s*ri' ('s(,'n(u+) /u; *,r' s' sinu*i/'.

    Nu 's(' osi7i+ s; '/' un n'7un Jn ori*' sinu*ig,. Sr' /'os'7ir' /' f,(, unui o

    nor,+) *' r'5u+(; /in(r-un o(i o7i'*(i) f,(, *'+ui ,+i'n,( nu ,r' +'g,(ur; *u *ir*us(,n?'+'

    '9('rio,r'. Sinu*i/'r', nu 's(' ni*i ' /',r(' o r'+ungir' , s(;ri+or si8o,(i*' i ,*',s(, s'

    o,(' /'/u*' i /in f,(u+ *; ?;ri+' *u *'i ,i u?ini su7i'*?i *u (u+7ur;ri si8o,(o+ogi*' ,u

    nu,ru+ *'+ ,i ri/i*,( /' sinu*i/'ri.

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    As(f'+) Jn *on/i?ii i/'n(i*') /'g'n'r,(u+ ,=ung' ,i uor +, sinu*i/'r' /'*K( ou+

    s;n;(os) /,r ,*'s( +u*ru nu s' /,(or',5; Jn '9*+usii(,(' s(;rii s,+'.

    METODELE FOLOSITE IN

    COMPORTAMENTUL SUICIDAR

    M 4'(o/'+' /' ,u(o,gr'siun' in sui*i/ s' i,r( in (r'i *,('gorii:

    $rocedee traumatice: ,r' ,+7' *u(i(') +,'D) ,r' /' fo*) r'*ii(,r' /'f'n's(r,r')

    +on=,r'D) 5/ro7ir' (r'n) ,u(oo7i+D) ,r/'r') *,us(i*' so/,) ,*i5i '(*.DH

    % $rocedee asfixice: sKn5ur,r') s(r,ngu+,r') sufo*,r') in'*) ,ori /' *,r7on) g,5)

    '+'*(ro*u(,r'H$rocedee toxice: o(r,uri s,ruri ,rs'ni*,+') s(ri*nin,) *i,nuri) 7'+,/on,D

    M E9is(, /if'r'n(' *u+(ur,+' in riin(, r'f'rin('i in ,+'g'r', ,ri,n('+or /' ,u(o,gr'siun'.

    M In 3r,n(,) o (r'i' /in sinu*i/'ri s' 'f'*(u',5; rin sKn5ur,r') un sf'r( rin in'* si o

    *in*i' rin ,r' /' fo*.

    M in (,ri+' nor/i*' Su'/i,) Nor'gi,) $,n',r*,D , fos( r',r*,(; r,ri(,(', in'*u+ui.

    M C8in, /oin, rin fr'*'n(, in(o9i*,(ii+or *u oiu si s,ruri /' ,rs'ni*.

    M #,oni, sui*i/u+ (r,/i(ion,+) F8,r, iriG) (in/' s, fi' in+o*ui( /' '(o/' o/'rn') r'*u,r'+' /' fo*.

    C'+' ,i in(,+ni(' '(o/' r'+',(' /' r,*(i*, '/i*o-=u/i*i,r, si in(,+ni(' sun( ur,(o,r'+':

    - A%!#(/**'"'(*u og,; ,+, /' o/,+i(,(i /' r',+i5,r') *', ,i fr'*'n(, o/,+i(,('

    's(' sKn5ur,r', si ', r',+i5,7i+; in u+(i+' ,ri,n('.

    -='4#"(*(-rin (,i'r', ,s'+or /' sKng') in s'*i,+ , *'+or /' +, in*8'i'(ur, Kinii

    ,r(i*u+,(i, unu+uiD) *,r' 's(' /' f,( un, /in(r' 5on'+' /' '+'*(i' /,(ori(, ,**'si7i+i((iiD.

    Sun( /' ,s''ni fr'*'n(' +,gi' r'*or/i,+' /' *'+' ,i u+(' ori u+(i+'.

    -E+'&!"#&%!("'(-*u ('nsiuni ,/i( ,+'s') in *,5u+ sui*i/u+ui ))'roG.) *, fin/ *u 'f'*( or(,+.

    $'s'ori i*(i, ,+'g' un '/iu *u u+(, ,; 7,i'D 'n(ru *, r'5is('n(, +, *ur'n( s, fi'

    ini,.

    -P"'&*)*!("'(-s,+(u+ in go+ /' +, in,+(i') fi' /in s,u /' ' io7i+') fi' in *,/ru+ n,(ur,+s(Kn*,D.

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    -I4)%&("'(-*u /i'rs' ,r' /' fo*.

    -I'&("'(-un'ori *u )),n*or,r',G unor gr'u(,(i 'n(ru , f,*' inu(i+ ori*' 'for( /'

    ,u(os,+,r'.

    -A"%&("'(-in f,(, unui '8i*u+ ,f+,( in is*,r') in s'*i,+ , *'+or *u ro(i '(,+i*' f,r,

    n'uri (r'n) '(rou '(*.D.

    -A%!#*&'$*'"'( /u, s(roir', r',+,7i+, *u *o7us(i7i+ 's(' fo+osi(; in s'*i,+ *,

    for; /' ro('s(.

    In *'', *' ri's(' *', /'-, /ou, *,('gori' /' '(o/') /if'ri(' s(u/ii +'g,(' /' ro7+',(i*,

    o/u+ui /' r',+i5,r' , sui*i/u+ui ,r,( * '(o/'+' fi5i*o-'*,ni*' sun( 's(' (o( in *on(inu;

    s*,/'r' in f,o,r', '(o/'+or *8ii*') ,/i* in f,o,r', o(r,uri+or.

    $in(r' '/i*,'n(') r'f'rin?, s-, in/r'(,( sr' +uin,+(53%).R's(u+ /' 6> /in(r' *,5urifo+osin/ /if'ri(' ,+(' su7s(,n(' '/i*,'n(o,s') in/'os'7i *'+' /in g,, 7,r7i(uri*'+or. S' o(

    *i(, ,i*i *i,nur, /' o(,siu) *u 'f'*( +'(,+ g,r,n(,( in *K(', s'*un/') so/, *,us(i*, '(*.

    FAZELE SUICIDULUI

    Suicidatia's(' f,5, /' in*u7,(i') f,5, 'n(,+; /' *'r*'(,r' , o(i,(i'i) in *ursu+ *,r'i,su7i'*(u+ isi un' ro7+', or(ii si , n'*'si(,(ii /' , uri. E, 's(' /'*+,ns,(; /' un, s,u ,i

    u+(' *,u5') fi' /' or/in ,(o+ogi* /ifi*u+(,(i /' ,/,(,r' so*i,+,) s+,7ir', s,u ,**'n(u,r',

    *o'5iunii gruu+ui so*i,+D.

    Suicidactia's(' f,5, /' (r'*'r' /' +, i,gini+' ,7s(r,*(') *onf+i*(u,+') +, '(,, r'g,(iri+or

    su**'si') *on*r'(') rin *,u(,r', for'+or si '(o/'+or /' *on/ui(; ,u(o/is(ru*(i'.

    M In *ursu+ ,*'s('i f,5' ,sis(, +, o *r's('r' ,r*,n(, si rogr'si; , s(,rii /' ('nsiun'

    in(r,si8i*,) *,r' ,=uns, +, ,ro9is) ))'9+o/',5;G su7 for, un'i r',*(ii si8og'n') o'n(in *,r' in/ii/u+ ,/o(; ))/'*i5i,G inf,(uirii sui*i/u+ui. Es(' o'n(u+ ))'9+o5i'i

    ,u(o/is(ru*(i'G.

    !raumati&atia's(' f,5, /' un'r' in r,*(i*, , o/,+i(,(i+or ,u(o/is(ru*(i' r'*on*'u(')

    s,u ,*(u+ in sin' ur,( s,u nu /' r'usi(;) ,/i*, /' o,r('. Ior(,n(' in ,*',s( '(,, ,

    *on/ui('i sui*i/,r' sun( '(o/'+' fo+osi(' si 'f'*(u+ +or.

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    C()*!#+%+ II

    C(%,'+' )#"!(4'!%+%* %*&*$("

    S%*&*$%+ +( )'"#('+' &% #+* )**&'

    S%*&*$%+ $')"'*'

    Ris*u+ sui*i/,r 's(' r'5'n( +, ori*' ,*i'n( *u /'r'si' f;r; s; fi' Jns; *or'+,( *u s''ri(,(',

    /'r'si'i. C'+ ,i fr'*'n() o,(' ,;r', +, Jn*'u(u+ i fin,+u+ 'iso/u+ui /'r'si. Ar u(', fi

    '9+i*,( rin f,(u+ *; sui*i/u+ 's(' '9r'si, un'i u+siuni ,u(o+i(i*' *,r' s' Jns*ri' Jn

    ,ns,7+u+ sis('u+ui u+sion,+ i s' r'+,9',5; ' ;sur; *' ,*i'n(u+ s' *ufun/; Jn /'r'si'. !

    U+('rior) *Kn/ s(,r', ,*i'n(u+ui s' ,'+ior',5;) sis('u+ u+sion,+ s' r'igor',5; i ris*u+

    sui*i/,+ r'in' ' ;sur, ,'+ior;rii /'r'si'i. Insoni, s''r; /in *,/ru+ 'iso/u+ui

    /'r'si 's(' *or'+,(; *u un ris* sui*i/,+ ,i *r's*u(.

    . S%*&*$%+ &*,#/"'*'.

    S(u/ii r'*'n(' insis(; ,sur, sui*i/u+ui *, ri si(o ,+ si8o5'i) u(Kn/ fi '9r'si,

    un'i i/',?ii /'+ir,n(') o ,nif's(,r' Jn *,/ru+ *oor(,'n(u+ui 8,+u*in,(or /'('rin,( *'+

    ,i fr'*'n( /' 8,+u*in,?ii ,u/i(i' i'r,(i') /,r /' *'+' ,i u+(' ori 's(' un ,*(

    in*or'8'nsi7i+. $in(r' 7o+n,ii *u s*8i5ofr'ni' 10 f,* ('n(,(i' /' sui*i/) i,r 2 r'u's*

    s; +' r',+i5'5'. A*(u+ sui*i/,r Jn s*8i5ofr'ni' ,r' un'+' ,r(i*u+,ri(;?i: ,,r' ,i fr'*'n( Jn

    'rio,/, /' /'7u() Jn *'+' ,i u+(' *,5uri +is'(' o(i,?i, i,r o/u+ /' r',+i5,r' 's(' rin

    i=+o,*' ,(ro*') 7ru(,+'.

    S%*&*$%+ ')*+')*'

    Unii *+ini*i'ni sun( /' ;r'r' *; sui*i/u+ Jn 'i+'si' ,r fi '9r'si, unui ,u(o,(is

    o(or 'i+'(i*) fiin/ *ois Jn (iu+ *ri5'i Jn ir(u(', ,*(u+ui ,u(o,(. Ei+'si, o,(' Jns;

    *urin/' (o,(; g,, *oor(,'n('+or sui*i/,r') /' +, iu+siun', sui*i/,r; *on(i'n(; Kn;

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    +, ,*(u+ ,u(o,( *onfu5o-oniri*. Sui*i/u+ o,(' ,;r', Jn *on('9(u+ /'r'si'i r',*(i' , unui

    7o+n, /' 'i+'si') *;rui, Ji 's(' iosi7i+ s; s' o7inui,s*; *u *u ,*'s( s(,(u( /,( fiin/

    s(ig,(u+ *u *,r' s'*o+' /'-, rKn/u+ so*i'(,(', , ,r*,( 'i+'(i*u+D.

    S%*&*$%+ !",*'"'( 4*!(+

    !n o+igofr'nii) sui*i/u+ ,,r' r,r i nu u(' or7i /' un ,*( sui*i/,r roriu-5is) '+

    fiin/ '9r'si, un'i ii(,?ii s,u , ('n/in?'i /' ,-i s,n*?ion, ' *'i /in =ur. In/ii5ii nu ,u

    *on?(iin?, r',+; , or?ii i) Jn *ons'*in?;) , ,*(u+ui sui*i/,r.

    S%*&*$%+ $'4'7'

    . Es(' '9r'si, /'('rior;rii *or(i*,+'. S(,(is(i*) /u; & /' ,ni nu;ru+ ,*('+or sui*i/,r'

    s*,/'. C, ,*( in('n?ion,+ i /'+i7'r,() sui*i/u+ ,,r' ,i ,+'s Jn 'rio,/, /' /'7u( , 7o+ii) *Kn/

    7o+n,u+ ,i ,r' Jn*; *ri(i*, n'*'s,r; ',+u;rii ,n('i /'5,s(ruo,s' ' *,r' , Jn*'u( s;

    ,+un'*'. Tr'*'r', +, ,*( 's(' f,ori5,(; /' s(;ri+' /'r'si' *u i/'i /' *u+,7i+i(,(') inu(i+i(,('

    i in*ur,7i+i(,('. !n 'rio,/, /' s(,r') ('n(,(i'+' s' r;r's* *onsi/'r,7i+) /'o,r'*' 7o+n,u+ nu

    ,i ,r' *ri(i*, /' +, Jn*'u() /,r i 'n(ru *; i/'i+' /'+ir,n(' s' i'r/ Jn ,s, /''n?'iG.

