1. The document discusses Pneumocystis jirovecii pneumonia (PCP), a common opportunistic infection in patients with HIV/AIDS. PCP used to affect over 70% of HIV patients in Spain and was a major cause of death until primary and secondary prophylaxis began in 1989. 2. While the frequency of PCP has decreased significantly to 17-20% since prophylaxis, cases still occur in those not receiving prophylaxis, unaware of their HIV status, or severely immunocompromised despite correct prophylaxis. 3. The objective is to develop a nursing care plan for HIV+ patients receiving primary and secondary prophylaxis who develop respiratory distress from PCP

1. KWWSZZZHOSUDFWLFDQWHJDOHRQFRP
1(8021Ë$32531(80267,6$5,1,,(19,+
813/$1'(8,'$'26
8VDFK/ySH]0-
(QJXtGDQRV/ySH]5
-RUGi%LOEDR0
$OFRYHU
0HGLQD5
5LEHV5RPHUR-
5HVXPHQ
/DLQIHFFLyQSRUHOYLUXVGHODLQPXQRGHILFLHQFLDKXPDQD9,+

2. SURGXFHXQGHWHULRUR
SURJUHVLYRGHODLQPXQLGDGDSDUHFLHQGRHQGHWHUPLQDGRVHVWDGtRVGHODLQIHFFLyQ
HQIHUPHGDGHVRSRUWXQLVWDVVLHQGRXQDGHODVPiVIUHFXHQWHVOD1HXPRQtDSRU
3QHXPRFVWLVDULQLL(VWDDIHFWDEDLQLFLDOPHQWHHQ(VSDxDDPiVGHOGHORV
HQIHUPRVFRQLQIHFFLyQ9,+HUDODLQIHFFLyQRSRUWXQLVWDPiVJUDYHVLHQGRDGHPiVOD
FDXVDGHPDRUPRUWDOLGDGKDVWDTXHVHLQLFLyODSURILOD[LVSULPDULDVHFXQGDULD(QORV
~OWLPRVDxRVDXQTXHVXIUHFXHQFLDKDGLVPLQXLGRFRQVLGHUDEOHPHQWHHQWUHXQ
FRQWLQ~DQSUHVHQWiQGRVHHSLVRGLRVGH3QHXPRFVWLVDULQLLHQDTXHOORVVXMHWRVTXHQR
UHDOL]DQSURILOD[LVHQORVTXHGHVFRQRFHQVHUSRUWDGRUHVGHO9,+RLQFOXVRHQDOJXQRV
SRUWDGRUHVFRQRFLGRVVHYHUDPHQWHLQPXQRGHSULPLGRVDSHVDUGHUHDOL]DUSURILOD[LVGH
IRUPDFRUUHFWD
(OREMHWLYRGHHVWHHVXGLRHVODUHDOL]DFLyQGHXQ3ODQGHXLGDGRVGH(QIHUPHUtD
HVWUXFWXUDGRSDUDSDFLHQWHV9,+TXHVLJXHQSURILOD[LVSULPDULDVHFXQGDULD

3. FRQOD
LQIHFFLyQRSRUWXQLVWDGH1HXPRQtDSRU3QHXPRFVWLVDULQLLTXHWLHQHQ
PDQLIHVWDFLRQHVGHGLVWUHVVUHVSLUDWRULR(QHO3ODQGHXLGDGRVVHGHVDUUROODQORV
'LDJQyVWLFRVGH(QIHUPHUtDVLJXLHQWHV
N 'HWHULRURGHOLQWHUFDPELRJDVHRVRUHODFLRQDGRFRQ5

