In such a way the health organizations need to give more stimulatons for employees of nursing, plan of career, better wages, dignity to be able to support its families. above all respect for this Worthy profession that has as main goal to take care of of the next one with technique, respect, ability and affection. Perrodin (1965 apud IN SERVICE, 2001) standes out that the supervision of nursing is an alive process, dynamic, that it looks for to develop the individual capacity in function of a more effective performance on the part of the nursing body. It is necessity the agreement of that in the process of work of the nurse/nursing and in the exercise of the supervision exists the economic interferences and politics that if make gifts in the set of the problems in the work and the worker and the existence of the internal crises of the profession, that they in such a way depend on the ability technique of the nurses, but of the ability ethics politics in the position taking, how much its entailing a project considered in the VIII Discusses National of Health, that it is the SUS. It is undeniable, therefore, quality of the service, supervision of nursing depends on some sectors and factors, interpersonal as in such a way extrapersonal. The tools of quality of life are instruments, some sufficient old ones and known of the supervision of traditional nursing, that greaters make possible knowledge of the work and are useful, as much in the establishment of priorities, how much in the accompaniment of the activities and the identification of the problems. In this way of supervision the organizations have to recognize the value of the nurses as people and help them to improve it continuously its abilities, being encouraged it to assume it its responsibilities; it must treat them with attention and recognize its comprometimento with the organization stimulating to come close them it to its work with tenacity.

The importance of the consultation is in the fact of if characterizing as a set of developed actions in systematic, dynamic, private and independent way, expressing a visible possibility of knowing and making of the nurse, who has as central focus the care of the human being, with its singularity (TASCA, 2006). The consultation appeared in the profession as efficient strategy for precocious detention of health shunting lines and to follow and to give pursuing to the instituted measures to well-being of the involved people (PINK et al., 2007). It is an independent activity, carried through for the nurse, whose objective propitiates conditions for improvement of the quality of life by means of a contextualizada and participativa boarding. Beyond the ability technique, the professional nurse must demonstrate interest for the human being and its way of life, from the reflexiva conscience of its relations with the individual, the family and the community (AXE, PIG, HOLLAND, 2005). Blacksmith (2006) standes out despite the relation established in the meeting between that the customer takes care of and is mediated by a intersubjetivo space that allows the communication and leads the interaction between them. This meeting implies, also, in construction of knowledge from a system of differences and in a commitment it enters the citizens to understand such differences.

To know them, the affection and the passions are imbricam enter itself permeando this relation. 4 Communication as instrument of the care the extreme attention given to the verbal communication makes with that let us be deeply uninformed regarding the not-verbal language and of the importance that it has in our relationships, they are personal or professional (ARAJO, HISSES, PUGGINA, 2007, P. 425). During the performance of its functions, the nurse establishes communication with the patients in diverse situations during its hospitalization, in which it involves people of regions, beliefs, values, attitudes and standards of different behaviors. These factors have a direct relation with the way of being of each person, being able to modify its to feel, to think and to act (ESTEFANELLI, OAK 2005). The nurses do not have to forget in daily practical its, that the necessary verbal communication to be associated with the not-verbal communication so that effectiveness in the communication acts (OLIVEIRA et al, 2005). Santos and Shiratori (2008) when studying on ' ' Not-verbal communication: Importance in the care of enfermagem' ' they referenciam that, the deficiency in the understanding of the not-verbal communication on the part of the nursing is in mome

That in turn, they require much attention and devotion of the parents and of whom they mainly deal with them for hours, periods, months and until years and years, generating good resulted in the growth and in the adaptation of this deficient one with other carrying children or not and with the encircled world of people who will receive them smiling and others turning the coasts, ignoring and repudiating them. The increase of the number of carriers comes stimulating the individuals the voluntary works, what it represents an excellent signal for the professional life of the nurses who much will learn dealing with these deficient ones. However, it very lacks still in the question specialized qualification, therefore while the facultieses not to abide for this concern, the nursing professionals will have that to search for this qualification it are of the college and before the graduation.

important to assume the commitment with its educative paper in relation to the abusive alcohol consumption. METHODOLOGY Is about a research with qualitative boarding, of the descriptive type, according to Rampazzo (2002), the qualitative research search to understand what it is studied, its attention more is focada in the specific one, in the individual one, wanting to understand the study and not to explain them. According to Saints (1999), the descriptive research is to describe a fact or a phenomenon. It is a survey of the known, component characteristics of the fact/phenomenon/problem. The research was carried through in Unit of Basic of Health, of the City of Fabriciano/MG Colonel, with a nurse with After-graduation in Nursing of the Work. The collection of data was carried through in the month of June of 2007, through the application of a questionnaire half-structuralized, I contend referring questions to the interventions developed for the interviewed one. It was made previous agendamento with the interviewed one, presentation of the objectives and purposes of this project of research. The collection of data was carried through in an individual room in the unit of health, in accordance with the availability of the professionals.

The collected data had been demonstrated through a case study. He was requested to the Secretary of Health of the city of Fabriciano/MG Colonel, the authorization for accomplishment of this research. The interviewed one signed the Term of Free and Clarified Assent, not having refusal in participating of this study. The ethical rights of the participants had been protected in agreement are foreseen in Resolution 196/96 of the National Advice of Health that regulates research with human beings (BRAZIL, 1996). RESULT AND QUARREL Study of case LRS, Nurse of the Work, 29 years, graduated have 2 years, have 1,6 years acting in the public health, with experience in the extracurricular period of training in clinic for treatment of chemical dependence.