    S%*&*$%+ '6"#,'.

    Es(' r,r) nu 's(' ,i fr'*'n( /'*K( Jn ou+,?i, g'n'r,+;. A(un*i *Kn/ ,,r') sui*i/u+

    ,r*8',5; o /'*o'ns,r' , s(;rii n'ro(i*'. Es(' /' r',r*,( *; Jn *', *' ri'(' (u+7ur;ri+'

    ,n9io,s') 20 /in *'i *u (u+7ur;ri /' ,ni*; ,u un is(ori* /' ('n(,(i' sui*i/,r'. S-, ,=uns +,

    *on*+u5i, *; ('n(,(i'+' /' sinu*i/'r' sun( ,so*i,(' *u for' *o+i*,(' s,u n'*o+i*,(' /'

    ,ni*; i *; ris*uri+' sun( *o,r,7i+' *u *'+' ,,so*i,(' *u /'r'si, s''r;. S-, o7s'r,( *;

    ,so*i'r', *ri5'+or /' ,ni*; s,u , /'r'si'i ,=or' *u ,7u5u+ /' ,+*oo+ s,u /roguri *r'('

    ris*u+ ('n(,(i'+or /' sinu*i/'r' +, f''i.

    DEPRESIA - TRISTETEA PATOLOGIC

    "'n'r,+i(,?i:

    $'r'si, 's(' o (u+7ur,r' , s(;rii ,f'*(i') *,r' /u*' +, ,,ri?i, un'i (r;iri /' (ris('(' s,u /'

    i'r/'r' , s'r,n('i 'n(ru o 'rio,/; in/'+ung,(; /' (i. In *,5u+ in *,r' o 'rso,n, ,r''iso,/' s*ur(' /' /'r'si' uso,r,) ,*',s(, o,(' fi *,,7i+; s; isi *on(inu' i,(, rof'sion,+;

    1&

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    si s; f,*; f,(; ,*(ii(,(i+or *o(i/i'n'. To(usi) /,*, 'rso,n, in *,u5, nu ur',5; o for, s,u

    ,+(, /' (r,(,'n( 'n(ru /'r'si') 's(' suus ris*u+ui /' , /''ni /in *' in *' ,i /'r'si;

    s,u /' , s' i7o+n,i fi5i*. In *,5uri+' s''r' /' /'r'si') 'rso,n, r's'*(i; o,(' ,=ung' +,

    in*,,*i(,(', /' , *ouni*,) +, in*,,*i(,(', /' , 'f'*(u, ,*(ii(,(i+' /' ru(in, si *8i,r +,

    sui*i/.

    C(%,'

    Si(u,?ii+' *,r' o( /'*+,ns, un 'iso/ /' /'r'si' sun(:

    - (u+7ur,ri ,+' s'*r'(i'i 8oron,+') *u ,r fi un /'5'*8i+i7ru ,+ g+,n/'i (iroi/' s,u sur,r'n,+'

    - /'5'*8i+i7r' *8ii*') r'*u /'5'*8i+i7r'+' ni'+uri+or s,nguin' ,+' *,+*iu+ui s,u ni'+uri+'

    s*,5u(' ,+' fi'ru+ui ,n'i,D

    - ,f'*?iuni+' in/'+ung,(' *roni*'D) r'*u ,r(ri(,) 7o+i+' *,r/i,*' s,u *,n*'ru+

    - f,*(orii /' s(r's ,=ori) *, /' '9'+u o,r(', un'i 'rso,n' /r,gi

    - f,*(orii /' s(r's *roni*i) r'*u s,r,*i,) /ifi*u+(,(i+' f,i+i,+') ro7+'' '/i*,+' gr,'

    rorii s,u ,+' un'i 'rso,n' ,roi,('.

    - ,rs(ni*ii *,r' (r'* /' +, o i,(, in/''n/'n(, +, o i,(, in *,r' /'in/ /' *'i+,+(i ,u ,/'s'ori

    /'r'si'

    - r'siuni ,sur, *oii+or si ,/o+'s*'n(i+or) /in ,r(', so*i'(,(ii s,u , *'+or /' ,*'',si ,rs(,

    - *onsuu+ /' ,+*oo+) /' su7s(,n(' i+'g,+' s,u ro7+'' in +'g,(ur, *u ,7u5u+ /' o su7s(,n(;

    F(&!#"* $' "*&

    A+(i f,*(ori /' ris* 'n(ru /'r'si' sun(:

    - ,f'*(iuni *,r/i,*' in (r'*u() r'*u 7o,+, ,r('r'+or *oron,r'

    - o ,f'*(iun' s''r;) *on(inu; *roni*,D) *u ,r fi /i,7'(u+ 5,8,r,() *,n*'ru+ si /ur'r', *roni*,

    - ro7+'' ,ri(,+'

    - *onsuu+ /' ,+*oo+ s,u /' /roguri

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    - ,/inis(r,r', unor '/i*,'n(' *' o( roo*, si(o' /'r'si') *u ,r fi n,r*o(i*'+'

    'n(ru in/',r(,r', /ur'rii s,u s('roi5ii

    - un ''ni'n( /' i,(, s(r's,n() *, /' '9'+u i'r/'r', un'i 'rso,n' /r,gi s,u in(r,r', in

    so,=

    C'+' ,i s'nifi*,(i' /ou, *4)!#4',+' /'r'si'i sun(:

    - (ris('?', s,u +is, /' s'r,n(;

    - i'r/'r', in('r'su+ui s,u , +;*'rii in 'f'*(u,r', ,=ori(,?ii ,*(ii(,(i+or /in i,(, /' 5i *u 5i.

    A+(' si(o' o( fi:

    - *r'('r', s,u /iinu,r', n'oii /' son

    - s'n(i'n( /' n'+inis(' si in*,,*i(,(', /' , u(', s(, +inis(i( s,u /in *on(r,) s'n(i'n(u+ *;

    ori*' is*,r' n'*'si(, un ,r' 'for(

    - s'n5,(i' /' o7os',+; 'r,n'n(;

    - s'n(i'n(' /' ino,(i' s,u /' /',+ori5,r' f,r; un o(i ,,r'n(

    - g,n/uri r'*ur'n(' /' o,r(' s,u /' sui*i/.

    $'r'si, o,(' /u*' +, sui*i/. S'n'+' r''s(i(o,r' ,+' un'i ('n(,(i' /' sui*i/ s' o/ifi*;

    *u ,rs(,:

    - s'n'+' r''s(i(o,r' ,+' sui*i/u+ui +, *oii si ,/o+'s*'n(i o( fi: r'o*u,r', in +'g,(ur, *u

    o,r(', s,u sui*i/u+ s,u ru'r', r'*'n(; , un'i r'+,(ii

    - s'n'+' r''s(i(o,r' ,+' sui*i/u+ui +, ,/u+(i o( in*+u/': ,7u5u+ /' ,+*oo+ s,u /' ,+(,

    su7s(,n(,) i'r/'r', r'*'n(; , s+u=7'i s,u /ior(u+

    - s'n'+' r''s(i(o,r' ,+' sui*i/u+ui +, ,rs(ni*i o( *urin/': o,r(', r'*'n(; , ,r('n'ru+ui

    /' i,(, s,u /i,gnos(i*,r', /' *ur,n/ *u o 7o,+, s''r,) *,r' ii o,(' s*ur(, /ur,(, /' i,(,.

    4'*,nis fi5io,(o+ogi*

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    $'r'si, o,(' /'7u(, *u si(o' /' ,n9i'(,(' *u ,r fi o ingri=or,r' '9*'si,D s,u *u

    si(o' r'*u (ris('(', s,u +is, /' 'n'rgi') *,r' /ur',5; /' ,i u+(' 5i+' s,u +uni)

    in,in(' /' ins(,+,r', *o+'(; , /'r'si'i. Po( ,,r', (u+7ur,ri in *,,*i(,(', /' *on*'n(r,r'

    s,u /' 'or,r') s'n(i'n(u+ /' i'r/'r' , +,*'rii in ,*(ii(,(i+' *,r' ,+(,/,(; 'r,u +,*u(')

    s'n(i'n(u+ /' i'r/'r' , s'r,n('i) s*,/'r', 'n'rgi'i) o/ifi*;ri ,+' sonu+ui si ,+' of('i /',n*,r'. P'rso,n, *u /'r'si' s' o,(' i5o+, so*i,+ /' *'i+,+(i si isi o,(' i'r/' in('r'su+

    'n(ru ,*(ii(,(', s'9u,+,.

    CLASIFICARE

    Tu+7ur,ri+' /'r'si' sun( *+,sifi*,(' in fun*(i' /' s''ri(,(', si /' /ur,(, +or. $'r'si, o,('

    fi uso,r,) o/'r,(, s,u s''r,.

    E, o,(' /'7u(, 7rus* /'r'si' ,*u(,D s,u o,(' /ur, o 'rio,/, in/'+ung,(; /'r'si'

    *roni*,D. $' '9'+u) (u+7ur,r', /is(ii*,) 's(' o /'r'si' *roni*, uso,r,. Unii o,'ni o(

    ,', un 'iso/ /' /'r'si' ,=or, *,r' s' o,(' sur,un' 's(' o (u+7ur,r' /is(ii*,

    /'r'si' /u7+,D.

    Tu+7ur,r', r'*ur'n(,

    A/'s'ori /'r'si, r',,r'. $,*, o 'rso,n, ,r' un 'iso/ /' /'r'si') ro7,7i+i(,(', *,/'r'si, s, r'in, +, un ,nui( o'n( ,+ i'(ii ,*'+'i 'rso,n') 's(' ,i ,r' /'*,( +, r's(u+

    o,'ni+or *,r' nu ,u ,u( ni*io/,(, /'r'si'.

    Ris*u+ /' ,,ri(i' , unui nou 'iso/ /' /'r'si' *r's(' *u fi'*,r' 'iso/

    T"(!(4'!

    Tr,(,'n( ini(i,+

    Tr,(,'n(u+ /'r'si'i o,(' *urin/' ,/inis(r,r', /' '/i*,'n(' ,n(i/'r'si') *onsi+i'r'

    ('r,'u(i*;) *u ,r fi ('r,i, *ogni(i-*oor(,'n(,+; s,u o *o7in,r' , *'+or /ou,

    o/,+i(,(i /' (r,(,'n(.

    Consi+i'r', ('r,'u(i*, si8o('r,i,D o,(' fi sufi*i'n(; in *,5u+ /'r'si'i uso,r' s,u

    o/'r,('. In *,5u+ in *,r' si(o'+' /' /'7u( sun( s''r') *'+ ro7,7i+ (r,(,'n(u+ ini(i,+ ,

    in*+u/' ,(,( '/i*,'n(' ,n(i/'r'si' *,( si *onsi+i'r' ('r,'u(i*;.

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    In('rn,r', in si(,+ o,(' fi n'*'s,r; /,*, sun( r'5'n(' s'n' r''s(i(o,r' ,+' unui sui*i/) *,

    /' '9'+u g,n/uri s,u +,nuri /' ,u(o-,(,,r' s,u /' ,(,,r' , ,+('i 'rso,n') /'(,s,r'

    /' r',+i(,(' si8o5,D s,u un *onsu '9*'si /' ,+*oo+ s,u /' /roguri.

    Po,(' fi n'*'s,r, o 'rio,/, /' 6 ,n, +, 12 s,(,,ni ,n, *,n/ '/i*,'n('+' s; isi f,*;

    'f'*(u+) /'si /' o7i*'i '+' ,*(ion',5; ,i r,i/.

    In *,5uri r,r') ('r,i, '+'*(ro*onu+si,n(, ECTD o,(' fi o(iun', ini(i,+, /' (r,(,'n(

    'n(ru 'rso,n'+' *,r' nu o( +u, '/i*,'n(' ,n(i/'r'si') *,r' nu ,u r,suns +, ,+('

    o/,+i(,(i /' (r,(,'n( s,u *,r' ,u o /'r'si' s''r, in *,r' sun( r'5'n(' si(o'

    si8o(i*') *oor(,'n( sinu*ig,s s,u in*,,*i(,(', /' , s' 8r,ni. ECT r'suun' o s(iu+,r'

    '+'*(ri*, uso,r,) ,+i*,(, in r'giun', (,+'+or) *,r' roo,*; o s*ur(, *onu+si'. S' *onsi/'r;

    *, ,*'s( ro*'/'u o,(' /'('rin, r's(,7i+ir', '*8i+i7ru+ui su7s(,n('+or *8ii*' *'r'7r,+'nui(' n'uro(r,nsi(,(ori ,+ *,ror /'5'*8i+i7ru , /us +, ,,ri(i, /'r'si'iD.

