However in the first decade of this century it observed a change, a reconfiguration of as to treat these men being allowed that these if also become object of attention in the public politics, to elucidate principles and lines of direction contained in the document National Politics of Integral Attention the Health of Man PNAISH, in its first version that was launched by the department of programmatical and strategical actions of the health department in 2008, corroborated for the awareness of the importance of this program. Effectively the health of the man in March of 2007 in the speech of ownership of the doctor Jose heard for the first time on national politics for the assistance Extemporaneous Gomes nominated Minister of the health for then president Jose Incio Lula da Silva, in this speech beyond citing the new politics of attention also emphasized the goals to be followed during its management related to the subject. Corroborating with its speech already in 2008 ' ' it was created in the scope of the Department of Action Strategical Programticas of the Secretariat of Attention to the Health, the Area Technique of Health of the Man, under the coordination of Ricardo Cavalcanti' ' , modifying then perception the look of the professionals to the group of men. (Carrara, Russo and Faro, 2009, p.661). In the department, the men pass then to have a place to the side of other citizens, older focos of specific actions of health: beyond the women, adolescents and young, aged, people with deficiencies, users of services of mental health and individuals under safekeeping of the State. In this manner, as Cavalcanti would recognize in proud tone months later, in the launching of the National Campaign of Clarification of the Health of the Man, Brazil if it became ' ' as the country of America that has a sector for the health of the man.
The patient has a generalized infection can occur as the local infection, through the unsatisfactory asepsis, resulting in bacteremia, and provoking pain in the coasts, hiperthermia, vomits and discomfort In the current days the necessity of continued education is unquestioned, in way to enable the professional through a reflexiva and participativa education. In the nursing this practical if makes in such a way important how much in the other areas, therefore, with this education the nursing professional will find ways and strategies of improvements in the attendance to the customer, guaranteeing to it constant improvement of the essential techniques in the hospital environment and the life of the health professional. The intravenosa therapy is one technique that needs practical-scientific knowledge for its execution, studies demonstrates the necessity of the form, health professionals to keep its brought up to date knowledge, namely, and to detect possible agravos in the inadequate handling of this technique. In this aspect, to include the education continued as a process that stimulates the transformation of the organization if makes necessary, assigning qualification occasions and of personal and professional development, through a vision it criticizes and responsible of the fact, having as consequence the construction of important knowledge for the institution, the profession and society. The results must be analyzed to get necessary information concerning the raised problem, had been courts of appeals the following categories. Preparatory Phase: as the nursing technician they prepare the material that will be used, the patient and the place of the puno.
2.Fase of Accomplishment: as the professional carries through the technique of insertion of the catheter. In the item laundering of the hands, a percentage of 88,88% was gotten (16 technician) that they had not carried through this stage of the preparatory phase. Being this one of the item of bigger importance for research.
We perceive that diverse of the cited actions they are common in the Units of Intensive Therapy, however, many times executed without perception of its importance or erronia way and without the indispensable asepsis. In order to solve this point, we detach the importance of the education in health of the team how much to the writs of prevention, emphasizing the nursing, therefore you are welcome it advances to exist predefined strategies if the health team does not practise them of commanded and routine form, visa despite in the control service of the infection the collective participation is necessary. The adhesion of the workers to the measures of prevention and control of the infections is in the dependence of a process of constant formation (permanent), in order to establish a reflective, humanizado and conscientious attendance critical/in its practical daily. (AZAMBUJA, 2004). According to Ribeiro, Motta (2005) apud Of I castrate Days (2007), the Education in Health has as object the change in the process of work, guided in such a way for the access to the services of health and improvement of the quality of the same ones, as well as the fairness of the care. Consequently the challenge of this education is to stimulate the development of the conscience in the professionals on the context, for the responsibility in the permanent process of qualification. Programs of basic education have recognized that the PAVM occurrence can be reduced in 50% or more using some interventions to prevent the settling of the inferior respiratory treatment.
Soon, the prevention must be part of strategies of handling of the PAVM. (CARRILHO, 1998) Second Rasp and its collaborators, would have to be given more attention for strategies that define patients of risk for the PAVM, where these can be dealt in a short time and with only therapy. The mortality of this pathology can be reduced by the identification of the factors of risk and the prevention. Considering that it has prevenveis infections and these they depend to the intermittent work of the nursing team, can be concluded therefore, that it has increasing and permanent necessity of ' ' to recycle conhecimentos' ' , as well as admitting new for part of all the profissio
The domicile can be considered an only place so that the nurse gives assistance, leading in account the economic, social, affective aspects, the historical questions and the cultural experiences of the familiar ones. Ahead of this, the rendering of services of health in the domicile is one return to the roots humanists in the attention to the health, therefore the patient is returned to its half one of social and familiar conviviality, and the attendance is carried through by a team of multiprofessional health. This modality of assistance counts on the modern technology for the carried through cares, what it allows that its sources, between which if finds the internment domiciliary, are retaken and used widely and successfully, in the assistance the health of the population (DAL, 2001). In this direction, one understands that the rendering of services of health in the domicile means more than what to make visits to the domicile. It means to give to total assistance to the patient being able to act in the promotion, prevention, recovery and whitewashing of the health of the individual, family and community.
