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.

Harmful components as cafestol and kahweol, that it only can be found in the grains of coffee, in the truth, binds for the paper in the filter instead of entering in the coffee. Because not to filter certain impurities, pots and filters of the press piston they are not so safe to make coffee as paper filters. Many believe that the caffeine increases the possibilities to develop high pressure even so has had no formal study. Because the coffee is a stimulant, many people if feel in the irritated limit or after to consume much coffee. Some people have difficulty to resist stress after drinking coffee.

This can make to feel them estressados and anxious more on things that normally would not go to invoke these feelings. Symptoms of stress in this situation can include cardiac beatings, increase of the arterial pressure, or an increase of the cardiac frequency irregular. That is especially common it enters the coffee drinkers heavy. Research indicates that to drink coffee with moderation it is good for its health. To drink much coffee can still have a negative impact in its health. He is safe for drinking not more than what two or three xcaras of coffee per day. When you to make this you you go to be capable to live a longer and healthful life.

Exist some benefits of health to take coffee? It prevents these three negative effect of the coffee can have on its health. We have been very few dedicated studies to the health potential offers benefits to drink coffee. To drink coffee late of the night can have a negative impact in its quality of sleep. The majority of the students, on the other hand, we know that to drink coffee it provides to an additional explosion of stimulaton and energy. Then, it is a good coffee for its bad health or? It confers below to discover ways to drink coffee in moderate amounts can be good for its health.

Patients with indication of baritrica surgery can get the improvement of the quality of life, diminish co morbidade associates and control the obesidade from the surgical procedure (TOLEDO et al., 2010). 3.5.7.2 not medicamentoso Treatment the medicamentoso or surgical treatment is indicated for patients with difficulty to lose weight or co physiological morbidade, however the treatment more recommended for the obesidade this focado in the feeding, in the survey of the mannering profile of the patient, in the practical one of physical exercises and the nutricional education (CADE et al., 2009). The mannering change and the adhesion to the healthful alimentary plan are essential to reach resulted satisfactory in the loss of weight (MALACHIAS et al., 2010). The alimentary re-education is one of the main factors of the energy balance, a time that the obesidade is consequence of an energy disequilibrium, where the calrica ingestion exceeds the expense of energy, the reduction of the calrica ingestion together with physical activities that increase the expense of energy, can help in the loss of weight (BUSSE, 2004). 3.5.7.3 Farmacoterapia of the obesidade As Coutinho (2000) the medicine use in the treatment of the obesidade must be only one coadjuvante in the alimentary re-education, I stimulate in it to practise physical exercises and to help in the change of the habits of life of the patient obeso. For its use the patient must present the following conditions: the conventional treatment (diet, mannering change and increase of the physical activity) did not get success.

Equal or bigger Patient with IMC that 25kg/m, when it will be associated with other factors of risk as diabetes, arterial hipertenso, etc. equal or bigger Patient with IMC that 30kg/m. The farmacoterapia does not have to be only focada in the loss of weight, but also in the reduction of the risks of co morbidade and mortality.

The perfectioning of the mamografia, the use of the surgery, conservatives and the progressos reached for the molecular genetics can be pointed as some reached significant advances. However this article approaches the complications, educations in health, cares of nursing, disgnostic and given lapsings, the patients in postoperative and the psychological one of the surgery of the breast cancer. Therefore it has been of basic importance to the elaboration of the plan of cares, the lapsings and the disgnostic of nursing. A time that these are essential for the recovery of the patient, for this makes if necessary that the nursing is operating promoting educative actions between the nursing team, making with that the same ones put in practical the cares indicated for the recovery of the same ones. They constitute if as objective main of this study the description of the cares of nursing, detailing the beginning of the cancer of the breast, the definition, the causes, complications, the education in health as the elaboration of the plan of cares of nursing. Therefore it is since the nursing teams place in practical the educative actions, in what it says respect to the cares of nursing is basic that all are involved in the promotion of the recovery of the patients, leading in consideration who the nurse can act as educator, contributing for the health of the same ones..

How much bigger the level of sanitary conscience of professionals of health and the population biggest will be the capacity of choice for products and quality services and consequentemente the exposition to the adoecimento risk diminishes. The sanitary education is one practises educative that it induces one definitive public to acquire habits that promote the health and prevent the illness and have of being a continuous process, permanent and constructed in the measure where the individual deepens its knowledge. The focus of the sanitary education must be come back toward professionals and population in interaction relations, communication, cooperation and joint responsibility in solving problems. The communication and the education can gain concrete expression in the actions of mobilization of the professionals of health, the community and of social movements, so that these actors reconstruct its practise. The development of instruments and mechanisms that make possible the dialogue enters the segments of the society, as fruns of quarrel and the audiences, is other strategies of stimulates to the participation of the society that can stimulate the debate of the main challenges of the area (PDVISA, 2005). According to Letter of Otawa, the promotion of the health and ' ' …

qualification of the community to act in the improvement of its quality of life and health, including a bigger participation in the control of this processo' ' (Brazil, 2002, p.19). What it demonstrates the necessity of empoderamento of the people as principal actors in the maintenance of the individual and collective health. The sanitary education, the participation of the community, the social control, is instruments that to the few are being incorporated to the practical ones of the sanitary monitoring. The information, the education and the communication are instruments basic for the democratization of the knowledge and development of the practical ones in IT AIMS AT. Also they contribute for the formation of practical conscientious citizens against the harmful ones of the productive system.