Surgical nursing care is the responsibility of professional nurses, or university education, with growing demand for specialized studies, which have under his charge or supervision to a variety of professional, technical and administrative functions has important management directly or indirectly to the patient.

The nurse plays a leadership, coordinating and example, and she is really determined by the level of care of a surgical service.

Also, because the nurse is the one who really cared for in a permanent and continuous patient, and because it is she who keeps the most intimate contact, becomes the person that best conveys the image and spirit of a hospital. It is recognized that a high level of hospital nursing actions are those that have deeper impact, ultimately, the quality of care, and those that are best perceived by the community, represented by the pa-tion and their associates, or their behavior is interpreted, more than any other of the participants as an indicator of excellent quality.

That is why nursing should be recognized in the modern hospital as a fundamental human element to the success of your operation. And that’s why the nurses, perhaps more than any other female profession, it will be increasingly sought and will quickly climb the career ladder of importance in society, emerging as one of the greatest development in the near future.

1) clean up the environment, 2) control of communicable diseases, 3) health education, 4) the organization of medical and nursing services, and 5) the development of social mechanisms that ensure the individual and a community standard of living adequate for the maintenance of health.

Perhaps more important to define the public health is to identify what it is. In this sense, it seems that the mission of public health is to meet society’s interests in ensuring the conditions that allow people to have health. The three fundamental missions of public health as defined by the Institute of Medicine were related to 10 key practices that should provide the public health and who were identified and cataloged by a working group established by the Public Health Practice Program Office of the CDC.

These definitions provide a structural framework that defines activities in public health:

A) To assess and monitor health: the objective was to determine the health status of communities and populations at risk to identify health problems and priorities. You have to proceed to the collection, collation, analysis and dissemination of information about the health of populations. The services to be provided by public health response to this mission are:

1. Assessing the health needs of the population.
2. Research on the emergence of problems and health risks.
3. Analysis of the determinants of health hazards identified.

B) Develop programs and public policies in collaboration with the community and the authorities need to design plans and programs for solving problems and health priorities identified at each level, local, regional and national levels. We must exercise responsibility for the public interest by developing a comprehensive set of public policies on health, promoting the use of scientific knowledge for decision making, encouraging community involvement and evaluating results. The services of public health in this area are:

4. Adoption of a role as mediator and spokesman.
5. Establishment of priorities among the needs identified.
6. Develop programs and plans to respond to those needs.

C) services ensure that all people have access to services that are appropriate and cost-effective services including health promotion and disease prevention, evaluating the effectiveness of those interventions, ensuring the implementation of the services are necessary for achieving the goals set in response to the needs revealed by stimulating the actions to be developed to regulate the launch or providing services directly. This would:

7. manage resources and develop an organizational structure.
8. Setting up the program.
9. evaluate programs and establish quality assurance systems and quality improvement.
10. Informing and educating the population.

Hypertension produces an increase in the number of tension, stress or blood pressure is the force exerted by blood on the walls of blood vessels. To measure this value, it uses two digits, the highest value is the maximum or systolic pressure (occurs when the heart muscle contracts and expels blood from the ventricles to blood vessels), the lower is the diastolic pressure (occurs when the heart muscle relaxes and falls back blood to the heart).

What are the normal values of blood pressure
If we take the averages of all ages get a systolic pressure of 120 mm Hg. and a diastolic pressure of 80 mm Hg.  The World Health Organization considers that 140/90 mm Hg is the upper limit of normal. Values higher than 160/95 mm Hg are indicative of hypertension.

Causes of Hypertension:
Only 10% of cases the cause is determined, once the disease treated hypertension based improvement.

The remaining cases, 90%, the exact cause is unknown, is believed to be due to various risk factors, and often the lifestyle of the person. A risk factor is excess weight, it is estimated that 50% of hypertensive patients are obese. Dietary habits also play an important role, excessive salt consumption can cause.

Also stress, emotions, tensions and concerns in the workplace and the home can occur. The lack of physical exercise and sedentary lifestyle, and excessive consumption of alcohol may increase the numbers.

Care to reduce the number of voltage
1 .- Take the medication indicated in the right way, do not forget to take it daily or leave the treatment on our own.
2 .- Take a diet low in sodium. Do not take the following foods for their high sodium content:

Cooking salt or table
Meat salted, smoked and cured.
Smoked and dried fish.
Shellfish and caviar.
Delicatessen.
Cheese cured too.
Melba toast with bread and salt.
Olives and salted.
Nuts.
Preserved.
Savory sauces and seasonings.
Soups and broths prepared envelope.

The public health nurse is the nurse of “any court” not only by the type of approach, the first collective to individual for the second but by its representation of men and health. The nature of their activities will be based on different concepts and the place of the individual devices will be changed.  The nurse refers the person (usually a woman), which provides comfort in times of painful illness. The nurse is also the one that makes the link between the doctor and between “what is happening,” what will happen, “what will I do” … It is much less clear for the “public health nurse.

It therefore seems difficult that the nurse specializing in public health as it does for the techniques of surgery or nursery. The formation of the public health nurse should enable it to understand human health and a truly global with tools and methods specific differentiated care. Moreover, such training should enable them to exchange experiences with other types of non-professional caregivers, such as social workers and people (or caregivers) of different cultures … to affect the diversity and complementarity approaches to health.  In other words, training can be specific to the nurse, public health training aimed at other health professionals or social development: the DESS “Health Promotion and Social Development:

The nurse of “public health” with his particular vision of man and his health could then propose an alternative and complementary products under the care, support and prevention.