    Tr,(,'n( /' in(r'(in'r'

    C'+ u(in =u,(,(' /in *'i *,r' ,u un 'iso/ /'r'si or r'5'n(, o r'*ur'n(, , si(o'+or

    r'*,/'r'D. Con(inu,r', (r,(,'n(u+ui ' o 'rio,/; > ,n, +, 1& +uni /u, r'*u'r,r' , /u*'

    +, s*,/'r', ris*u+ui /' r'*,/'r'.

    $' ,s''n',) (r,(,'n(u+ /' in(r'(in'r' ,i *urin/' si:

    - o /i'(, ,+i'n(,r, '*8i+i7r,(;

    - 'i(,r', *onsuu+ui /' ,+*oo+

    - 'f'*(u,r', /' '9'r*i(ii fi5i*' in o/ r'gu+,(

    - son o/i8ni(or

    Tr,(,'n( in *,5u+ ,gr,,rii 7o+ii

    L, 'rso,n'+' *u /'r'si' r'*ur'n(,) o,(' fi n'oi' /' (r,(,'n( *u '/i*,'n('

    ,n(i/'r'si' 'n(ru (o( r's(u+ i'(ii.

    $,*, /'r'si, s' ,gr,',5; in (i *' 'rso,n, r's'*(i, 's(' /'=, su7 (r,(,'n(

    '/i*,'n(os si *onsi+i'r' ('r,'u(i*,) s' o( in*'r*, ,+(' '/i*,'n(' in +o*u+ *'+ui

    ,/inis(r,( in r'5'n( s,u ,*'s(', s' o( ,/,ug, +, (r,(,'n(u+ ini(i,+.

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    S-, /'ons(r,( *, ('r,i, '+'*(ro*onu+si,n(, ECTD 's(' o o/,+i(,(' /' (r,(,'n( 'fi*i'n(;

    'n(ru /'r'si, s''r, s,u 'n(ru /'r'si, in *,r' ,+(' (r,(,'n(' nu ,u ,u( 'f'*(.

    Tr,(,'n( ,7u+,(or +, /oi*i+iuD

    Sun( ,i u+(i ,si) ' *,r' 'rso,n, in *,u5, ii o,(' f,*' 'n(ru , s' ,=u(, ' sin' in (iu+

    unui 'iso/ /'r'si si 'n(ru , r''ni 'iso,/'+' ii(o,r':

    - s, s(,7i+',s*; ('+uri r',+is(' 'n(ru sin' si s, isi ,su' o ,r(' r'5on,7i+, /' r'sons,7i+i(,('

    - s, in*'r*' s; isi i,r(,s',s*, s'n(i'n('+' *u *in',H /' o7i*'i 's(' ,i 7in' /'*,( s, s'

    i5o+'5' s,u s, fi' s'*r'(o,s,

    - s, ii +,s' ' *'i /in f,i+i' s,u ' ri'('ni s, o ,=u('

    - *8i,r /,*, nu s' si(' o(i,(,) s, in*'r*' s, ,r(i*i' +, ,*(ii(,(i r'+igio,s') so*i,+' s,u /'

    ,+( (i

    - s, f,*, *u r'gu+,ri(,(' '9'r*i(ii fi5i*'

    - s, ,i7; o ,+i'n(,(i' '*8i+i7r,(,H

    O(iuni /' '/i*,'n('

    Sun( /isoni7i+' *,(', o(iuni /' '/i*,'n('.

    Un'ori o,(' fi 'fi*,*' o ,so*i'r' in(r' un ,n(i/'r'si si un (i /if'ri( /' '/i*,(i') *u ,r fi

    un s(,7i+i5,(or ,+ /iso5i(i'i s,u un ,n9io+i(i*.

    A(un*i *,n/ s' ,/inis(r',5, un (r,(,'n( ,n(i/'r'si) 's(' ior(,n( *, '/i*,'n('+' s,

    fi' +u,(' ,s, *u sun( r's*ris' /' '/i*u+ *ur,n(. Po( (r'*' ,i u+(' s,(,,ni ,n; s, s'

    o7s'r' o ,'+ior,r' , si(o'+or.

    Ef'*('+' s'*un/,r' s' o( /iinu, ' ,sur, *' org,nisu+ s' ,*oo/',5; *u

    '/i*,'n('+'. $,*, 'rso,n, r's'*(i; /'*i/' s, in(r'ru; ,/inis(r,r', (r,(,'n(u+ui)

    's(' ior(,n( *, ,*'s( +u*ru s, fi' f,*u( (r'(,() rin s*,/'r', /o5'i in ,i u+(' '(,') /'-,

    +ungu+ un'i 'rio,/' /' (i /' *,(', s,(,,ni.

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    4'/i*,'n('+' ,n(i/'r'si' sun(:

    - in8i7i(orii s'+'*(ii ,i r'*,(,rii s'ro(onin'i ISRS) SSRID) r'*u Pro5,*) Zo+of() 3',rin)

    S'ro9,( s,u Cir,+'9

    - ,n(i/'r'si' (ri*i*+i*' si ('(r,*i*+i*') r'*u Ai(ri(i+in,) An,fr,ni+ *+oir,in,D s,u

    Lu/ioi+ 4,ro(i+in,D

    - ,n(i/'r'si' ,(ii*') r'*u Q'++7u(rin) Ef'*(in s,u R''ro

    - in8i7i(ori ,i ono,ino9i/,5'i I4AOD.

    A+(' (r,(,'n('

    Consi+i'r', ('r,'u(i*, 's(' o ,r(' ior(,n(; in (r,(,'n(u+ /'r'si'i. T'r,ii

    *o+''n(,r' *u ,r fi ('r,i, rin ,s,=) o( /' ,s''n', s, ,=u(' +, o7(in'r', un'i

    in/'*,ri ,i r,i/' si +, i7un,(ir', *,+i(,(ii i'(ii.

    T'r,i, /' f,i+i' o,(' fi /' ,=u(or) 'rso,n'i r's'*(i' si *'+or /in =ur) s, f,*, f,(;

    /'r'si'i.

    T'r,i, '+'*(ro*onu+si,n(, ECTD o,(' fi fo+osi(; in *,5u+ *'+or *,r' nu o( +u,

    '/i*,'n(' ,n(i/'r'si') *,r' nu ,u r,suns +, ,+(' (r,(,'n(' s,u *,r' ,u o /'r'si' s''r;

    si r'5in(; si(o' si8o(i*') *oor(,'n( sinu*ig,s s,u in*,,*i(,(', /' , s' 8r,ni.

    Psi8o('r,i, 's(' o ,r(' ior(,n(, , (r,(,'n(u+ui /'r'si'i.

    Tiuri+' /' si8o('r,i' *'+' ,i fo+osi(' sun(:

    - ('r,i, *ogni(i-*oor(,'n(,+,)

    - ('r,i, in('r'rson,+,)

    - ('r,i, /' (i ro7+'-so+ing)

    - ('r,i, f,i+i,+;)

    T'r,ii *o+''n(,r' *,r' o( fi u(i+i5,(' in (r,(,'n(u+ /'r'si'i sun(:

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    - r',r,('+' o7(inu(' /in +,n(, S(. #o8n: s-, /'ons(r,( *, sun( 'fi*i'n(' in /'r'si, uso,r,

    s,u o/'r,(;) /,r o( in('r,*(ion, *u ,+(' '/i*,'n('

    - u+'iu+ /' 's(' *' *on(in' ,*i5i gr,si o'g,-

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    - +is, 'o?ii+or

    - 'o(ii n'o(rii(' *on('9(u+ui in *,r' s' g,s's(' ,*i'n(u+

    - ,nif's(;ri ,gr'si'

    - *oor(,'n( *,(,(oni*

    - o s'n5,?i' 'rsis('n(; *; 's(' ur,ri(

    - ro7+'' /' fun*(ion,r' +, s*o,+; s,u +, s'ri*iu

    - i5o+,r' so*i,+;

    - n'in/',n,r') is*,ri n'*oor/on,('.

    S*8i5ofr'ni, ,ri,5; /' +, uso,r; +, s''r;. Unii ,*i'n?i o( fi *,,7i+i s; fun*(ion'5' 7in' in

    i,;, /' fi'*,r' 5i) in (i *' ,+?ii ,u n'oi' /' ingri=iri in('nsi') s'*i,+i5,('. In un'+'

    *,5uri) si(o'+' s*8i5ofr'ni'i ,r s; ,,r; 7rus*. In ,+(' *,5uri ,*'s(' si(o' s' /'5o+(;

    (r'(,() /'-, +ungu+ ,i u+(or +uni) si o( s, nu fi' o7s'r,(' /' +, in*'u(.

    In (i) /'in' /ifi*i+ 'n(ru ,*i'n( s, fun*(ion'5' 7in'. Ii , fi iosi7i+ s, ',rg; +,

    s*o,+; s,u +, s'ri*iu. Po( ,,r' ro7+'' r'+,(ion,+') ,r(i,+ /,(ori(; /ifi*u+(,(i+or ' *,r' +'

    ,r' ,*i'n(u+ /' , /'*o/ifi*, *or'*( 's,='+' s,u 'o(ii+' *'+or+,+(i. Isi o,(' i'r/' in('r'su+

    'n(ru ,*(ii(,?i *,r' in (r'*u( ii f,*',u +,*'r'. Po,(' /''ni n'+inis(i( s,u ,gi(,( s,u s, *,/;

    in(r-o s(,r' ,s',n,(o,r' (r,ns'i si s, nu ,i r,sun/, *'+or /in =ur.

    In +us f,(, /' si(o'+' g'n'r,+') ,*'s(', sun( i,r(i(' in (r'i *,('gorii 'n(ru , usur,

    /i,gnos(i*u+ si (r,(,'n(u+.

    S*4)!#4' * '4' '(!*6'

    A*'s(', r'r'5in(; o i'r/'r' s,u o /iinu,r' , ,7i+i(,(i+or 'o(ion,+' s,u *oor(,'n(,+':

    - i'r/'r', in('r'su+ui 'n(ru ,*(ii(,?i+' 5i+ni*'

    - ,+,(i5,r', ,f'*(i;

    - r'/u*'r', ,7i+i(,(i+or /' , +,nifi*, ,*(ii(,?i si /' , +' in/'+ini

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    - n'g+i=,r', igi'n'i

    - i5o+,r' so*i,+;

    - +is, o(i,?i'i.

    S'4' * *4)!#4' )#,*!*6'

    A*'s(', sun( g;n/uri si 'r*'?ii /is(orsion,(') *,r' ,r,(; +is, *on(,*(u+ui *u r',+i(,(',. E+'

    o( in*+u/':

    - 8,+u*in,(ii) s,u si(ir', unor +u*ruri *,r' nu sun( r',+'H in s*8i5ofr'ni') ,u5ir', un'i o*i

    's(' o 8,+u*in,(i' fr'*'n(,H ,*'s(' o*i o( ;r', *, /,u ins(ru*(iuni /'sr' *u s; s' o,r('

    ,*i'n(u+) si un'ori o( in*+u/' r,nir', ,+(or,

    - /'+iruri) s,u *r'/in(' *,r' nu ,u 7,5, in r',+i(,('H sr' '9'+u) ,*i'n(u+ o,(' *r'/' *;

    ('+'i5oru+ ii /ir'*(ion',5, *oor(,'n(u+ s,u *, for?' '9('rio,r' ii *on(ro+',5; g,n/uri+'

    - (u+7ur,ri ,+' g,n/irii) s,u /ifi*u+(,?i /' or7ir' si org,ni5,r' , g,n/uri+or) *u ,r fi orir',

    /in or7i( in i=+o*u+ roo5i(i'i s,u 7o+7orosir', /' *uin(' f,r, s'ns) *unos*u(; su7 nu'+'

    /' Fs,+,(, /' *uin('G

    - (u+7ur,ri ,+' is*,ri+or) *u ,r fi is*,ri r''(i(i') n'in/',n,r' s,u is*,ri ino+un(,r'.

    S'4' * *4)!#4' *!*6'

    A*'s(', *urin/ ro7+'' ,+' 'ori'i si ,('n(i'i. E+' o( fi *'+' ,i /'7i+i(,n(' in

    s*8i5ofr'ni' in(ru*,( in('rf'r; *u ,7i+i(,(', /' ,-si in/'+ini ,*(ii(,(i+' 5i+ni*'. In*+u/:

    - ro7+'' in in('+'g'r', s'nsu+ui un'i infor,(ii

    - /ifi*u+(,(i /' 'n(in'r' , ,('n(i'i

    - ro7+'' /' 'ori'.