4. DOWHUDFLyQGHO
DSRUWHGHR[tJHQR
N 'pILFLWGHYROXPHQGHOtTXLGRV5LQFUHPHQWRGHSpUGLGDVLQVHQVLEOHV
GHELGRDWDTXLSQHDGLDIRUHVLVILHEUH
N $OWHUDFLyQGHODQXWULFLyQSRUGHIHFWR5DQRUH[LDIDWLJD
N ,QWROHUDQFLDGHODDFWLYLGDG5GHVHTXLOLEULRHQWUHODGHPDQGDHODSRUWH
GHR[tJHQR
N 'pILFLWGHDXWRFXLGDGR5IDWLJDGHELOLGDGGRORU
N 'HWHULRURSRWHQFLDOGHODLQWHJULGDGFXWiQHD5LQPRYLOLGDGVHFXQGDULDD
IDWLJDGHELOLGDG
N $QVLHGDGWHPRU5VLWXDFLyQGHVFRQRFLGDQDWXUDOH]DLPSUHGHFLEOHGHOD
HQIHUPHGDG
N 3RVLEOHDOWHUDFLyQGHODPHPEUDQDGHODPXFRVDRUDO5UHVSLUDFLyQEXFDO
GLVPLQXFLyQGHODLQJHVWDGHOtTXLGRVR[LJHQRWHUDSLD
N 3RVLEOHDOWHUDFLyQGHOPDQWHQLPLHQWRGHODVDOXG5XQDIDOWDGH
FRQRFLPLHQWRVDFHUFDGHOHVWDGRGHWUDQVPLVLyQGHODLQIHFFLyQSUHYHQFLyQ
GHUHFXUUHQFLDGLHWDFXLGDGRVGHVHJXLPLHQWR

5. /DXWLOL]DFLyQGHHVWHSODQUHGXFHRHOLPLQDODSUHVHQFLDGHPDQLIHVWDFLRQHVVHFXQGDULDV
DODKRVSLWDOL]DFLyQKDFHTXHWHQJDQLQIRUPDFLyQFRQRFLPLHQWRVVXILFLHQWHVDFHUFD
GHVXSURFHVRSDUDUHDOL]DUODVDFWLYLGDGHVGHODYLGDGLDULDSRUVtPLVPRV7RGRHOSODQ
GHFXLGDGRVVHUHIXHU]DFRQOD(GXFDFLyQ6DQLWDULDDOSDFLHQWHIDPLOLDGDGRTXHOD
FRPSUHQVLyQGHORVSURFHVRVSDWROyJLFRVIDYRUHFHODLQWHJUDFLyQVRFLDOHO
DXWRFXLGDGR
3$/$%5$6/$9( 6,'$9,+3QHXPRFVWLVDULQLLXLGDGRV
,1752'8,Ï1
/RVKDELWDQWHVGHFXDOTXLHUSDtVHVWiQH[SXHVWRVDQXPHURVRVDJHQWHVLQIHFFLRVRV
SUHGRPLQDQWHVHQHVH
PHGLR(QFRQGLFLRQHVQRUPDOHVGHVSXpVGHXQFRQWDJLRODLQIHFFLyQVXHOHVHU
VXEFOtQLFDSHUPDQHFHUVLOHQWHDOHVWDUFRQWURODGDSRUHOVLVWHPDLQPXQHGHOLQGLYLGXR
XDQGRpVWHIDOODORVSDWyJHQRVTXHVHKDQPDQWHQLGRTXLHVFHQWHVHQHORUJDQLVPR
SXHGHQUHDFWLYDUVHFRQIDFLOLGDGSURGXFLU ODHQIHUPHGDG'HOPLVPRPRGRORV
SDFLHQWHVFRQLQPXQRGHSUHVLyQWLHQHQPDRUIDFLOLGDGSDUDGHVDUUROODUXQDLQIHFFLyQ
FOtQLFDWUDVXQSULPHUFRQWDFWRFRQXQSDWyJHQR
/DLQIHFFLyQSRUHOYLUXVGHODLQPXQRGHILFLHQFLDKXPDQD9,+

6. SURGXFHXQGHWHULRUR
SURJUHVLYRGHODLQPXQLGDGDSDUHFLHQGRHQGHWHUPLQDGRVHVWDGtRVGHODLQIHFFLyQ
HQIHUPHGDGHVRSRUWXQLVWDVVLHQGRXQDGHODVPiVIUHFXHQWHVOD1HXPRQtDSRU
3QHXPRFVWLVDULQLL33

7. /D33DIHFWDEDLQLFLDOPHQWHHQ(VSDxDDPiVGHOGHORVHQIHUPRVFRQ LQIHFFLyQ
9,+HUDODLQIHFFLyQRSRUWXQLVWDPiVJUDYHVLHQGRDGHPiVODFDXVDGHPDRU
PRUWDOLGDGKDVWDTXHVHLQLFLyHQODSURILOD[LVSULPDULDODSURILOD[LVVHFXQGDULD
3URILOD[LVSULPDULDWUDWDPLHQWRDQWLUUHWURYLUDO
N $=7]LQRYXGLQD5HWURYLU

