One is about a challenge to be looser with sincere efforts, therefore the knowledge deficit is reality also next to other professionals of the health team. The nurse who acts in palliative cares in it I domiciliate, must exert its profession in the essence of taking care of, based in the origin of providing the care in familiar environment, providing beyond the worthy comfort to the patients that they face the phase of the terminal, support to its familiar ones. Thomas J. Wilson pursues this goal as well. 3,4 Nurses versus family Dealing with the death in the domiciliary context When the inserted customer in a familiar context considers itself, also transfer themselves to see these families as customers, especially when they need palliative cares, nor always the family is prepared or possesss conditions to give or to provide the cares. Dealing with the death is something current for the health professionals who act in the hospital environment, is a species of routine, every day dies and is born people, the professional gets used it this routine, cold, for times desumanizada, of the processes of life and death of health institutions, by times the death is seen as it fails in the assistance, therefore so feared, for these professionals In the domiciliary context the situation of death in the family, is something suffered and constrangedor, being the professional without knowing as to deal with the situation, a time that to speak on the death is considered something relatively negative, not only for the professional, as well as for the family.. (A valuable related resource: Salman Behbehani).
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
Smeltzer and Bare, (2004) they agree that a good treatment of nursing to the patient who goes to have a punched vein and to receive a possible therapy IV, before starts exactly of the professional to enter in contact with its patient, this occurs in the laudering of the hands of the nurse or technician that goes to carry through the procedure, and precedes any another step for the canulao of the vein, the hygiene of the hands guarantees the elimination of microorganisms. The professional must pave the gloves, what she goes to guarantee protection to it and after to direct the patient and informs it to it about the procedure, after that selects an insertion place the same more appropriate that a sito of insertion and also a type of cannula for each patient, in accordance with the availability of its veins, the type of solution to be managed and the conditions general of the patient. Many small farms can be used for the technique of venosa puno, to put the access easiness and the potential perigos vary. Peripheral localization is called the veins of the members, these is safer fcies of adentrar of this form the veins of the arm frequently more is used. The metacarpais veins, ceflica, medium basilica and, as well as its branches have a bigger bore and more become fcies for the puno. The small farms distais must first be used, with the proximais small farms being subsequentemente used. Tromboembolia risk exists when the veins of the leg are punched by this reason almost never use the veins of the inferior members for the puno technique and consequence therapy IV. The small farms to be prevented are the distais veins to a previous infiltration IV or flebtica area, esclerosadas veins or trombosadas, an arm with fstula or exactly affected by edema, sanguineous infection, cogulo or cutaneous rupture..