    F(&!#"* $' "*&

    S*8i5ofr'ni, ,f'*(',5, 1 /in ou+,(i'. L, 'rso,n'+' *,r' ,u o ru/; ,roi,(; *u

    s*8i5ofr'ni') 7o,+, 's(' u+( ,i fr'*'n(, ,ro9i,(i 10. L, 7,r7,(i) si(o'+'

    26

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    P'n(ru /i,gnos(i*) '/i*u+ *,r' sus'*(',5, *, un ,*i'n( ,r' s*8i5ofr'ni' , r',+i5, o

    ',+u,r' '/i*,+, *o+'(, si ('s(' si8o+ogi*'. As(f'+ o,(' '+iin, /in g,n/ir', '/i*,+,

    ,+(' ,f'*(iuni *,r' o( /, ,*'+' si(o') o,(' s(,7i+i /i,gnos(i*u+ si 'rifi*, /,*, sun(

    r'5'n(' *o+i*,(ii.

    C"*!'"** $' $*(#!*& )'!"% &*,#/"'*'

    Cri('rii+' /' /i,gnos(i* 'n(ru s*8i5ofr'ni' sun(:

    - r'5'n?, , *'+ u(in /ou, /in ur,(o,r'+': /'+ir) 8,+u*in,(ii) or7ir' /'5org,ni5,(;)

    *oor(,'n( /'5org,ni5,( s,u *,(,(oni*) s,u r'5'n?, si(o'+or n'g,(i'

    - /isfun*?i' s'nifi*,(i; in ,7i+i(,(', /' , un*i) 'rg' +, s*o,+, s,u , in/'+ini s,r*ini+'

    5i+ni*'

    - ,*'s(' s'n' sun( r'5'n(' /' *'+ u(in ,s' +uni

    - nu sun( r'5'n(' ,+(' (u+7ur;ri 'n(,+'.

    P,*i'n(u+ o,(' fi /i,gnos(i*,( *u unu+ /in *'+' *in*i (iuri /' s*8i5ofr'ni') /'si nu (o?i,*i'n(ii s' o(ri's* un'i *,('gorii s'*ifi*'. A*'s(' *in*i su7(iuri sun(:

    - ,r,noi/

    - *,(,(oni*

    - /'5org,ni5,(

    - n'/if'r'n(i,(

    - r'5i/u,+.

    P,*i'n(u+ o,(' /is*u(, *u '/i*u+ /'sr' (iu+ /' s*8i5ofr'ni' ' *,r' i+ r'5in(; 'n(ru ,

    in,?, ,i u+(' /'sr' 7o,+, si /'sr' so+u(ii+' /' (r,(,'n(.

    Tr,(,'n(

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    S*8i5ofr'ni, 's(' o 7o,+; *roni*; *' n'*'si(; (r,(,'n( /'-, +ungu+ in(r'gii i'(i) *8i,r /,*;

    ,*i'n(u+ s' si(' ,i 7in') i,r si(o'+' nu sun( 'i/'n('. Tr,(,'n(u+ *u '/i*,'n(' si

    ('r,i' si8oso*i,+, o,(' ,=u(, ,*i'n(u+ s;-si (in, ,f'*(iun', su7 *on(ro+ si s, /'in; un

    ,r(i*i,n( ,*(i si infor,( in rori, ingri=ir'. In (iu+ 'rio,/'+or /' *ri5, s,u , *'+or *u

    si(o' s''r') o,(' fi n'*'s,r; si(,+i5,r', 'n(ru sigur,n(, ,*i'n(u+ui si 'n(ru *, ,*'s(,s; 7'n'fi*i'5' /' 8r,n,) son si *on/i(ii /' igi'n, ,/'*,('.

    T"(!(4'! 4'$*&(4'!#

    Tr,(,'n(u+ '/i*,'n(os 's(' *'+ ,i ior(,n( in (r,(,r', s*8i5ofr'ni'i

    4'/i*,(i, ,n(isi8o(i*; 's(' *'+ ,i fr'*'n( r's*ris; 'n(ru (r,(,'n(u+ s*8i5ofr'ni'i. E,

    o,(' *on(ro+, si(o'+' rin 'f'*(' ,sur, unor n'uro(r,nsi(,(ori *'r'7r,+i: /o,in, sis'ro(onin,. E9is(, /ou, (iuri rin*i,+' /' '/i*,(i' ,n(isi8o(i*;:

    An(isi8o(i*' *on'n(ion,+' s,u (ii*': ,*'s(' '/i*,'n(' sun( *onsi/'r,(') in o/

    (r,/i(ion,+) 'fi*i'n(' 'n(ru , *on(ro+, si(o'+' o5i(i' ,+' s*8i5ofr'ni'i. E+' ,u 'f'*('

    s'*un/,r' n'uro+ogi*' fr'*'n(' si o('n(i,+ s''r') in*+u5,n/ /is*8in'5i, (,r/i, si

    si(o'+' ,rinsoni'n'. A*'s( gru /' '/i*,'n(' *urin/':

    - @,+o'ri/o+

    - Tiori/,5in

    - 3+u8'n,5in,

    A*'s(' ,n(isi8o(i*' (ii*' sun( /'s'ori ,i i'f(in') in s'*i,+ ,ri,n('+' g'n'ri*') +u*ru *,r'

    's(' ior(,n( ,i ,+'s in *,5u+ in *,r' (r,(,'n(u+ 's(' n'*'s,r ' ('r'n +ung.

    An(isi8o(i*' /' nou, g'n'r,(i') nui(' si ,n(isi8o(i*' ,(ii*'. A*'s(' ,n(isi8o(i*' ,i noi

    sun( 'fi*i'n(' ,(,( ' si(o'+' n'g,(i' *,( si ' *'+' o5i(i'. A*',s(, gru, *urin/':

    - C+o5,in,

    - Ris'ri/on,

    - O+,n5,in,

    2>

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    A+'g'r', '/i*,'n(u+ui /'in/' /' fi'*,r' ,*i'n(. Po,(' /ur, si *,(', s,(,,ni /' +,

    in(ro/u*'r', '/i*,(i'i ,n, s, s' o7s'r' o ,'+ior,r' , si(o'+or. In g'n'r,+) s*ou+

    (r,(,'n(u+ui *u '/i*,'n(' ,n(isi8o(i*' 's(' *on(ro+u+ 'fi*i'n( ,+ s'n'+or si si(o'+or

    *u *'+' ,i i*i /o5' osi7i+. Po( fi /' fo+os si ,+(' '/i*,'n(') *u ,r fi ,n(i/'r'si'+' si

    '/i*,(i, ,n(i,n9io,s,.

    Tr,(,'n( si8oso*i,+

    $'si '/i*,?i, 's(' 7,5, (r,(,'n(u+ui in s*8i5ofr'ni') si8o('r,i, si ,+(' ('r,ii si8oso*i,+'

    sun( /' ,s''ni ior(,n('.

    T'r,i' in/ii/u,+;

    Psi8o('r,i, *on/us; /' un rof'sionis( '9'ri'n(,( i+ o,(' ,=u(, ' ,*i'n( s, f,*, f,(; ,i

    7in' ro7+''+or /' fi'*,r' 5i /'('rin,(' /' s*8i5ofr'ni'. T'r,i, i+ o,(' ,=u(, s;-si

    i7un,(,(',s*; ,7i+i(,(i+' /' *ouni*,r') r'+,(ii+') ,7i+i(,(', /' , +u*r, si o(i,?i, 'n(ru ,

    *on(inu, (r,(,'n(u+. In,?,n/ /'sr' s*8i5ofr'ni' o,(' s; o in('+',g; ,i 7in' si s;

    in('+',g; *,( /' ior(,n( 's(' s, i, (r,(,'n(u+ '/i*,'n(os. $' ,s''ni) i+ o,(' ,=u(, s;

    f,*, f,(; s(ig,(i5,rii +'g,(; /' f,(u+ *, ,r' s*8i5ofr'ni'.

    SUICIDUL N ALCOOLISM I TOICOMANII

    #us(ifi*,r', r,('i Jn,+(' /' sui*i/ Jn ,+*oo+is i (o9i*o,nii ,,r' /in ur;(o,r'+'

    o(i':

    M

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    M E9is(; si(u,?ii Jn *,r') Jn,in(' /' r',+i5,r', ,*(u+ui sui*i/,r) in/ii/u+ *onsu; o

    *,n(i(,(' ,r' /' ,+*oo+) *'', *' /u*' +, *,(,+og,r', +ui /r'( ,+*oo+i*.

    Sui*i/u+ 's(' *i(,( fo,r(' fr'*'n( Jn *,/ru+ ,+*oo+isu+ui ,ro9i,(i 1& /in *'i *u

    /''n/'n?;D) f;r; , fi n',;r,( '9r'si, ,+*oo+isu+ui. Aso*i'r', ,+*oo+isu+ui *u o

    si(o,(o+ogi' /'r'si; *r'(' ris*u+ sui*i/,r.

    B,5,( ' ni'+'+' ,+*oo+'i'i) 60 /in in/ii5ii *,r' ,u o ('n(,(i; /' sinu*i/'r' ,u

    *onsu,( ,+*oo+ Jr'un; *u '/i*,'n('. B;r7,?ii i 'rso,n'+' Krs(ni*' ,u ni'+'+' *'+'

    ,i *r's*u(' ,+' ,+*oo+'i'i. A+(' s(u/ii ,u ,r;(,( *; in/ii5ii ,+*oo+i*i /'r'sii (in/ s; *,u('

    (r,(,'n( ,i fr'*'n( /'*K( ,*'i, *,r' nu sun( /'r'sii. E9is(; o *onsi/'r,7i+;

    *oor7i/i(,(' 0D Jn(r' /'r'si' i ro7+''+' *u ,+*oo+u+ Jn *,5uri+' /' sinu*i/'r'.

    In(o9i*,?i, *u '/i*,'n(' 's(' *,u5, or?ii Jn 0 /in *,5uri+' /' sinu*i/'r' i 's(' u+(,i fr'*'n(; +, ,+*oo+i*i /,(ori(; in('r,*?iuni+or +'(,+' ro/us' /' *o7in,r', *'+or /ou;

    /roguri.

    $roguri+' *'+' ,i fr'*'n( fo+osi(' sun( ,n(i/'r'si'+' *Kn/ ,*i'n(u+ , fos( (r,(,(

    *u '+'D i (r,n*8i+i5,n('+' '/ii. Es(' 'i/'n( *;) ,(un*i *Kn/ '/i*ii r's*riu ,n(i/'r'si')

    (r'7ui' s; i, *'+' ,i ,ri r'*,u?ii Jn *'', *' ri'(' sigur,n?, ,*i'n(u+ui) *u ,r fi

    sur,'g8'r', *on(inu; , ,*'s(ui, Jn (iu+ (r,(,'n(u+ui.

    .

    ALCOOLISMUL CRONIC

    A+*oo+isu+ui 's(': *onsu,r', fr'*'n(; , un'i *,n(i(;?i ,ri,7i+' /' 7;u(uri ,+*oo+i*' (i

    ,i Jn/'+ung,( *,r' /'('rin; /''n/'n?; (o9i*o-,ni,*; i ,,ri?i, /if'ri('+or (u+7ur;ri

    n'uro-si8i*'.

    A+*oo+isu+ , fos( /'fini( rin (r'i f,*(ori:

    *onsuu+ '9*'si /' ,+*oo+

    /'('rior,r', si8i*; rogr'si;

    *oi('r', /' ,*(' ,n(iso*i,+'

    $''n/'n?, /' ,+*oo+ r'r'5in(; o s(,r' /' in(o9i*,?i' *roni*; *,r,*('ri5,(; rin n'oi,

    i'rio,s; /' , *onsu, ,+*oo+) /''n/'n?; *,r' o,(' fi ,(K( fi5i*; *K( i si8i*;

    2

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    . P'n(ru /''n/'n?;) s,u ,i fo+osi( ('r'ni *,: (o9i*o,ni') o7inuin?,. $''n/'n?, si8i*;

    's(' r'*o*' i r'r'5in(; iu+su+ si8i* n's(;Kni( /' , *on(inu, *onsuu+ /' ,+*oo+ 'n(ru

    r',+i5,r', un'i s'n5,?ii su7i'*(i' /' *onfor() /' r'/u*'r' , ('nsiunii si8i*'.

    $''n/'n?, fi5i*; 's(' ,i (,r/i; i s' (r,/u*' rin ,,ri?i, unui sin/ro /' s'r,=) ,(un*i

    *Kn/ , fos( Jn(r'ru( s,u r'/us 7rus* *onsuu+ /' ,+*oo+.

    !n *on*+u5i') /''n/'n?, /' ,+*oo+ s' *,r,*('ri5',5; rin:

    /ifi*u+(;?i Jn , *on(ro+, *oor(,'n(u+ +'g,( /' *onsuu+ /' ,+*oo+ *u /orin?,

    iu+si; /' , *onsu, ,+*oo+.

