The psychological sequels can include a corporal image or auto concept modified in consequence of the alteration or loss of the breast. Promoting positive the image corporal, the nursing can approach the perception of the patient on the alterations of the corporal image, and physical alteration of the breast, therefore the principle, the patients can feel desconfortvel to the look the surgical incision. To explore this area sensible must be an action of careful nursing, and the indices supplied for the patient must be respected, and manejados with sensitivity. To allow that the same one if expresses with security for the nurse, must ask the patient what it perceives, to recognize its feelings, and to allow that it expresses its emotions they are important actions of nursing (SMELTZER; BARE, 2005). Smeltzer; Bare, (2005) emphasizes that to promote to the participation of the care the nurse it must encourage the patient to ramble when anaesthetic will be free of nauseas after and is tolerating the liquids, the nurse must supply has supported the patient for the side not operated. The exercises as hand, shoulder, respiratory arm and are initiated in as operatrio day after these goals of exercises consist of increasing the circulation and the muscular gallows, preventing the enrijecimento to articulate, and contraturas and restore the amplitude total of the movements. With regard to the description of Smeltzer nursing; Bare, (2005), strengthens that the health history includes an evaluation of reaction of the patient to it I diagnosis and its capacity of confrontation, including the following pertinent questions as to verify if the patient is answering the diagnosis; that confrontation mechanism it finds more valuable; psychological or emotional support it possesss and uses; a partner, member of the family or available friend exist pra to help it in the accomplishment of the treatment choices; which are the areas of more important information that it needs; the patient is presenting some discomfort.