Situations exist that they need bigger domiciliary attention due to the conditions, amongst them, patient carrier of chronic illness that presents physical deficiency; patient in terminal phase; aged patient with locomotion difficulty and/or that he lives alone; patient egress of hospital, that needs accompaniment for some condition incapacitates that it to appear to the unit of health; patient with other problems of health including insanity, that determines difficulties of locomotion or adequacy to the environment of the unit of health (LOPES 2003). On the basis of the displayed one, the domiciliary attendance is essential to recoup and to promote the health. Ahead of this, the nurse can follow the individual and its family, educate and develop the behavior change, and to request the aid of other professionals for the resolution of problems and prevention of illnesses and agravos to the health. In this direction, the professional nurse in the domicile will be able to have a bigger compression to adopt professional behaviors and abilities to give quality assistance and to develop strategies to take care of to the necessities of the patient/family.
The professional ethics always must be made of a reflection initiated still in the phase of professional formation, even though before the initiation of that pupil in practical periods of training. The ethics can also have meant of ' ' dwelling humana' ' , that is, thus helping to become the social environment a place each better time. Being thus a to be followed reference so that the people can become each day more human beings, so that the necessities of the other can enxergar, exactly that this possesss a censured illness. The AIDS brought to tona sufficiently delicate ethical points, therefore the necessity appears to balance the rights and the necessities of the individual and public good. (According to Pine et all, 2005). AIDS: According to Parslow et all: The Syndrome of Imunodeficincia Adquirida (AIDS) was described for the first time in 1981.A identification of the HIV as etiolgico agent of the AIDS in 1983? 1984 quickly were followed of the characterization of the virus and the cells? target infectadas by it, as well as the briefing of the numerous consequences of the infection.
The studies epidemiologists had identified the main populations that corem the risk to contract the infection, as well as the ways by which the virus can be transmitted. The clinical illnesses associates to the infection for the HIV had been classified, and had been planned therapeutical strategies for its treatment or suppression. According to Janewai et all: Currently they are known for less two types of HIV, HIV1 and HIV2, that closely are related. The HIV2 is endemic in Africa Occidental person, and currently it is spread in India. However, the majority of the cases of AIDS in the whole world is caused by the HIV1, more virulent. According to Craven et all: Symptoms of the AIDS: active phase: eruption, cough, nocturnal indisposio, sudorese, linfadenopatia.
It does not have to exist coercion, order, but orientaes with arguments, theoretical and practical base; in case that contrary, the health professionals create unsurmountable barriers. The nurses must act as familiar educators and as the co-educators, thinking about common problems as: fears, preconceptions, doubts, unreliabilities, impotence, resistance and hopelessness. Everything this aims at to catch messages, signals, signs, gestures, skills, expressions of the body. In the biological field, it is possible to feel the temperature, the color of the skin, the rhythm of the breath; in the communication, one understands what we are speaking and if we understand what the family speaks; if the question or reply is clear or confused, if it brings some concern not expressed clearly in the relations, is possible to identify if it exists or not confidence, if it exists affection or not, as they are treated, as they are complimented. When deciding on the agreement, it must be written and be signed by the interested parties and to become a legal instrument, in order to prevent future problems for the involved ones. Strategies for the education the inquiry is exercised quite frequently, over all when it is taught, research and when is in constant search for one another pedagogia of freedom, that if develop by means of: dramatical games to speak of image, dramatizaes, creation of dolls, sociopotica, cineclube and dynamic in group of diverse modalities.
The techniques and methods of education stimulate the learning since that appropriate for the necessities of the individual. The members of the family must be involved in the sessions of possible education whenever. They supply another source the reinforcement of the material and can help the pupil to remember the instructions more ahead. They also can supply to precious information of evaluation regarding the situation of life of the person and on the necessities of learning correlatas.
A link is concluded that the strategies used in the scope of the humanizao in the Unit of Terapia Intensiva (UTI) facilitate and open familiar a bigger space of communication between of interned patients and the nursing technician, creating that tends to benefit and to make possible the recovery in skillful time of the patient. It is also given credit that much already happened in the practical one, in view of also the experience of one of the authors of this research that lived deeply situations in which the care humanizado in UTI happened. Perhaps it has been this factor that was preponderant in the recognition of the benefits of the humanizao strategies and as they are essential for the comfort and recovery of the patient. Recognizing that the familiar presence of/the accompanying one does not confuse the cares of nursing executed by the same ones and yes it values the given assistance. However, still we find technician in nursing that considers that the relation between familiar and team of health must strict be professional, a more cold relation, taking in consideration the critical state of the patient. However, it was clearly that same with this dificultador factor the relation between family and technician of nursing is always respectful. At last, each patient possesss its particularitities which they need to be understood and to be respected. the nursing technician, has basic paper, therefore it who remains in the unit having constant contact with the patient in the period where this if finds hospitalized and in direct contact with its family is. However, all change requires of each familiar member of the team and an acceptance to the new arrangement, transforming the paper of each one, making possible the familiar team, patients and in different periods of training if to adjust and to establish a satisfactory relation. When finishing this study, we identify in the nursing technician people who develop its professional activity searching to unite the knowledge and the ability technique to the understanding of the real situation lived for the patient and its familiar ones, while submitted to the environment of intensive therapy.