    (o+'r,n?, *r's*u(; +, ,+*oo+ *u *r'('r', /o5'+or

    n'g+i=,r', r'sons,7i+i(;?i+or so*io-rof'sion,+' i f,i+i,+' Jn f,o,r', (iu+ui

    ,*or/,( r'o*u;rii i *onsu;rii 7;u(uri+or ,+*oo+i*'

    ,,ri?i, unor ,f'*?iuni so,(i*': 8',(i*') *,r/i,*') /ig's(i' i ,+' sis('u+ui n'ros

    i ,f'*?iuni si8i*'.

    ,,ri?i, s(;rii /' s'r,= /u*' +, r'/u*'r', s,u Jn*'(,r', 7rus*;) ,**i/'n(,+; s,u oi(; ,

    *onsuu+ui /' ,+*oo+.

    M(*/'!"* &+**&' @* 4#"/#)(!#+#*&'

    Sin/rou+ /' s'r,=

    4,nif's(;ri+' *+ini*' ,+' sin/rou+ui /' s'r,= sun(:

    sin/rou+ /' ,7s(in'n?; +, ,+*oo+

    S' *,r,*('ri5',5; rin ,,ri?i, +, un in('r,+ /' *K(', 5i+' un'ori *8i,r 26 /' or'D /' +,

    r'/u*'r', s,u Jn*'(,r', *onsuu+ui /' ,+*oo+) +, un ,*i'n( *,r' ,n('rior , ,7u5,( /' ,+*oo+) ,

    un'i si(o,(o+ogii *,r' in*+u/' s'n5,?i' /' /is*onfor( n'/'fini() (r'or fin i /is(,+ ,+

    '7r'+or) +i7ii) 7u5'+or) +'o,'+or) (r'ur;(uri+' u(Kn/ s; s' ,**'n(u'5' Kn; +,

    ,/';r,(' io*+onii.

    /'+iru+ ,+*oo+i* su7,*u( r'/'+iriu (r''nsD

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    T,7+ou+ *+ini* *ons(; /in: (r'ur;(uri *u *,r,*('ris(i*i+' *'+or /in sin/rou+ /' ,7s(in'n?;

    ,+*oo+i*;) /'+ir 8,+u*in,(or *u 8,+u*in,?ii) *'+ ,i fr'*'n( i5u,+') /,r i ,u/i(i') o+f,*(i')

    gus(,(i' i ,i r,r (,*(i+'.

    /'+iriu (r''ns

    Si(o,(o+ogi, 's(' ,i in('ns; /'*K( Jn *,5u+ sin/rou+ui /' ,7s(in'n?; i , *'+ui /' /'+ir

    ,+*oo+i* su7,*u( i *ons(; /in: (r'ur;(uri /' in('nsi(,(' ,r') g'n'r,+i5,(')*u /is,r(ri')

    (u+7ur;ri /' 'rs) (u+7ur;ri /' (onus us*u+,r.

    TULBURARI ALE ALCOOLIS4ULUI CRONICH 8,+u*ino5, ,+*oo+i*; ,*u(;

    )'n*'f,+o,(ii+' ,+*oo+i*' ,*u(') /''n?, ,+*oo+i*;)g,s(ri(,)8',(o,(ii '(i+i*') (u+7ur;ri+'

    *,r/io,s*u+,r'

    T"(!(4'!%+,+*oo+isu+ui *urin/':

    1. Cur, /' s'r,= i *or'*(,r', (u+7ur;ri+or '(,7o+i*'

    2 Cur, /' /'5gus(: (r,(,'n(u+ ,'('n?'i ,+*oo+i*' rin *r',r', un'i r'5is('n?' f,?; /'

    7;u(uri+' ,+*oo+i*'.

    < Cur, si8o('r,'u(i*; /' sus?in'r'

    6 Pos( *ur, /' s'*uri(,(' i *on(ro+

    & Cur, /' s'r,= i *or'*(,r' , (u+7ur;ri+or '(,7o+i*'

    Tr,(,'n(u+ ,+*oo+isu+ui *roni*

    Tr,(,'n(u+ ,+*oo+isu+ui *roni* s' r',+i5',5; rin(r-o J7in,r' , si8o('r,i'i *u

    (r,(,'n(u+ '/i*,'n(os) *,r' *ons(, Jn:

    1. So,(o(ro') *,r' i5',5; ,'+ior,r', fun*?ii+or fi*,(u+ui) r''*8i+i7r,r',

    8i/ro'+'*(ro+i(i*;.

    2. 4'/i*,?i' /' r'u+si') *,r' ur;r'(' ins(,+,r', unui r'f+'9 *on/i?ion,( n'g,(i +,

    ing'r,r' /' ,+*oo+.

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    SUICIDUL N TULBURRILE DE PERSONALITATE

    Cuno,(' o r,(; surrin5;(or /' Jn,+(;. Po,(' ,;r', fi' Jn *,/ru+ 'iso,/'+or

    /'r'si' ,;ru(' +, un o'n( /,( Jn 'o+u?i, (u7ur;rii) fi' 's(' '9r'si, un'i

    ('n(,(i' sui*i/,r' r'ui(; /,r ini?i,+ '+'i(,r;) for,+;) /' n,(ur; s; ,rgu'n('5' un

    ,n(,=

    TULBURRI DE PERSONALITATE

    Tu+7ur,ri+' /' 'rson,+i(,(' o( *uno,s(' o u+(i(u/in' /' for') o( fi ,i u+( s,u

    ,i u(in gr,') ins, in ori*,r' /in(r' ,*'s(' si(u,(ii ,f'*(',5; i,(, ,*i'n(u+ui si ,

    f,i+i'i ,*'s(ui,.

    A*'s(' (u+7ur,ri sun( s*8i?,(' /in *oi+,ri') /,r s' *ris(,+i5',5; +, ,/o+'s*'n(; i inso?'s*

    'rso,n, in *,u5, /'-, +ungu+ i'(ii. E+' s' ,nif's(; +, ni'+ *oor(,'n(,+) /,r

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    su7i'*(u+ nu +' r'*uno,s(' *, ,(,r') roo*,n/u-i o in*,,*i(,(' /' in('gr,r' ,ronio,s, +,

    *on/i(ii+' '/iu+ui so*i,+.

    C,r,*('ris(i*i o7isnui(' ,+' ,*i'n(i+or *u (u+7ur,ri /' 'rson,+i(,(':

    - o/'+' /' *oor(,'n( *roni*' si /ur,7i+') nu 'iso/i*'H

    - 7+,,r', *ons(,n(; , ,+(or,H

    - fun*(i, so*i,+; si o*u,(ion,+; (u+7ur,('H

    - /''n/'n(, s,u in/''n/'n(, '9*'si;H

    - fr'*'n( /'5,,gi(i /' *,(r' ,r('n'rH

    - (r'*'r' /' +, su7',+u,r' +, sur,',+u,r'H

    - r'+,(ii in('r'rson,+' (u+7uri s,u ins(,7i+'H

    C+(*/*&("'

    $in u+(i(u/in', /' /'s*ri'ri ,+' (u+7ur,ri+or /' 'rson,+i(,(') un o/'+ /' *+,sifi*,r' s'

    r'5in(, ,s(f'+:

    1. Tu+7ur,r', /' 'rson,+i(,(' /' (i ,r,noi/ r',+'n?; ,i in,+(; +, 7,r7,?iD

    Tu+7ur,r', /' (i ,r,noi/ s' *,r,*('ri5',5, rin orgo+iu '9*'si) n'in*r'/'r' in o,'ni si

    n'in('+'g'r', o(i,(i'i +or si8o+ogi*'. P,*i'n(ii ,u o susi*io5i(,(' nu nu,i

    n'=us(ifi*,(;) /,r si inf+'9i7i+; in u+(' si(u,(ii /' i,(;) *,r' nu 's(' ,7,n/on,(; *8i,r /,*;

    i s' r'5in(; *on(r,,rgu'n(' *oning,(o,r' *,r' sun( in,ri,7i+ ignor,('.

    2. Tu+7ur,r', /' 'rson,+i(,(' /' (i s*8i5oi/ ,i /'s in(,+ni(, +, 7,r7,(i si *u for' for'

    *+ini*' ,i s''r') *o,r,(i *u f''i+'D

    S' *,r,*('ri5',5; rin in*,,*i(,(', /' , for, r'+,(ii so*i,+') 'i/'n(i,(' rin ,7s'n(, *,+/urii

    s'n(i'n('+or) in/if'r'n?, +, ,r'*i'ri o5i(i') +, *ri(i*, s,u +, s'n(i'n('+' *'+or+,(i. "ruu+

    so*i,+ ii 'r*'' *, i5o+,(i) r'*i) +isi(i /' (,n/r'?') 'i(,n/u-+' ,roi'r',.

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    < .Tu+7ur,r', /' 'rson,+i(,(' /' (i /iso*i,+ r,(, ' s'9' 's(' n'( su'rio,r, 7,r7,(i+or)

    r,or(u+ 7,r7,(if''i fiin/ /'

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    !n '/'r', '9,in;rii 7o+n,u+ui /' *;(r' '/i*) ,sis('n(, , ,=u(, 7o+n,u+ s; s'

    /'57r,*' i , ,sigur, *on/i?ii n'*'s,r' un'i 7un' /'ru+;ri , '9,in;rii.

    $u; s(,7i+ir', /i,gnos(i*u+ui Jn,in(' /' , ,=ung' Jn s'*?i, *u ,(uri) 7o+n,u+ (r'*' rin

    s'ri*iu+ /' in('rn,r' un/':

    - , fi J7;i,( i /,*; ' *,5u+ /',r,5i(,(H

    - 8,in'+' i o7i'*('+' 'rso,n+' or fi Jnr'gis(r,(' Jn '/'r', Jn,g,5in;rii ' 'rio,/,

    in('rn;ri

    O riir' ,/'*,(; Jn s'*?i' /iinu',5; s(r'su+ suf'ri( /' 7o+n, +, in('rn,r' i uur',5;

    ,/,(,r', +ui +, '/iu+ si(,+i*'s*. Asis('n(, /' s,+on in(ro/u*' 7o+n,u+ Jn s,+onu+ in/i*,() Ji

    f,*' *uno(in?; *u *'i+,+(?i 7o+n,i) J+ ,=u(; s;-i ,r,n='5' o7i'*('+' Jn no(i'r;) J+ *on/u*'

    'n(ru , *uno,(' s'*?i,) r'5'n(Kn/u-i *,7in'(u+ ,sis('n('+or) s,+, /' 's') gruu+ s,ni(,r) J+

    ,/u*' +, *un(in?; r'gu+,'n(u+ /' or/in' in('rio,r;.

    A*%"("'( $*7**+#" $' )*!(+*,("'

    In si(,+' /' si8i,(ri') ,sigur,r', *on/i?ii+or /' s'*i,+i(,(' , 7o+n,i+or ,r' un ro+ fo,r('

    ior(,n(.

    Bo+n,ii in('rn,?i ,i*i s; s' si(; *K( ,i *onfor(,7i+) /' ,*'', s' or ,sigur, s,+o,n' /' 5i *K(

    i s,+o,n' /' no,('. S,+o,n'+' (r'7ui' s; fi' /' /i'nsiuni i*i 2-

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    $' ,*'',) ,sis('n(, '/i*,+; ,r' isiun', /'+i*,(; /' , *on(ro+, Jn o/ /is*r'() /' , Jn/ru,

    i +, n'oi') /' , 'f'*(u,) ,(un*i *Kn/ 's(' *,5u+ (o,+'(, /' /iin',?; i s',r;. As(f'+ ', ,

    Jn/'n, 7o+n,u+ s;-i s'+' f,?,) gK(u+) '7r'+' su'rio,r') r'giun', ,9i+,r;. $' ,s''n',

    s; 'f'*(u'5' (o,+'(, *,i(;?ii 7u*,+' i s;-i Jngri=',s*; ;ru+. $,*; 's(' *,5u+ , ,(r,g' ,('n?i,

    i ,sur, +'n='ri'i /' *or s; fi' (o( (iu+ *ur,(; i Jngri=i(;.

    O'"6("'( )#,*7*'* )(&*'!%+%* )(!

    Bo+n,i si8i*i (r'7ui' sur,'g8',?i in o/ /'os'7i( 'n(ru , r''ni *on/ui(' /' ,u(o

    ,gr'siun' s,u /' io+'n?, f,?, /' *'i+,+?i ,*i'n(i.. !n *,5u+ 7o+i+or si8i*' 7o+n,ii nu ,u o

    ,nu' o5i?i' Jn ,( s,u Jn (iu+ /,r fo,r(' fr'*'n( +'n''s* Jn ,( i 's(' n'*'s,r;

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    - S; s' of'r' ,*i'n(u+ui Jn o/ r'giu+,( /' 7;u( i s; fi' s(iu+,( s; 7',.P"#+'4( $' "*8*"'

    P,*i'n(u+ nu 's(' /'+o* s,u ,ro,' /'+o* Jn s(,r' s; s' Jngri=',s*; igi'ni*.