However, as for Juliani (1999, P. 324) the system of reference and against-reference total is ignored by the professionals, if not inserting rationally inside of the SUS. the same one also standes out that it is demanded of the basic units the guides of reference for atendimentos of high complexity in the tertiary attention, but does not occur against reference of the internments and basic directed consultations the unit. 3,2 Paper of the Nurse in the one Against high Reference the hospital one of the patient must occur of systematic form, having to be the main nurse the involved one, for being responsible for the evaluation of attendance, orientaes of autocuidado, the treatment and to assure the continuity for whitewashing. (CAMACHO, 2002 P. 230) the nurse in its paper and coordinator has the responsibility to provide the link enters the professionals of the basic and patient attention in hospital high its, aiming at the welfare and the resources necessary to guarantee the security and continuity of the assistance to the patient in its residence. Being necessary that the nurse understands the complexity and importance of the high process of hospital, therefore, to work in team to interdisciplinar in the health it is essential cooperation, ability and commitment. (PEAR TREE, 2007 P. 40) Second study of the attribution of the nurse Hisses (2009, p.12) is to promote the continuity of the assistance of the hospital to the domicile, with an assistance integrated and compromised to the health of the patient, and so that this process is positive it needs integration enters these two levels of attention: hospital attention and attention basic. Pear tree (2007, p.54) also standes out that the ethical responsibility, being of the nurse, implies in the process of education to the patient at the moment to guide interventions that assure the autocuidado one to it, being necessary and carefully to find the moment where they will be ready to accept and to use the orientaes.

The research shows that the education in Nursing this not preparing its nurses for the handling of pain. that the professionals had had to develop evaluation methods to determine the elements that can justify pain, suffering and the incapacity, to select the impact of pain in the life of the individual. Consideraes final when we speak in pain, we have trend in associating with a psychic and social phenomenon. Perhaps the crucial point to improve the handling of pain for the nurses is stimulating each time more the theoretical and practical knowledge, carrying through of an evaluation unprovided of preconceptions and taboos, developing in the professionals the magnitude of pain, the reorientation the assistencial model in order to promote in this multiprofessional team to the adjusted formation, raising the support of attention to pain. Word-Key: Pain, Fifth Vital Signal, Assistance of Nursing. PAIN The 5th VITAL SIGN, AND COMMITMENT MULTIPROFESSIONAL Abstract: Date American Society of Pain and the American agency of Research and Quality in Public Health discourse pain the fifth vital signal, which must have the same importance of to other vital signals: temperature, beats, breath and arterial pressure you be evaluated in the environment clinical. Physiological These you process when modified they ploughs easy you be identified, to however pain you donate not have being measured, if not through scales. Pain is daily experience in the health institutions, of work.

The health professionals ploughs the first ones you identify pain, through scales will be evaluation the level of patient pain, to however nor few have access you these methods. Pain is present in 75% of the world-wide population (WHO 2007). Biological, psicossociais alterations, ploughs resulted of the daily Courtyard with pain. Modifying the capacity of concentration, the familiar relationship, the sexual activity and appreciation pessimistic and deprived of hope of the life (Marcelo. Rigotti 2005). Objective of this work is you reflect on the potentiality of pain in the process and change in the assistance model, and of inquiry of the multiprofessional team ahead of the monitoring of pain.

is accurately the holy ghost Master who shows the urgent necessity of the integration of the human being to the holy ghost, of the creature to the Creator in the field of the relations social in its full, including, total direction. Thus the Right to the Light of the Perpetual Life, under the criterion of the World Superior Spiritual, will perfect justice in the Land, because the human being will be integrated the Celestial Father. Here it is the way that we are helping you to cover. HOW IT IS SUPPORTED? Since that the world is world, already spent innumerable statistical arguments, until scientific, substances in periodicals and magazines and hours without end of commentaries in radio senders, television and Internet to speak on account of the threats to the reproductive freedom of the woman of the indices of abortions verified in Brazil. The ghost would be one ‘ ‘ it uncontrols of the woman on its proper sexuality’ ‘ , a business that nobody knows right what it is nor as if supports, but they say that he is very dangerous.

The woman has right to make of its body what to understand well since that makes what is of its biological nature: to have children, if to desire, and not to have them, to if planning. The objective of quarrel is to defend, and not to threaten the right of the feminine sort to its body, but to remember that the unborn child also has right the life. If it left to come, it defends, it protects well, it takes care of, with affection. If had planning, which the drama? If it did not plan, the responsibility of the gestation prevails. In the Millenium of the Women, article published in the periodical the South, of Porto Alegre /RS, in 04 of March of 2008, wrote Paiva Netto: ‘ ‘ The woman, the side formoso of the humanity, is in the foundation of all the deep accomplishments.

What physically she materialize in them one meets in it. Components of the feminine sort constitute vital element for the survival of the good causes. Steady organizations count on women estveis’ ‘. the biggest test of that the woman is owner of its body is in the fact of that many had opted to not having children, and if they notabilizaram as the defending greaters of the human rights in the whole world, generating children for its performance in the field of literature, science, the social assistance, of religion, to generate children of its extraordinary professional ability. It does not have exit; to abort is to assassinate.