We know that the breast cancer, is presented as a tumor of hard consistency, of limits badly definite, being able to vary of one until some centimeters of dimetros. The majority of the carcinomas of glands mammary has its origin in the covering cells of ducto terminal of the tree would suck, in the transistion between the ductal portion and to acianar. The characteristics of differentiation for the cells of the ductal covering, or cells of the component to acinar (to lobular), are gifts same in the neoplsicas cells with transformation and give origin to the ductais carcinomas, loburales and its subtypes, respectively (FALZONI, 2000). The breast cancer can precociously be detected and the strategies for its detention are three: 2.3.1 Auto-examination of Mama (AEM) Is the technique through which the woman examines its proper breasts. The recommendation is that it is made monthly, after the menstruation.
For the women who do not menstruam, as for example, those that already meet in the menopause, or the ones that if they had submitted the histerectomia (removed of uterus), or still those that they are suckling, they must arbitrarily be chosen one day of the month and be carried through the auto-examination all month on this day. This artifice serves so that the woman creates the habit and not if it forgets to carry through the auto-examination of the breasts. This examination allows the discovery of how much in such a way malignant benign nodules of breast. It is essential that the woman always looks a doctor for evaluation of any joined alteration. We stand out that, by means of the systematic examination and periodic of the breasts, made for the proper woman, an adequate treatment is possible to surprise malignant tumors of small dimensions allowing, consequently, a good one I foretell. The auto-examination of the breasts does not have to substitute the clinical examination carried through by professional of health trained for this activity. .
Souza, Lopes and Barbosa (2004) stand out that to carry through the VD to many easinesses, as: effective communication and interaction between the professional, the unit of health and the population; approach with the families, whom a more solid knowledge of the conditions of health of the community allows, of the prevalence of the illnesses, practical the popular ones, of the popular knowledge on the illnesses, allowing the resolution of many problems, what it promotes the descongestionamento of the units of health; narrow contact between the professional and the population is of the unit that makes possible an exchange to know between the professional and the families; reflection next to the families on determinative of the process the health illness. However, in accordance with Souza, Lopes and Barbosa (2004) also exist certain degree of difficulties as: house work and working hours of the families can disable or make it difficult the accomplishment of the Domiciliary Visit; expense of time, between the locomotion and execution of the visit; availability lack or the absence of entailed people to the set appointments families to be visited. For in such a way, she is necessary knowing to hear, so that if it can especially establish reliable linking between professional and customer, therefore this practical is developed in the familiar domiciliary space, therefore, the visit it allows to know the reality, to change information of the familiar ones and thus to promote the construction of project of intervention next to the families (DRULLA et al., 2009). However, to carry through an assistance to the health with quality it is necessary to understand each individual as an only, pertaining being to a social and familiar context that favors different forms of living to adoecer. Second, Matias and Pereira (2010) even so the visits are not a new strategy in the scope of the Brazilian public health, currently, they have ampler purposes and if they had become sufficiently complex, therefore before it turned itself toward the care of the sick person and to the factors related with its illness, without concern with the family while social group.
The active search of all must be carried through the contacts intra-domiciliary that have inhabited or inhabits in the last five years with sick person of hansenase. They are two doses of independent vaccine BCG of being PB and MB. After the dermato-neurological evaluation is applied the first dose, the second dose is after made 6 months of the application of the first dose. If already to exist the scar for BCG, must be considered as the first dose independe of the time that was applied orientation for use of vaccine BCG is described in the Manual of Norms and Procedure of National Program of Imunizao (PNI), must stand out that vaccine BCG is a protective measure against hansenase and does not have a vaccine that cure the illness. Vaccine BCG demonstrates to be more efficient for multibacillary forms (BARRETO; PEAR TREE; BLACKSMITH, 2006; MINSTRIO OF THE HEALTH, 2002).
With the implantation of the System the Information of Agravos de Notificao (SINAN) for the Ministry of Sade (OMS), co-managed for the Secretary of Monitoring in Sade (SVS/MS) and Department of Computer science of the Only System, currently is possible to develop detailed explorations of the illness in different regions (MINSTRIO OF the HEALTH, 2008). Brazil has as main pointer epidemiologist of the control of the illness, the detention of new cases of hansenase in minors of 15 years, in view of that the detention of cases in children has relation with illness recent and focos of transmission active, inserted in the Program More Health, Program of Acceleration of Crescimento (PAC). The National Program of Control of Hansenase (PNCH) established operational lines of direction for the execution of different actions, involving monitoring epidemiologist; management; integral attention; communication and education and research. Another important factor that the National Program of Control of Hansenase (PNCH), is distinguished is for developing its action with partners governmental, not governmental, national and international (BLACKSMITH; ALVAREZ, 2005; HEALTH DEPARTMENT, 2008). The Health department decided intensifies clarification campaigns on the illness in the media. The actions are developed by means of orientaes and information availabilities to the population on