    S)%"*+' "*8*"**Bo+n,u+ s, /'in, *,,7i+ s; s' Jngri=',s*;) ,/i*; s; s' s'+' 5i+ni*D i s; s' J7r,*' *u

    8,in' *ur,('.

    A&7*%'( $' "*8*"'- P,*i'n(u+ s; fi' s(iu+,( 5i+ni* s; s' s'+' J7r,*' .

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    - S; s' fo+os',s*; (i sufi*i'n( 'n(ru ,*',s(,) 'n(ru *; fun*?ion,r', g+o7,+; 's(' Jn*',(; i

    /; osi7i+i(,(', /' , s' +'g, un *on(,*( ,i s(rKns *u ,*i'n(u+) s; s' rogr,'5' (i

    su+i'n(,r Jn rogr,u+ 5i+ni* s(ru*(ur,(.

    - , s' /, osi7i+i(,(', ,*i'n(u+ui s;-i /', s',, *; o,(' s; f,*; *',.

    - !n *,5 '9(r' , s' r'+u, ,*(ii(;?i+' /' Jngri=ir'.

    P"#+'4( $' "*8*"'

    .P,*i'n(u+ ,r' ro7+'' *u sonu+ ,/o,r' gr'u) /o,r' ,gi(,() s' s*o,+; /'r''D 'n(ru

    *; s(; u+( Jn ,( Jn (iu+ 5i+'i s,u 's(' Fri5oni'ru+G rorii+or s(;ri /'r'si'.

    S)%"*+' "*8*"**Nor,+i5,r', ri(u+ui son'g8'A&7*%'( $' "*8*"'

    - , nu s' +,s, ,*i'n(u+ s; s(', u+( Jn ,( Jn (iu+ 5i+'i.- Of'rir', /' ,*(ii(;?i) s(iu+,r', s; s' ri/i*' /in ,( s; fi' in*+us Jn(r-un rogr, s(ru*(ur,(

    /' 5iD.

    - P,*i'n(i+ ri'(' /'s'ori sonif'r') , s' ,', gri=; *, s; +' i,) i s' o7s'r; 'f'*(u+ .

    P"#+'4( $' "*8*"' H

    .P,*i'n(u+ 's(' ,gi(,( 'n(ru *; 's(' F8;r?ui(G /' gKn/uri i s'n(i'n(' /'r'si'

    Scopurile 'ngrijiriiBo+n,u+ /'in' *,,7i+ s; s' *on*'n(r'5' ,sur, ,*(ii(;?i+or s,+' i s;-i ,nif's(' '9ri'D

    s'n(i'n('+' i i/'i+' *8i,r i ' *'+' *u *,r,*('r /'r'siD.

    Ac(iunea de 'ngrijire- S; s' Jnso?',s*; ,*i'n(u+ Jn ,*(ii(;?i+' s,+' 5i+ni*') s(ru*(ur,(' ,*'s(', s; fi' in*+us' Jn(r-

    un rogr,org,ni5,(D.

    - S; s' s(,7i+',s*; un *on(,*( *u ,*i'n(u+ rin Jn(r'rin/'r', unor ,*(ii(;?i Jr'un; *u

    ,*'s(,) s; s' Jn*'r*' , s' +'g, n'for?,( o /is*u?i') /o,r /,*; 7o+n,u+ si(' n'oi,.- Ar'*i'r', 'f'*(u+ui /is*u?i+or /'sr' i/'i si s'n(i'n('. $,*; ,*i'n(u+ s' *ufun/; i ,i

    u+( rin ,*',s(, Jn /'r'si, +ui nu *on(inu, /is*u?i, *i s' s(iu+',5; Jn ,*(ii(;?i *on*r'('.

    P"#+'4( $' "*8*"'

    . Bo+n,u+ ,r' i/'i /' sinu*i/'r' sunKn/ s,u nuD *; r', s;-i i, i,?,..

    S)%"*+' "*8*"**

    - Bo+n,u+ (r'7ui' s; /'in; *,,7i+ s;-i '9ri' i/'i+'s'n(i'n('+' sui*i/,r'.- Tr'7ui' *r',(' *on/i?ii *,r' s; Ji'/i*' Jn*'r*,r', /' sinu*i/'r'.A&7*%'( $' "*8*"'

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    - S; s' f,*; /is*u(,7i+' i/'i+' i s'n(i'n('+' sui*i/,r' ,+' ,*i'n(u+ui.

    - , s' *on(ro+, /,*; s' i,u '/i*,'n('+'.

    - S; s' /is*u(' sinu*i/'r', *u ,*i'n(u+) s; nu '9is(' nii* s'*r'( /'sr' ,s(,.

    - $,*; ,*i'n(u+ nu s' '9ri; Jn +'g;(urs; *u sinu*i/'r', s' ur;r',s*; ,*(ii(,(', s,

    non'r7,+;) /' '9'+u ('n/in?, /' , s' i5o+, '(*.

    P"#+'4( $' "*8*"' ?

    P,*i'n(u+ 's(' 8,o(i* Jn *oor(,'n( i (ur7u+'n(.

    S)%"*+' "*8*"**- Bo+n,u+ (r'7ui' s; /'in; *,,7i+ s; s' *on(ro+'5') s; nu ,i fi' (ur7u+'n( i s; ,i7' un

    *oor(,'n( org,ni5,(.

    A&7*%'( $' "*8*"'- S; i s' of'r' un rogr, s(ru*(ur,( /' ,*(ii(;?i) *on*'u( Jn o/ r;sun5;(or.

    - S; fi' Jn/ru,( /ir'*( Jn '9'*u(,r', rogr,u+ui r's'*(i.

    - S; i s' '9+i*' *+,r *'', *' (r'7ui' s; f,*;.

    - S; i s' ,*or/' Jngri=iri i5o+,( Jn si(u,?ii+' /' n'+ini(' '9(r';..

    P"#+'4( $' "*8*"' >

    . P,*i'n(u+ ,r' un ri( /' 5ino,(' (u+7ur,() /o,r' u?in s,u /'+o* i-i /'r,n=',5; ' *'i+,+?i

    7o+n,i.

    S)%"*+' "*8*"**R'g+,r', ri(u+ui 5ino,(') ,s(f'+ Jn*K( s; nu-i ,i /'r,n='5' ' *'i+,+?i 7o+n,i.

    A&7*%'( $' "*8*"'- P,*i'n(u+ s; fi' +;s,( s; /o,r; s',r,() ''n(u,+ Jngri=ir' i5o+,(;.

    - Pr'Jn(Kin,r', *, ,*i'n(u+ s; s' o/i8n',s*; r', u+( Jn (iu+ 5i+'i) ?inKnKn/u-s' *on(

    /' ,*'s( +u*ru Jn rogr,u+ 5i+'i.

    - S; s' ,f+' o(iu+ n'+ini(ii /' ' (iu+ no?ii) ''n(u,+ s; s' /is*u(' *u ,*i'n(u+ 'n(ru ,,f+, (''ri+'('nsiuni+' s,+'. A s' ,/inis(r, ''n(u,+ '/i*,'n(') , s' o7s'r, 'f'*(u+

    ,*'s(or,.

    P"#+'4( $' "*8*"' 10.P,*i'n(u+ nu-i o,(' 'n?in' firu+ gKn/irii r'5in(; Ffug; /' i/'iGD) r',*?ion',5; +, (o,('

    '9*i(,?ii+' i 's(' 8,o(i* Jn *on(,*('+' *u *'i+,+?i.

    S)%"*+' "*8*"**Bo+n,u+ s' o,(' *on*'n(r, i o,(' 'n?in' *on(,*(u+ *u *'i+,+?i .

    A&7*%'( $' "*8*"'

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    - P,*i'n(u+ s; fi' Jngri=i( i5io+,( Jn(r-un '/iu +isi( /' '9*i(,n?i.

    - S; fi' ,('n(ion,( *Kn/ ,r' Ffug, /' i/'iG i s; Jn*'r*i s;-+ r',/u*i +, su7i'*(u+ /is*u?i'i.

    - Cor'*(,r', ,*i'n(u+ Jn *' ri'(' ,(i(u/ini+' s,+' /in i,?, /' 5i *u 5i.

    - Of'rir', /' ,*(ii(;?i *on*r'(' rogr,u+ /' 5i D.

    P"#+'4( $' "*8*"' 11

    .P,*i'n(u+ r'5in(, ,nif's(;ri n'*u'ni('u7+; go+)Jn=ur;) ,r' un *oor(,'n( n'so*i,+D

    S)%"*+' "*8*"**

    P,*i'n(u+ iJ o/ifi*; Jn 7in' *oor(,'n(u+ ,s(f'+ Jn*K( r'+,?i, +ui *u 'rso,n'+' /in '/iu

    s' ,'+ior',5;.

    A&7*%'( $' "*8*"'- Pro('=,r', ,*i'n(u+ui ,*i'n(u+ or7in/ /'sr' *oor(,'n(u+ s;u ) in/i*,r', *+,r; ,

    gr,ni?'+or- !n/';r(,r', ,*i'n(u+ui /in gru /,*; nu o,(' fi *or'*(,( Jngri=ir' i5o+,(;D

    - , s' *,u(; ,f+, *,r' 's(' *,u5, *oor(,'n(u+ui s;u

    P"#+'4( $' "*8*"' 12.P,*i'n(u+ r',*?ion',5; ,gr'si +, *'i /in =urH '+ ,r' s'n(i'n(u+ *; 's(' Ji'/i*,( /' *'i+,+?i

    S)%"*+' "*8*"**

    Bo+n,u+ s' +ini('(') nu ,i r',*?ion',5; ,gr'si i /'in *,,7i+ s; /is*u(' *ii+i5,(n'u+?uiri+' s,+'.

    A&7*%'( $' "*8*"'- Pr'Jn(Kin,r', 's*,+,/,r', *oor(,'n(u+ui ,*i'n(u+ui /is(r;gKn/u-i ,('n?i, +, (i

    - I, ,*i'n(u+ Jn s'rios) '9+i*;-i *'', *' f,*i) /;-i o*,5i, s'; r',*?ion'5'.

    - 3i9',5; gr,ni?' *+,r' ) sun' *' 's(' (o+'r,( i *' nu.

    - $is*u(,r' *u ,*i'n(u+ o(i'+' ,gr'siunii s,+') 'n?in' *on(,*(u+ *u 7o+n,u+.

    - Cr',r', /' r'gu+i *+,r' /'sr' i5i(;) /o5,r', i5i(, i ,5u( /,*, (r'7ui' Jnso?i( i5i(,(oru+.

    P"#+'4( $' "*8*"' 1;P,*i'n(u+ ,r' (r'ur;(uri i (onusu+ us*u+,r 's(' *r's*u( /Kn/ ir'si, /' rigi/i(,(' *,

    ur,r' , '/i*,?i'i si8o(ro'.

    S)%"*+' "*8*"**$is,ri?i, si(o'+or '9(r,ir,i/,+' n'uro+'(i*'.

    A&7*%'( $' "*8*"'- P,*i'n(u+ s; fi' infor,( /'sr' ''n(u,+' 'f'*(' s'*un/,r' ,+' '/i*,?i'i si8o(ro'.

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    Pro('5': nu ,r'

    Coor(,'n(': fu;(or 1& - 20 ?ig;ri5i) *onsu,(or /' ,+*oo+) n',g; *onsuu+ /' /roguri.

    $i,gnos(i* /' in('rn,r': ('n(,(i, /' sui*i/ rin ,u(o,gr'siun'

    4o(i'+' in('rn,rii:

    T'n(,(i, /' sui*i/ rin *r',r', /' +,gi +, ni'+u+ ,7/o'nu+ui si ' f,(, ,n('rior; ,,n('7r,('+or

    Iri(,7i+i(,('

    Agr'sii(,('

    Agi(,?i' si8oo(ori'.

    An('*'n(' 8'r'/o*o+,('r,+') fi5io+ogi*' i ,(o+ogi*':

    7o+i+' ri'i *oi+;rii) in('rn,( Jn ur; *u & ,ni *u /i,gnos(i*u+ /' u+*'r /uo/'n,+.Con/i?ii /' i,?; i un*;:

    +o*ui'(' *u f,i+i, s,) so?i, i un fiu) Jn(r-un ,,r(,'n( *u /ou; *,'r'.

