Background:

the intervention of the anesthesiologists during the preoperatory of the patients with fracture of the third proximal of the femur is not reduced to the summary of scientific data of biological character; it is a current demand to face the patient with a deep understanding of its social essence and from a humanist position.

Objective:

to determine the social conditions of the suffering of the patients with fracture of the third proximal of the femur during the preoperatory.

Method:

it was carried out a study of qualitative systematic revision, with the descriptive qualitative information through the gathering, evaluation, verification and synthesis of the existent evidences.

Results:

if it is suitable the surgical intervention.The fragility like dynamic process produces the transition to more fragility and its time it drives to a hairspring ofadverse resultsof health with multidimensional character and progressive.

Discusión:

the ethics of the care highlights the importance of valuing the patient's suffering, the necessity and sensibility to respond in such a way that is protected to the patient and its relatives of the isolation sensation, abandonment of the illness. The care is a permanent and daily activity of the life of people the care on the part of the anesthesiologists.

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