Standing orders enable all members of the care team to function to their fullest capacity. In order to be effective, standing orders must be approved by the clinical leadership. Staff members must be trained in our how to use the standing order and must be supervised, so that someone can check to be sure that they are doing it properly.
Owing to the absence of the king and the economic independence of Brazil, Portugal entered a severe political crisis that obliged John VI and the royal family to return to Portugal in 1821. The heir of John VI, Pedro I, remained in Brazil.
An uprising in 1817 in the north of Brazil, in the province of Pernambuco, is only suppressed after a three-month military campaign. But it is a revolution across the Atlantic, in Portugal, which transforms the situation. John VI hurries home in 1821 to confront this threat to his crown.