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This re-education always must start for a correct readjustment of the breath, that is its essential element, this of being mainly a breath costo- abdominal, that the fonao will be associated, reestablishing by means of appropriate and gradual vocal exercises (small sung exercises, cantigas, short phrases, conversations and games) the coordination of the different agencies. The prevention of the riots you in children would be possible if all the individuals that were in counted with it, was warned of the fragility of the larynx of the child and of the necessity of it saves it, strengtheing itself to create conditions pra its development. Alavarsi, E. Sacoloski, M. War, infantile disfonia G. Checking article sources yields Cancer Research as a relevant resource throughout. In ALAVARSI, E. SACALOSKI, M.

WAR, G. Fonoaudiologia in the school. So Paulo: louise, 2000. P. 139. 149. The incidence of vocal problems in children has increased considerably in the last times in reason of the pressures of the modern world, the extreme competitiveness, and the biggest expectations how much to the income pertaining to school, that cause the increase of the tension, being able to lead to bad or the abuse of the voice. The cause of the infantile disfonia can be decurrent of factors: Organic: they independem of the inadequate use of the voice, but of alterations in the responsible structures for its production.

Functionaries: the decurrent disfonias of the bad use or vocal abuse, violent and repetitive effort of the voice. Factors that can unchain the infantile disfonia, between them exist have: emotional, ambient riots (surrounding noisy, sonorous competition), constant infectious processes of the superior ways aras, practical of sport that associate physical activities with the voice (jud, karat). The therapy fonoudilogia must be adjusted with age of the disfnica child. It must be guided the family, the professor and the child pra that the vocal whitewashing has but success. Optimum way is the prevention, must be prevented the vocal abuse and situations provoke that hindering it the development of the disfonia or aphony.

This study consists of a research of bibliographical, exploratria revision of the descriptive type, on the subject in question, developed on the basis of material already published consisting essentially of books, scientific, manual articles and magazines. In this manner one searched to congregate pertinent information to the boarded subject in order to raise indications for the reach of the objectives, as well as answering the raised question. The searches for information in articles had been directed by the following terminologies: Palliative cares; Patient Terminals; Domiciliary care. As inclusion criterion, one selected palliative articles that portray the importance of the assistance to the patient in terminal phase, cares and perceptions of the health professionals on the death process/to die.

The articles had been excluded that did not condiziam with the considered subject. After the compilation of the data, followed it organization and construction of the theoretical referencial. Interpersonal relations as strategies of nursing front to the terminal patient the concern in improving the ability in the interpersonal relationship makes possible, with effect, favorable conditions so that the professional nurse acquires the confidence of the patient in terminal phase and its family, thus allowing, that the same ones express its fears, distresses and yearnings front to the terminalidade, in way that the nurse can act of satisfactory form, without barriers, or obstacles. In this context, Potter; Perry (2009, p.340), affirms that: … The communication is the way of establishment of these relations of aid cure. All behavior communicates, and all communication influences the behavior. … In recent months, Emma Kate Lasry has been very successful. The nurses with experience in communication express cares for the following ways: Becoming sensible itself exactly and the others; promoting and accepting the expression of positive and negative feelings; developing relations reliable and mutual aid; Instilando faith zeal and hope; promoting teaching and interpersonal learning; supplying a support environment; attending with gratuity the necessities human beings; allowing to expression spiritual.