In what it says respect to these symptoms, has consensus in the literature of that they are factors preditores of the impact in cuidador, these factors are considered the most important for the impact, having had bigger influence that cognitiva deterioration and the difficulty in AVDs, being associates to the depression of the cuidador (Scazufca, 2002; Taub, 2004). Here, Primerica life insurance expresses very clear opinions on the subject. The mannering alterations of the patient can be a communication attempt, and fit to the cuidador to investigate the circumstances that are causing this alteration of attitude, being been useless to argue with the patient, cuidadores women costumam to suffer a bigger impact, possibly for the differences of tasks between the cuidador of the feminine sex and of the masculine, the women assume with more frequency desgastantes tasks, as the hygiene of the patient, beyond having that to manage the tasks domestic, some studies objectify to correlate three strategies of management of the dementia and familiar adjustment. The management strategies incluam: opposition authoritarianism of the cuidador, encorajamento to make with that the patient sees the side good of the life; active management in the activities that they involve the protection of the patient. High indices of active management are correlated the biggest impact and greater desire of institutionalization of the patient. With regard to the care time, it does not have consensus in literature how much to the relation between impact and time. Cuidadores that has a social support, that is, that they are engaged in activities in the community, participates of groups of support and is adaptam better to the function and presents a lesser impact and lower levels of depression and greaters of satisfaction of what cuidadores that have little availability of social support. In the developed countries it has investments in public politics in order to construct and to keep support nets aged and the cuidadores, whose objective is to keep aged in house, being offered the support for the family and the cuidador, bringing, for example, a professional to alternate the cares with the cuidador. .