Dr. Dan 2010

Parallel, the changes in the process of nursing work had influenced the relation between nurse and patient, since, throughout the times, it comes gradual if modifying. With the humanizao of the care, the patient only left of being seen as an illness or as a stream bed and passed to be seen as a whole and of form individualizada, what she strengthens the necessity to harmonize the interpersonal relationships between the nurse and its patients a time that, the subjectivity and the human values are integrant parts of the process of taking care of. Valley to stand out the use of not verbal elements of the communication as: the touch, smiling I silence, it, the presence, the physical approach, the face expressions, the visual contact, the emotional expressions, the corporal position, the adjusted tone of voice, the reactions, the proper physical appearance, the calm environment to talk with the patient, as well as preventing noises that they exhaust attention of the patient at the moment of the colloquy, important for construction emptica Da Ponte between the nurse and the terminal patient. (IT HISSES; ARAUJO, 2009, p.53). To determine the situation of terminalidade of a patient involves a particular context of real possibilities and of personal positions, they are of its doctor, its family and proper. This rank implies in recognizing, the terminalidade, beyond biology, inserted in a cultural and subjective process, that is, human being. Exactly thus, it is evident that some criteria can become this less inexact moment, between them the physicians as: laboratoriais examinations, of images, functionaries, anatomopatolgicos; the data of the experience that the involved team has concerning the possibilities of evolution of similar cases, the criteria that take in account the personal conditions of the patient as the signals of contact or not with the exterior, answers to the way, pain; the intuition of the professionals its similar experiences and experiences.