8. N '',GLGDQRVLQD9LGH[

9. N '']DOFLWDELQD+LYLG

10. 3URILOD[LVVHFXQGDULDSURILOD[LVSULPDULDDGRVLVGHPDQWHQLPLHQWR
(QORV~OWLPRVDxRVDXQTXHVXIUHFXHQFLDKDGLVPLQXLGRFRQVLGHUDEOHPHQWHHVWiHQWUH
XQXQFRQWLQ~DQSUHVHQWiQGRVHHSLVRGLRVGH3QHXPRFVWLVDULQLLHQ
DTXHOORVVXMHWRVTXHQRUHDOL]DQSURILOD[LVHQORVTXHGHVFRQRFHQVHUSRUWDGRUHVGHO
9,+LQFOXVRHQDOJXQRVSRUWDGRUHVFRQRFLGRVVHYHUDPHQWHLQPXQRGHSULPLGRVDSHVDU
GHUHDOL]DUSURILOD[LVGHIRUPDFRUUHFWD
/D33VHGHEHFRQVLGHUDUHQWRGRSDFLHQWHFRQFLIUDVGHOLQIRFLWRV'LQIHULRUHVD
FpOXODVSRUPP
TXHGHVDUUROODVLQWRPDWRORJtDUHVSLUDWRULDVHQVDFLyQGHRSUHVLyQ
WRUiFLFDGLVQHDLQWROHUDQFLDDOHVIXHU]RWRV

11. ILHEUHXQDUDGLRJUDItDGHWyUD[
DQRUPDOGHELHQGRHIHFWXDUVHHOGLDJQyVWLFRSRUGHPRVWUDFLyQKLVWRSDWROyJLFDGHO
PLFURRUJDQLVPR

12. 'LDJQyVWLFRFOtQLFR
N ([DPHQGHHVSXWRV
N +HPRFXOWLYR
N /DYDGREURQFRDOYHRODU
3DUDGHWHUPLQDU
N *UDP
N =LHKO1LHOVHQ
N 3DUDVLWRORJtD
N LWRPHJDORYLUXV09

13. RQILUPDQGRODSUHVHQFLDGH3QHXPRFVWLVDULQLL
/D33SXHGHVHUPXVXWLOHQVXSUHVHQWDFLyQHVSHFLDOPHQWHLQGROHQWHHQVX
SURJUHVLyQFRQXQD
DSDULFLyQVXEDJXGDGHORVVtQWRPDVDXQTXHVHKDQGHVFULWRFDVRVGHHYROXFLyQ
IXOPLQDQWH
/DSUREDELOLGDGGHVXSHUYLYHQFLDGHXQHQIHUPRFRQ33GHSHQGHGHOHVWDGR
LQPXQROyJLFRGHODSUHVHQFLDGHRWUDVLQIHFFLRQHVRSRUWXQLVWDVFRQFRPLWDQWHVGHOD
FDSDFLGDGSDUDWROHUDUODPHGLFDFLyQGHODJUDYHGDGGHODGLVIXQFLyQHQHOPRPHQWRGH
LQLFLDUHOWUDWDPLHQWRGHODHYROXFLyQKRVSLWDODULD6LVHDFXGHDWLHPSRQRVHUi
QHFHVDULRLQJUHVDUHQHOKRVSLWDO6HGDUiWUDWDPLHQWRDPEXODWRULR(QFDVRGH
VLQWRPDWRORJtDFRQGLVWUHVVUHVSLUDWRULRVHUiQHFHVDULRHOLQJUHVRKRVSLWDODULRVLHQGRHO
WLHPSRGHKRVSLWDOL]DFLyQPHGLRGH GtDV
0$7(5,$/0e72'26
3DFLHQWHV9,+FRQ
N 'LQIHULRUDFpOXODVSRUPP
N DUJDYLUDOHOHYDGDGHFRSLDV

14. N 6LQWRPDWRORJtDILHEUHWRVQRSURGXFWLYDGLVQHDGHHVIXHU]RGRORUWRUiFLFR
WDTXLSQHDFLDQRVLVGLVWUHVVUHVSLUDWRULR
N 7UDWDPLHQWRSURILOD[LVSULPDULRVHFXQGDULRSDUD9,+
6HKDUHDOL]DGRXQSURWRFRORGHFXLGDGRVGHHQIHUPHUtDKRVSLWDODULDSDUDHOWUDWDPLHQWR
SUHYHQFLyQUHGXFFLyQHOLPLQDFLyQ

