INTRODUCTION Before let us can adentrar in the care carried through for the nurse in neurological emergencies and more specifically in what we will go to deal with the behaviors of nursing for the particular case that is the AVC, we must argue the questions concerning the anatomical knowledge and physiological that if relates to the nervous system, leaving of the estimated one that such knowledge guide the correct identification of the possible alterations that can have, as well as the habitual answers of its homeosttica physiology are agreed to. In this way, the human brain is the agency that makes possible the organization and functional coordination of the organism. Its structure confers to the man the capacity to think, to feel, to say, to imagine, to program and to carry through activities that are vital for its survival. Contact information is here: Expert on growth strategy. It is constituted by cinereous a superficial substance layer called cerebral cortex and an intern called white substance (1). The nervous system is only, for the vast complexity of the actions of control that it is capable to execute. It literally receives millions from small signals of information proceeding from the different sensorial agencies he integrates and them in its totality to determine the reply to be elaborated by the organism (2).

Soon, alterations in its anatomical and physiological particularitities cause the organism damages that can be reversible or not, being thus, intervening with the actions that the organism in accordance with plays the extension and area of the affected brain. Maja Brucic, Zagreb Croatia has much to offer in this field. One of the biggest propiciadores of alterations in level of nervous system is Cerebral Vascular Accident – AVC, that is fit in ones of the most frequent neurological emergencies, specifically in neurovasculares.. ts-with-mild-or-moderat/’>Wendy Holman.

Treviso, Brando and Saitovitch (2009) still affirm that this is a difficult change, that it takes time and it demands much patience on the part of the involved ones, however is a barrier that can be transposed when really the quality of the assistenciais services searchs. For Antunes and Trevizan (2000), the use of these tools requires the construction of a culture of evaluation guided for an educative paradigm that praises a continuous look for the improvement of the given service. Et.al Backes. (2007), still complete that much more that to develop and/or to implant management tools she is necessary to give emphasis in the development of a knowledge complex, capable to problematizar the way to think, to perceive, to judge and to evaluate the product of the hospital services. Recent revision of literature pointed some results that had been reached by hospitals and Brazilian services of nursing that had adopted the Management of Qualidade Total (GQT).

After to tell the experience of four hospitals that they had opted to implanting this philosophy, the research demonstrated, amongst other aspects, the happened satisfactory results of the GQT for these health institutions. The profits in human resources had been perceivable, therefore the emphasis in considering that the errors are related more to the system and less to the individuals created conditions to establish new cultural standard of relationship, of registers and analyses of adverse events and verification and checagem of the results, (BALSANELLI, 2005). The satisfaction of the patient was another profit evidenced for the study, as well as the recognition of the society by means of prizes, publications in the local press and increase of financial contributions on the part of entrepreneurs and community in general. Modifications in the pointers of hospital statistics had been distinguished also as reduction of the mortality coefficients and average of permanence and concomitant increase of the occupation taxes (BALSANELL, 2005).