<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-8120</journal-id>
<journal-title><![CDATA[Humanidades Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Hum Med]]></abbrev-journal-title>
<issn>1727-8120</issn>
<publisher>
<publisher-name><![CDATA[Centro para el Desarrollo de las Ciencias Sociales y Humanísticas en Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-81202018000200326</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ética del cuidado de los pacientes con el diagnóstico de fractura del tercio proximal del fémur]]></article-title>
<article-title xml:lang="en"><![CDATA[Ethics in the care of patients diagnosed with fracture of the third proximal of the femur]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Díaz]]></surname>
<given-names><![CDATA[Zaily]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Salazar]]></surname>
<given-names><![CDATA[Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Manuel Ascunce Domenech  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>18</volume>
<numero>2</numero>
<fpage>326</fpage>
<lpage>337</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-81202018000200326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-81202018000200326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-81202018000200326&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamentación: la intervención de los anestesiólogos durante el preoperatorio de los pacientes con fractura del tercio proximal del fémur no queda reducida a la recopilación de datos científicos de carácter biológico, es una exigencia actual enfrentarse al paciente con una profunda comprensión de su esencia social y desde una posición humanista.  Objetivo: determinar las condiciones sociales del sufrimiento de los pacientes con fractura del tercio proximal del fémur durante el preoperatorio.  Método: se realizó un estudio de revisión sistemática cualitativa, con la información cualitativa descriptiva a través de la recolección, evaluación, verificación y síntesis de las evidencias existentes.  Resultados: si está indicada la intervención quirúrgica, se asegura la prevención de la discapacidad en la población envejecida vulnerable o frágil con alto riesgo quirúrgico. La fragilidad como proceso dinámico produce la transición a mayor fragilidad y su vez conduce a un espiral de resultados adversos de salud con carácter multidimensional y progresivo.  Discusión: la ética del cuidado destaca la importancia de valorar el sufrimiento del paciente, la necesidad y sensibilidad para responder de tal forma que se proteja al paciente y sus familiares de la sensación de aislamiento, abandono y discapacidad propios de la enfermedad. El cuidado es una actividad permanente y cotidiana de la vida de las personas, el cuidado por parte de los anestesiólogos incluye profesionalidad a lo cotidiano.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[anestesiología]]></kwd>
<kwd lng="es"><![CDATA[reanimación]]></kwd>
<kwd lng="es"><![CDATA[fractura]]></kwd>
<kwd lng="es"><![CDATA[ética del cuidado]]></kwd>
<kwd lng="en"><![CDATA[anesthesiology]]></kwd>
<kwd lng="en"><![CDATA[reanimation]]></kwd>
<kwd lng="en"><![CDATA[fracture]]></kwd>
<kwd lng="en"><![CDATA[ethics of the care]]></kwd>
</kwd-group>
</article-meta>
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