    Is(ori*u+ 7o+ii:

    P,*i'n( /' 61 /' ,ni) *unos*u( s'*?i'i /' si8i,(ri' /' ,*u 6 ,ni *Kn/ , fos( in('rn,( 'n(ru o

    (u+7ur,r' ,f'*(i; i9(; ' fon/ (o9i*o-*,r'n?i,+. $onu+ P.V. ,fir; *; ing'r; 7;u(uri

    ,+*oo+i*' /' ,i u+?i ,ni) ri, in('rn,r' fiin/ Jn ,nu+ 2000) /' *Kn/ s' in('rn',5; ,nu,+

    'n(ru (r,(,'n(. A Jn*'r*,( s; r'nun?' +, ,+*oo+) /,r /' +uni , r'Kn*'u( s; *onsu' 7;u(uri,+*oo+i*' (,ri) ,=ungKn/ +, 1 +i(ru ' 5i. $' ,s''n', s' ,+i'n(',5; u?in) ,fir; *; ,r'

    r'u+si' f,?; /' ,+i'n(' 'n(ru *; Ji roo,*; gr',?; i Ji iri(; s(o,*u+. !n u+(i, s;(;Kn;

    ,*u5; insonii) 's(' ,gi(,( si8oo(or) f,*i'su+ 's(' *ong's(ion,(.

    E9,'n /' 7o+i in('rn':

    O7i'*(i: '9,'n *+ini* Jn +ii(' nor,+'

    Bio+ogi*: fi*,( ;ri( /' o+u

    $i,gnos(i*u+: s(',(o5; 8',(i*; (o9i*;) ,n'i' uo,r;

    R'*o,n/;ri: Es'n?i,+' < 9 1 *ori,(' ' 5i) < +uni

    E9,'n si8o+ogi*:

    Consu+(;ri: /i5,roni* ,ns,7+u+ s(ru*(ur,+ Jn *on('9(u+ (o9i*ofi+i'i '(,no+i*'. A*(u,+'n('

    /iso5i?i' /'r'si; s''r; *u ni'+u+ /' ,n9i'(,(' s''r; /u; s*,r, B'*D *u ni'+ /'

    ,n9i'(,(' s''r; s*,r, STAID.

    /ifi*u+(;?i ,/,(i' so*io-rof'sion,+' i f,i+i,+'

    (o+'r,n?, s*;5u(; +, frus(r,r' *u ,r*,(' ('n/in?' /' in('rr'(,r') i5o+,r' /' so*i'(,(') (r;ir',

    /ur'ro,s; , so+i(u/inii.

    u+(i+' r'o*u;ri 8io*on/ri,*-*'n's(,,(' i ('n/in?' si8,s('n'

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    . in,7i+i(;?i Jn g's(ion,r', *onf+i*('+or *u gKn/uri /' inu(i+i(,(' '9is('n?i,+;) f;r; i/'i

    sui*i/,r'. T'n/in?, /' , ,+ifi*, ior(,n?, ''ni'n('+or n'g,(i'.

    E9,'n si8i,(ri*:

    3,*i's *u no(' (ris(') ii*; i g's(i*; 8ioo7i+'.

    $is*r'(; /is,r(ri') (r'or ,+ '7r'+or su'rio,r') *onsu '(,no+i* ,7u5i Jn ,n('*'/'n('

    si8i,(ri*' s,u *onfu5ii oniri*') n',g; s'r,=' *o+i*,('. An9i'(,(' ,r*,(;) /ifi*u+(;?i /'

    *on(ro+,r') /isn'5ii /' fi9,r' i 'o*,r' /isro9'9i') r,n/,'n( u(i+ /iinu,(. L,7i+i(,('

    'o?ion,+; (o+'r,n?; s*;5u(;) +, frus(r,r' *u *ri5' /' s*ur( *ir*ui(.

    Tu+7ur;ri 8ini*' i9(') ,'(i( u+( r'/us *u s*;/'r' Jn gr'u(,('

    Consu+( n'uro+ogi*:

    Su7i'*(i: ,*i'n( *unos*u( *u un *onsu *roni* '(,no+i*

    D*(#!*&:)('n(,(i; /' siu*i/ rin ,u(o,gr'siun' ) o+in'uro,(i' s'n5i(io-o(ori' ,

    '7r'+or inf'rio,r' ' fon/ (o9i* *,r'n?i,+.

    P,*i'n(u+ 's(' in('rn,( ' urg'n(; r'5'n(,n( (,i'(uri /' *u(i( ' 7r,(' si ' ,7/o'n )/'

    /i'nsiuni i*i )*' nu un in 'ri*o+ i,(,)in s(,r' ,,ns,(, /' '7ri'(,(' )'s(' ,ns,( si

    r''*8i+i7r,( 8'o/in,i* fiin/ (riis ,oi ' s'*(i, /' si8i,(ri' 'n(ru *onsu+( s' /'

    s'*i,+i(,('

    E9,in;ri /' +,7or,(or

    LOQ NOR4AL @I"@ UNITS RE3ERENCE RAN"E

    "+u*o5; 1 g/ >0 11Ur''

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    N'oi, 4,nif's(,ri /' in/''n/'n(, 4,nif's(,ri /' /''n/'n(,1.N'oi, /' , r'sir, si ,,', o 7un, *ir*u+,(i'

    N'oi' ,f'*(,(; 3r'*'n(, r'sir,(ori' 2&-

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    ('oro-s,?i,+;. Er, ,gi(,( iiri(,7i+ Jn r'5'n?, ,roi,?i+or i*,/r'+or '/i*,+'.

    11.N'oi, /' , ,*(ion, /u,*r'/in('+' si ,+ori+' s,+'

    N'oi' ,f'*(,(; P,*i'n(u+ , /'*+,r,( *; s' si('frus(r,( /,(ori(; s'n(i'n(u+ui /'inu(i+i(,(' ' *,r' J+ (r;i'('.

    12.N'oi, /' , s' r',+i5, N'oi' ,f'*(,(; P,*i'n(u+ 's(' s,(isf;*u( /'un*, s,) /,r /in *,u5, 7o+iis,+' nu-i ,i o,(' r',+i5,s,r*ini+' ius' /' +o*u+ /'un*;.

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    -(u+7ur;ri ,+' s(,rii /' *ons(i'n(, in 'rio,/, s'r,=u+ui

    -(u+7ur;ri /' g,n/ir's'n(i'n( /' ino,(i' D

    -(u+7ur;ri /' 'ori'

    -(u+7ur;ri ,+' /iso5i(i'i/'r'si'D-(u+7ur;ri ,f'*(i'D

    -(u+7ur;ri /' oin(;,*(ii(,(i n'fin,+i5,('D

    -(u+7ur;ri /' ,*(ii(,(',gi(,(i' si8oo(ori'D

    -(u+7ur;ri /' *ouni*,r''r7,+, s,u s*ris,D

    -(u+7ur;ri /' *oor(,'n( ins(in*(u,+/iinu,r', ins(in*(u+ui ,+i'n(,rD

    -(u+7ur,ri org,ni*'*r'i'r)fi*,()D

    I!'"6'!**$'+'(!'

    -P,*i'n(u+ui i s' r'*o+(',5; ro7'+' 7io*8ii*'

    in/i*,(' /' '/i*.

    -i s' ,/inis(r',5, )5i+ni*) +, in/i*,(i, '/i*u+uiD +i*8i/')'/i*,'n('

    S' or *or'*(, *,r'n?'+' i(,ini*'

    T"(!(4'!

    "+u*o5, & &oo +

    B12 f. i..) B1 f. i..

    As,(ofor( 2 f. 'rfu5,7i+

    Io/iu 1 (7

    $i,5', 1 f. 10 g. - i..

    Ti,ri/,+ 1 f. 10 g. i.

    C,r,7,5'in; 200 g. 2 (7.

    Si+i,rin; 2 (7.

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    ,*i'n(u+ ,sur,ior(,n('i r'giu+ui,+i'n(,r in 'n(in'r',s,n,(,(ii$ELE"ATE-,/inis(r',5, 'rfu5i'*u g+u*o5, & &00+)i( B1.B

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    sonu+ui-in(o*'s(' un

    rogr, /' o/i8n,*or'sun5,(ororg,nisu+ui

    $ELE"ATE-,/inis(r,r'

    $i,5',n 1f. i..-,/inis(r,r'

    C,r7,,5'in, 200g.2 (,7

    )f,r, , ,', nu,ru+/' or' n'*'s,r-in 5i+'+' ur,(o,r'*,+i(,(', sonu+uis-, in7un,(,(i(

    ,*i'n(u+o/i8nin/u-s'

    .NEVOIA $E ASE I4BRACA SI$EZBRACA

    $ifi*u+(,('/' , s'i7r,*, si/'57r,*,

    -/ur'r'-,n9i'(,('-s(,r', /''7ri'(,('

    -is*,r', *ugr'u(,(' ,'7r'+orinf'rio,r'-

    -s*8i7,r', *ugr'u(,(' , +'n='ri'i/' *or

    -,*i'n(u+ s,s' o,('i7r,*, si/'57r,*,,u(ono-,*i'n(u+ s,fi' i7r,*,(*u +'n='ri'*ur,(,

    AUTONO4E-,=u(, 7o+n,u+ s, s's*8i7'-'9+i*, 7o+n,u+ui *,'s(' ior(,n( s, fi'i7r,*,( *u i,,+'*ur,('

    -s*8i7,r',+'n='ri'i /' *or s'f,*' *u /ifi*u+(,(' in

    ri'+'

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    M#*+*!(!' in('gr,

    A!'&'$'!' ='"'$#+(!'"(+' n's'nifi*,(i'

    A!'&'$'!'P'"#(+' A'n/i*'*(oi' in 1&

    C#$*!** $' 6*(!( * 4%&( P,*i'n(u+ +o*ui's(' *u ,, in(r-o *,s, *u < *,'r') 7in'in*,+5i(') s,+u7r'. $isun' /' 'ni(uri ,('ri,+' /'*'n('. A 'f'*(u,( *+,s' ri,r' +, o s*o,+,

    nor,+,.

    G%!%"* )'"#(+' * #*&'*%"* P,*i'n(u+ r'f'r, *,rn', /' ,s,r' si +,*(,(') *onsu,(or

    o*,5ion,+ /' *,f',) (u(un) nu *onsu, 7,u(uri ,+*oo+i*'.

    M#!*6'+'I!'"("**:-('n(,(i, /' sui*i/

    s(,r' /' n'+inis(' si8oo(ori'- /'+ir /' 'rs'*u(i'

    - in('rr'(,(ii(,('

    - susi*io5i(,('

    - insoni'

    ISTORICUL BOLII

    P,*i'n(u+ O.4 in ,rs(, /' 0 @g Pu+s >inCor/ in +ii(' nor,+') 5goo(' *,r/i,*' ri(i*' 7in' 7;(u(' $'n(i?i' in*o+'('Li7, /' ,s'*( nor,+A7/o'n su+u n'/ur'ros +, ,+,r') ,r(i*i; son(,n +, is*,ri+'r'sir,(oriiTr,n5i( in('s(in,+ r'5'n(

    Nu r'5in(, gr'(uri) ,rs,(uri

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    3i*,() C,i 7i+i,r') S+in, in +ii(' or,+'A,r,( urog'ni(,+- +,='+' r'n,+' +i7'r' n'/ur'ro,s'- urin, *u ,s'*( ,*ros*oi* nor,+Sis('u+ n'ros ROT r'5'n(' 7i+,('r,+- Ori'n(,( ('oros,(i,+- S(,r' /' n'+inis(' Psi8oo(ori'

    - $'+ir /' 'rs'*u(i' - Susi*io5i(,('- Insoni'

    E(4'' )("(&+**&' * /%&!*#(+':TA 120>0@g"+i*'i'-6gCo+'s('ro+-1.60gVS@-1018Cr',(inin,-1.1gUr'', Sg-0..0gT"P-1.0 U.IT"O-1>. U.I3i7rinog'nE9,'n urin,Su,r /' urin,Cu+o,r': ",+7'n,- *i(rinP8-,*i/$'nsi(,(' 1010-102&Uro7i+inog'n:nor,+S'/i'n(' : r,r' 'i('+iiL'u*o*i(': fo,r(' r,r'"+u*o5,: ,7s'n(,Pig'n(i 7i+i,ri- ,7s'n(i

    R,r' 'i('+ii3r'*'n(' +'u*o*i('

    Nu'ro,s' 8',(iiU"#&%+!%"($u, (o,+'(, riguro,s, , org,nisu+ui g'ni(ourin,r' s' r'*o+(',5, urin, /in i=+o*u+u+

    ='(u+ui urin,r in(r-o 'ru7'(, s('ri+,N'g,(i,

    Coro*u+(ur,S' r'*o+(',5, s*,un in r'*ii'n(' s('ri+' s'*i,+') /in (r'i +o*uri /if'ri('

    N'g,(i,

    ANALIZA SI INTERPRETAREA DATELORJ$*(#!*& $' *"*8*"'KA(4',( ( *$'!*/*&(! 4#$%+ $' (!*/(&'"' ( '6#*+#" /%$(4'!(+'3 $%)( &%4

    %"4'(,:

    N'oi, 4,nif's(,ri /' in/''n/'n(, 4,nif's(,ri /' /''n/'n(,1.N'oi, /' , r'sir, si ,,', o 7un, *ir*u+,(i'

    3r'*'n(, r'sir,(ori'nor,+, ,rs('i 1r in.R'sir,(i' 7un, ' n,s /'(i *os(,+ inf'rior: TA-120>0 @g) AV->in

    N'oi, nu 's(' ,f'*(,(;

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    2.N'oi, /' , 7', si ,,n*,

    +. R'f+'9 /' /'g+u(i(i'r'5'n() /ig's(i'n's(ing8'ri(,) Tr,n5i(in('s(in,+ r'5'n(.