15. GHVLQWRPDWRORJtDTXHQRUHTXLHUHIDUPDFRSHD
/RVGLDJQyVWLFRVGHHQIHUPHUtDHQXQFLDGRVDFRQWLQXDFLyQVRQORVFRPXQHVDWRGRVORV
SDFLHQWHV9,+FRQWUDWDPLHQWRSURILOiFWLFR

16. $OWHUDFLyQGHORVSURFHVRVIDPLOLDUHV5HODFLRQDGRVRQ5

17. 1DWXUDOH]DGHODLQIHFFLyQPRGLILFDFLRQHVGHOUROIXWXURLQFLHUWR
5LHVJRGHWUDQVPLVLyQGHODLQIHFFLyQ5QDWXUDOH]DFRQWDJLRVD
GUHQDMHVQDWXUDOHV
$LVODPLHQWRVRFLDO5WHPRUDOUHFKD]RVRFLDO
3RVLEOHDOWHUDFLyQGHOPDQWHQLPLHQWRGHODVDOXG5IDOWDGH
FRQRFLPLHQWRVDFHUFDGHODHQIHUPHGDG
,PSRWHQFLD5IXWXURLQFLHUWR
$QVLHGDG5SRVLEOHVFDPELRVGHORVHVWLORVGHYLGD
5LHVJRGHLQIHFFLyQ5DOWHUDFLyQGHOVLVWHPDLQPXQLWDULR
)DWLJD5HIHFWRVJHQHUDOHVGHODHQIHUPHGDGHVWUpVLQIHFFLRQHV
FUyQLFDVFDUHQFLDVDOLPHQWLFLDV

18. /RVFXLGDGRVGHHQIHUPHUtDTXHGHVDUUROODPRVDFRQWLQXDFLyQVRQWRGRVORV
GLDJQyVWLFRVHLQWHUYHQFLRQHVJHQHUDOHVSDUDORVSDFLHQWHVTXHGHVFULELPRVHQHOHVWXGLR
LQIHFFLyQRSRUWXQLVWD3QHXPRFVWLVDULQLLGLVWUHVVUHVSLUDWRULR

19. 'HWHULRURGHOLQWHUFDPELRJDVHRVR5DOWHUDFLyQGHODSRUWHFRQR[tJHQR
5HVXOWDGR(VSHUDGR
'HVSXpVGHOWUDWDPLHQWRHOSDFLHQWHSUHVHQWDUiXQLQWHUFDPELRJDVHRVR
DGHFXDGR)UHFXHQFLD5HVSLUDWRULD)5

20. UHVSLUDFLRQHVSRUPLQXWR
USP

21. FRQSURIXQGLGDGSDWUyQQRUPDOHVFRQDXVHQFLDGHVLJQRV
VtQWRPDVGHGLVWUHVVUHVSLUDWRULR
$FWLYLGDGHV
9DORUDUVLJQRVVtQWRPDVGHGLVWUHVVUHVSLUDWRULRLQWUDQTXLOLGDG
DQVLHGDGWDTXLSQHDSKDOFDORVLV

22. HPSOHRGHP~VFXORVDFFHVRULRV
SDUDUHVSLUDUFLDQRVLVGHODELRVOHFKRVXQJXHDOHV
RQWUROGHFRQVWDQWHVFDGDKRUDV)5)7HPSHUDWXUD

23. 3RVLFLyQGHOSDFLHQWH)RZOHULQWHUPHGLD0RUHVWtQDQWLWUHQGHOHPEXUJ

24. $GPLQLVWUDFLyQGHR[tJHQRPDVFDULOOD

25. YLJLODUOD)L2 2@GHQWURGH
ORVOtPLWHV
3URSRUFLRQDUUHSRVRHQWUHODVDFWLYLGDGHVSDUDGLVPLQXLUODGHPDQGDGH
R[tJHQR

26. 'pILFLWGHOYROXPHQGHOtTXLGRV5LQFUHPHQWRVGHSpUGLGDVLQVHQVLEOHVGHELGR
DWDTXLSQHDGLDIRUHVLVILHEUH
5HVXOWDGR(VSHUDGR
$ODOWDHOSDFLHQWHSHUPDQHFHUiQRUPRYROpPLFRYROXPHQRULQD!RLJXDODPOKRUD

27. GHQVLGDGSHVRHVWDEOH)7$GHQWURGHOtPLWHVQRUPDOHVSDUDHOSDFLHQWH
PHPEUDQDVPXFRVDVK~PHGDVWXUJHQFLDFXWiQHDQRUPDO
$FWLYLGDGHV
5HDOL]DUEDODQFHKtGULFRGLDULR
3HVRGLDULRGHOSDFLHQWH
,QJHVWDGHOtTXLGRVOLWURVGtD
)OXLGRWHUDSLDVHJ~QSUHVFULSFLyQ
+LJLHQHEXFDO
$OWHUDFLyQGHODQXWULFLyQSRUGHIHFWR5DQRUH[LDIDWLJD
$FWLYLGDGHV
3URSRUFLRQDUDPHQXGRSHTXHxDVFDQWLGDGHVGHDOLPHQWRVQXWULWLYRVGH
IiFLOLQJHVWD5HJLVWUDUFDQWLGDGGHQXWULHQWHVFRQVXPLGRV
9DORUDUODVSUHIHUHQFLDVDOLPHQWLFLDV
6XSOHPHQWRVGLHWpWLFRVVLVHFRQVLGHUDQQHFHVDULRV
(GXFDFLyQQXWULFLRQDODOSDFLHQWHIDPLOLD
,QWROHUDQFLDDODDFWLYLGDG5GHVHTXLOLEULRHQWUHODGHPDQGDHODSRUWHGH
R[tJHQR
5HVXOWDGR(VSHUDGR
(OSDFLHQWHFRPXQLFDXQDGLVPLQXFLyQGHODGLVQHDGXUDQWHODDFWLYLGDGRHOHMHUFLFLR
$FWLYLGDGHV
9LJLODUODUHVSXHVWDUHVSLUDWRULDGHOSDFLHQWHDQWHODDFWLYLGDGDXPHQWR
SURIXQGLGDG)5HPSOHRGHP~VFXORVDFFHVRULRV

28. ,QWHUFDODUSHUtRGRVGHDFWLYLGDGUHSRVRGHDOPHQRVPLQXWRV
5HDOL]DUXQSURJUDPDGHHMHUFLFLRVDFWLYRVGHPRYLPLHQWRDUWLFXODU

29. 'pILFLWGHDXWRFXLGDGRV5IDWLJDGHELOLGDGGRORU
5HVXOWDGR(VSHUDGR
$ODOWDHOSDFLHQWHUHDOL]DUiODVDFWLYLGDGHVGHFXLGDGRVSHUVRQDOHV
$FWLYLGDGHV
+DFHUSDUWLFLSDUDFWLYDPHQWHGHXQDIRUPDSURJUHVLYDDOSDFLHQWHHQWRGDVODV
DFWLYLGDGHVSURSLDVGHVXDXWRFXLGDGR
'HWHULRURSRWHQFLDOGHODLQWHJULGDGFXWiQHD5SUHVLyQHLQPRYLOLGDG
VHFXQGDULDDIDWLJDGHELOLGDG
5HVXOWDGRV(VSHUDGRV
(OSDFLHQWHPRVWUDUiDO DOWDXQDSLHOLQWDFWD
$FWLYLGDGHV
9DORUDUFDGDKRUDVODSLHOGHODV]RQDVGHSUHVLyQ
9DORUDUODKLGUDWDFLyQHOHVWDGRQXWULWLYR
3URJUDPDGHFDPELRVSRVWXUDOHVFDGDKRUDV
0DVDMHVREUHODVSURPLQHQFLDVyVHDV
$QVLHGDGWHPRU5VLWXDFLyQGHVFRQRFLGDQDWXUDOH]DLPSUHGHFLEOHGHOD
HQIHUPHGDGRHIHFWRVQHJDWLYRVVREUHHOHVWLORGHYLGD
5HVXOWDGRV(VSHUDGRV
(OSDFLHQWHH[SUHVDUiVXPLHGRFRPSDUWLUiVXVSUHRFXSDFLRQHVDFHUFDGHORVHIHFWRV
GHVXHQIHUPHGDGIXQFLRQDPLHQWRQRUPDOUHVSRQVDELOLGDGGHUROHVWLORGHYLGD
$FWLYLGDGHV
9DORUDUHOQLYHOGHDQVLHGDG
9DORUDUODUHVSXHVWDDFWXDOGHDGDSWDFLyQ
D1HJDFLyQ
EyOHUD
F'HSUHVLyQ
GXOSD
$XGDUDOSDFLHQWHDUHGXFLUVXDQVLHGDG
D7UDQTXLOL]DUFRQVHJXLUTXHHVWpFyPRGR
E7UDQVPLWLUVHQVDFLyQGHFRPSUHQVLyQHPSDWtD
F$QLPDUDOSDFLHQWHDH[SUHVDUFXDOTXLHUWHPRURSUHRFXSDFLyQ
G,GHQWLILFDUORVIDFWRUHVTXHOHDXGHQDDGDSWDUVH