    N'oi, nu 's(' ,f'*(,(;

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    $i,5', f) 10 gAn(i*onu+si,n( 10 g 10 gR'*,+*'fi,n( >&0 g 2&0 gPir,*'(, C 2&0 g Or,+

    Noo(ro.f,ori5',5, ro*'s'+' in(,+' si ro('=',5, n'uronii *'r'7r,+i f,(, /'

    ,gr'siuniD.00 g 600 gVi(,in' Co+'9 C 1 /r5i

    PLANIFICAREA INGRIIRILOR - s(,7i+ir', #*'&!*6'+#"'n(ru ,sigur,r', s,(isf,*'rin'oi+or ,f'*(,('OBIECTIVE

    - ,sigur,r', *on/i(ii+or o(i' /' si(,+i5,r' rin +,s,r', ,*i'n(u+ui in(r-un s,+on+uinos) ,'risi() *u (''r,(ur, si ui/i(,(' o(i,22 /' gr,/' CD) +is, *ur'n(i+or /' ,'r) *u

    ,( *onfor(,7i+ si *u +'n='ri' /' ,( *ur,(' r'*u si +'n='ri' /' *or *ur,('

    - ,*i'n(u+ s, 7'n'fi*i'5' /' r',os fi5i* si si8i*

    - ,*i'n(u+ s, fi' ,+i'n(,( *or'sun5,(or /i,gnos(i*u+ui si 5i+'i /' 7o,+, ' (o,(, /ur,(,si(,+i5,rii

    - ,*i'n(u+ s, fi' sur,'g8',( ,('n( ' (o,(, /ur,(, in('rn,rii

    - ,sigur,r', '/i*,(i'i r's*ris' /' '/i*

    - ,*i'n(u+ s, 7'n'fi*i'5' /' r'g,(ir' fi5i*, si si8i*, ,/'*,(; in '/'r', ori*,r'i('8ni*i in('rrins'

    - 'n(in'r', fun*(ii+or i(,+' si 'g'(,(i' in +ii(' nor,+' si no(,r', +or in fo,i, /'(''r,(ur,

    - ,*i'n(u+ s, 7'n'fi*i'5' /' o igi'n, *or'sun5,(o,r'

    - 'n(in'r', +'g,(urii ,*i'n(-f,i+i' ' (o,(, /ur,(, si(,+i5,rii

    - ,*i'n(u+ s, r'5in(' o s(,r' /' *onfor( fi5i* si si8i* in ur,(o,r'+' 5i+'

    - r''nir', *o+i*,(ii+or rin in/',r(,r', o7i'*('+or ,s*u(i(' /in r',=, ,*i'n(u+ui)i5o+,r', +ui in *,'r, s'*i,+ ,'n,=,(, s,u io7i+i5,r', +ui in *,,s, s'*i,+, ,n, +,/iinu,r', ,gi(,(i'i si8oo(orii

    - ,*i'n(u+ s,-si s,(isf,*, ,u(ono n'oi+' fun/,'n(,+' in ur,(o,r'+' 5i+'

    INTERVENTIILE DELEGATE1. r'*o+(,r', ro/us'+or 7io+ogi*' 'n(ru ,n,+i5' /' +,7or,(or : s,ng' si urin,

    2 ,/inis(r'5 +, in/i*,(ii+' '/i*u+ui (r,(,'n(u+ n'uro+'(i* ,so*i,( *u

    s'/,(i') (r,n*8i+i5,n(') 8ino(i*' si i(,in'

    6

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    INGRIIREA PACIENTULUI CU SC=IZOFRENIE PARANOID CU IDEI SUICIDARE PLAN NURSING CAZUL 2

    N%4' O3P"'%4' MD*(#!*& 4'$*&(+ 3 SC=IZOFRENIE PARANOIDA CU IDEI SUICIDARED*(#!*& $' %"* : )(&*'! )("!*(+ $')'$'! * ($*/(&'"'( ( '6#* /%$(4'!(+'D(!( *!'"("**: 1?.01.2011

    D(!( '!'"("**: 2.02.2011

    NEVOIA PROBLEMA SURSA DEDIFICULTATE

    MANIFESTAREDEPENDENTA

    DIAGNOSTICDE NURSING

    OBIECTIVE INTERVENTII EVALUARE

    .N'oi, /' ,/ori), s'o/i8ni

    $ifi*u+(,(', /' , s'o/i8ni

    -,n9i'(,('.s(,r' /' ,gi(,(i'

    -insoni'-son 'r(ur7,(

    -or' insufi*i'n('/' son

    -rogr, /'o/i8n, si son*or'sun5,(or

    AUTONO4E-,=u( ,*i'n(u+ s,-si

    +,nifi*' ,*(ii(,(i+'*o(i/i'n'-o7s'r, si no(',5,*,+i(,(', )or,ru+sonu+ui-in(o*'s(' un rogr,/' o/i8n, *or'sun5,(ororg,nisu+ui$ELE"ATE-,/inis(r,r' $i,5',n

    1f. i.

    In ri'+' 5i+',*i'n(u+ r'5in(,un son ,gi(,()fr,g'n(,(-in 5i+'+'ur,(o,r'*,+i(,(', sonu+uis-, in7un,(,(i(

    ,*i'n(u+o/i8nin/u-s'

    N'oi, /' ,'i(, 'ri*o+'+'

    -,n9i'(,('-ris* /',u(ogr'siun'

    -in*,,*i(,(' /', f,*' f,(,r',+i(,(ii-(u+7ur,ri /'g,n/ir'

    -,gi(,(i'-iri(,(i'-,gr'sii(,('-('n(,(i, /' sui*i/-n'in*r'/'r'

    -ris* /' , si f,*'r,u

    'i(,r',sui*i/u+ui*,+,r',

    ,*i'n(u+u

    A%!##4'-sur,'g8',5,

    'r,n'n( ,*i'n(u+-,sigur, *on/i(ii /''/iu ,/'*,(' )'n(ru, 'i(, 'ri*o+'+' rin,u(o ,**i/'n(,r'

    In ri'+' 5i+',*i'n(u+ r'5in(,i/'i sui*i/,r','nin(,n/ *u,u(ogr'siun',.$u, 5iu, )'s(',i *,+)si nu

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    CAZUL ;

    INGRIIREA PACIENTULUI CU INTOICATIE VOLUNTAR

    MEDICAMENTOAS

    GRILA DE CULEGERE DATE

    Nu'+' S. Pr'nu'+' V.A.

    V,rs(,

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    fi*,() s+in,) *,i 7i+i,r' : nu sun( o/ifi*,ri.

    ,,r,( r'n,+: +o=i+' r'n,+' +i7'r') n'/ur'ro,s' +, ,+,r') rini*8i n',+,7i+i) i*?iuni

    fi5io+ogi*'

    ,,r,( g'ni(,+: org,n' g'ni(,+' '9('rn' /' ,s'*( nor,+

    sis(' n'ros si org,n' /' si?:R.O.T.r'5'n() 'g,+ 7i+,('r,+.S(,r' /'r'si;

    TRATA4ENT:,rn'(in)no-s,)g+u*o5; &

    4ANEVREPROCE$URI :+,,= g,s(ri* < +i(ri

    EYA4ENE $E LABORATOR : 8'o+'u*ogr,,) ur'') *r',(inin,),*i/uri*)T"P)T"O

    .RE"I4 ALI4ENTAR:8i/ri*

    .OBSERVAREA INITIALA SITUATIA LA INTERNARE: I1&* "Wg.

    T.A.1.N'oi, /' ,-si 'n(in'(''r,(ur, in +ii('nor,+'

    T

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    E)*&"*,( * "'($("*

    P,*i'n(u+ in ,rs(, /'

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    INGRIIREA PACIENTULUI CU INTOICATIE MEDICAMENTOASA JTENTATIVA DE SUICIDK CAZUL ;

    N%4' S3 P"'%4' V.A

    DIAGNOSTIC MEDICAL5 INTOICATIE ACUTA MEDICAMENTOASA

    DIAGNOSTIC DE NURSING5PACIENTUL PREZINTA 11 NEVOI FUNDAMENTALE AFECTATE

    DATA INTERNARII:1>-0-2011DATA ETERNARII521-0-2011

    NEVOIA PROBLEMA SURSA DEDIFICULTATE

    MANIFESTAREDEPENDENTA

    OBIECTIVE INTERVENTII EVALUARE

    1.NEVOIA $E AAVEA O BUNARESPIRATIE

    Alterarearespiraiei

    ,n9i'(,(' -(,8in''(,8i*,r/i'

    P,*i'n(u+ s,,i7, 1-1rin si u+s0-0 in

    AUTONO4E-,sigur o5i(i,s'5,n/ s,u s'is'5,n/ ,

    ,*i'n(u+ui-,sor R .P T.A.-,s'5 7o+n,u+ in/'*u7i( /ors,+$ELE"ATEEf'*(u,r' +,,=g,s(ri*

    -,/inis(r,r'g+u*o5,&

    R 2rinP in

    2.NEVOIA $E ABEA SI A 4ANCA

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    A7u5 /''/i*,'n('

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    P,*i'n(u+ r'5in(,/ur'ri ,7/oin,+'

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    CONCLUZII

    T'n(,(i, /' sui*i/ 's(' o *ons'*in(; gr,; , ro7+''+or si8i*' s,u , (u+7ur;ri+or /'

    *oor(,'n( *' ,/u*' nu'ro,s' ,f'*(,ri fi5i*' si s8i*' *,r' o( /u*' ,n, +, /'*'s.

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    sonu+ui si ,+ r'sir,(i'i)r'g+,r', (''r,(uri)n'*'s,ru+ /' 8r,n,),*(ii(,(', *,r/io,s*u+,r; si

    /ig's(i, )os*i+,?i ,+' /iso5i(i'i ini(i,(i'+or si son(,n'i(,(ii.

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    su7 o7s'r,n/ , (r'i ,*i'n?i *u ,*'s( /i,gnos(i* si ,r' /r'( s*o /' , /'s*ri' ingri=iri+'

    ,*or/,(' 'rso,n'i suf'rin/')'n(ru ,-i s,/isf,*' n'oi+' fun/,'n(,+' *' s(,u +, 7,5, ingri=iri

    ou+ui 7o+n, si s,n,(os.

    P+,nu+ /' Jngri=ir' f,*' ,r(' in('gr,n( /in +,nu+ ('r,'u(i* s(,7i+i( /' '/i* i 's('

    ,/,(,( o/'+u+ui *on*'(u,+ ,+ Virgini'i @'n/'rson *,r' r'suun' *, Jn '9'*u(,r',

    rof'si'i /' ,sis('n( '/i*,+ (r'7ui' s s' *r''5' o ,7i,n? Jn *,r' ,+ori+') o7i*'iuri+')

    r'+igi, i *r'/in?'+' in/ii/u+ui (r'7ui' r's'*(('. A*'s( +u*ru r'suun' o *o+,7or,r'

    'r,n'n( *u 7o+n,u+) o *uno,('r' ,nun?i( , n'oi+or i n'*'si(?i+or ,*'s(or,.

    C'+' (r'i *,5uri *+ini*' /is*u(,(' s' s(ru*(ur',5 su7 for, *'+or 16 n'oi fun/,'n(,+'

    r'f+'*(,(' su7 ,s'*( so*i,+) si8o+ogi* i 7io-fi5io+ogi*. To?i *'i (r'i ,*i'n?i ,u 7'n'fi*i,( /'

    Jngri=iri *or'sun5(o,r') in/ii/u,+i5,(' 'n(ru fi'*,r' 7o+n,) Jn ,r('.

    S(u/iu+ , fos( f*u( 'n(ru 7o+n,i /' Krs(' /if'ri(' ) s'9' /if'ri('.

    Pro7+', riori(,r) 'n(ru *,r' 7o+n,ii s' r'5in( +, '/i* 's(' ('n(,(i, /' ,u(ogr'siun'*' un' in 'ri*o+ gr, i,?, ,*i'n(u+ ),,n/ /r'( *,u5, rin*i,+, 7o,+, s