30. (QVHxDUOHSURFHGLPLHQWRVWpFQLFDVGHUHODMDFLyQDQLPDUOHDXWLOL]DUHVWDVWpFQLFDV
3URSRUFLRQDUDOSDFLHQWHIDPLOLDLQIRUPDFLyQYiOLGDWUDQTXLOL]DGRUDUHIRU]DUXQ
FRPSRUWDPLHQWRGHDGDSWDFLyQSRVLWLYR
RQWDFWDUFRQHOPpGLFRGHLQPHGLDWRVLODDQVLHGDGGHOSDFLHQWHHVLQWHQVDRVH
FRQYLHUWHHQSiQLFR
3RVLEOHDOWHUDFLyQGHODPHPEUDQDPXFRVDRUDO5UHVSLUDFLyQEXFDO
GLVPLQXFLyQGHLQJHVWDGHOtTXLGRVR[LJHQRWHUDSLD
5HVXOWDGRV(VSHUDGRV
(OSDFLHQWHSUHVHQWDUiDODOWDXQDPXFRVDRUDOLQWDFWDK~PHGD
$FWLYLGDGHV
9DORUDUHOHVWDGRJHQHUDOKXPHGDGGHODFDYLGDGEXFDOORVODELRV
9DORUDUODFDSDFLGDGGHUHDOL]DUFXLGDGRVEXFDOHV
9DORUDUFRQWURODUHOHVWDGRGHKLGUDWDFLyQ
D,QJHVWDRUDO
E7UDWDPLHQWRSDUHQWHUDO
F(QWUDGDVVDOLGDV
RPHQWDUODLPSRUWDQFLDGHXQDKLJLHQHEXFDOIUHFXHQWH
)RPHQWDUTXHHOSDFLHQWHVHDFODUHIUHFXHQWHPHQWHODERFDFRQDJXD
'HVDFRQVHMDUODUHVSLUDFLyQSRUODERFD
(YLWDUFROXWRULRVTXHFRQWHQJDQDOFRKROWRUXQGDVFRQOLPyQJOLFHULQD
6LH[LVWHQKHULGDVHQODERFDRODELRVGHFLUDOSDFLHQWHTXHHYLWHORV
DOLPHQWRViFLGRVRDTXHOORVTXHHVWiQPXIUtRVRFDOLHQWHV
$QLPDUDOSDFLHQWHDOXEULFDUORVODELRVFDGDKRUDVRVLHPSUHTXHVHD
QHFHVDULR
3RVLEOHDOWHUDFLyQGHOPDQWHQLPLHQWRGHODVDOXG5XQDIDOWDGHFRQRFLPLHQWRV
DFHUFDGHOHVWDGRGH WUDQVPLVLyQGHODLQIHFFLyQSUHYHQFLyQGHUHFXUUHQWHVGLHWD
VLJQRVVtQWRPDVGHUHFXUUHQFLDFXLGDGRVGHVHJXLPLHQWR
5HVXOWDGRV(VSHUDGRV
(OSDFLHQWHGHVFULELUiFRPRVHHYLWDODWUDQVPLVLyQGHODLQIHFFLyQ
(OSDFLHQWHGHVFULELUiODVQHFHVLGDGHVQXWULFLRQDOHVGHUHSRVR
(OSDFLHQWHGHVFULELUiPpWRGRVSDUDUHGXFLUHOULHVJRGHUHFXUUHQFLD
(OSDFLHQWHH[SUHVDVLJQRVVtQWRPDVTXHGHEHQQRWLILFDUDXQ
SURIHVLRQDOGHODVDOXG
$FWLYLGDGHV
9DORUDUODGLVSRVLFLyQFDSDFLGDGGHDSUHQGHUUHWHQHULQIRUPDFLyQ
([SOLFDUFRQXQQLYHOHGXFDWLYRDGHFXDGRDOSDFLHQWHIDPLOLDODILVLRSDWRORJtDGHOD
QHXPRQtDVLJQRVVtQWRPDVGHODLQIHFFLyQ
([SOLFDUODVPHGLGDVHQFDPLQDGDVDSUHYHQLUODGLVHPLQDFLyQGHODLQIHFFLyQ

31. D7DSDUVHODERFDRQDUL]DOHVWRUQXGDURWRVHU
E7LUDUORVSDxXHORVXVDGRVDXQDEROVDFHUUDUODELHQ
F/DYDUVHODPDQRVDPHQXGR
([SOLFDUODVPHGLGDVHQFDPLQDGDVDSUHYHQLUODUHFXUUHQFLDGHODLQIHFFLyQ
D6HJXLUHOWUDWDPLHQWRXQRWLILFDUFXDOTXLHUHIHFWRVHFXQGDULR
E0DQWHQHUXQDSURJUDPDFLyQGHODVFRQVXOWDVPpGLFDVGH
VHJXLPLHQWR
F3URJUDPDVGHSHUtRGRVGHGHVFDQVRSRUODPDxDQDSRUODWDUGH
$QLPDUDOSDFLHQWHDTXHGHMHGHIXPDU
5(68/7$'26
/RVSDFLHQWHVTXHVLJXHQHOSURWRFRORGHVFULWRQRSUHVHQWDQGDGRTXHVHOHVDGPLQLVWUD
XQFXLGDGRKROtVWLFRDOWHUDFLRQHVVHFXQGDULDVDODKRVSLWDOL]DFLyQFRPR
N $OWHUDFLyQDJXGDGHODPRYLOLGDG
N ,PSRWHQFLD
N 'HWHULRURGHODLQWHJULGDGFXWiQHD
N $QVLHGDG
(VWRVPLVPRVSDFLHQWHVSUHVHQWDQ
N ,QIRUPDFLyQVXILFLHQWHGHVXSURFHVR
N 0HGLGDVGHSUHYHQFLyQWUDQVPLVLyQGHHQIHUPHGDGHVLQIHFFLRVDV
N RQRFLPLHQWRVDFHUFDGHOHVWLORGHYLGDTXHSXHGHQPDQWHQHUGLHWDHMHUFLFLR

32. (VWHSURWRFRORHVVXVFHSWLEOHGHDPSOLDUR PRGLILFDUGHSHQGLHQGRGHODVFDUDFWHUtVWLFDV
GHORVSDFLHQWHVGHTXHVHWUDWHQ
21/86,Ï1
/DHGXFDFLyQGHOSDFLHQWHHVLPSRUWDQWHHQWRGDVODViUHDVGHORVFXLGDGRVGH
HQIHUPHUtD/DFRPSUHQVLyQGHXQDDOWHUDFLyQVXWHUDSLDHVFUXFLDOSDUD VX
UHFXSHUDFLyQ/DHGXFDFLyQGHORVSDFLHQWHVFRQHQIHUPHGDGHVLQIHFFLRVDVHV
GREOHPHQWHLPSRUWDQWHSRUXQODGRGHEHLUGLULJLGDDSURWHJHURUHVWDXUDUODVDOXGGHO
LQGLYLGXRSRURWURODGRHOSURFHVRGHHQVHxDQ]DGHEHKDFHUKLQFDSLpHQODQHFHVLGDG
GHLQWHUUXPSLUODWUDQVPLVLyQGHODJHQWHLQIHFFLRVR
8QDEXHQDSODQLILFDFLyQGHORVFXLGDGRVGHHQIHUPHUtDHQHOKRVSLWDOSURGXFH
VDWLVIDFFLyQFRQILDQ]DDOSDFLHQWHDODIDPLOLDDOSURIHVLRQDOGHODVDOXGGDGRTXHVH
DFW~DFRQPDRUHILFDFLD
(VWDVDFWXDFLRQHVGDQOXJDUDXQDPHQRULQFLGHQFLDGHFRPSOLFDFLRQHVVXVFHSWLEOHDXQ
LQJUHVRKRVSLWDODULRSRVLELOLWDQHOVHJXLPLHQWRDPEXODWRULRHODXWRFXLGDGR