Tuesday, 13 July 2010
Learning Objective 1: Reflect in a critical way on nursing conducts which are fundamentals in the orientation of interventions in the elderly undergoing surgery for hip.
Learning Objective 2: Consider the needing to prepare nurses for assisting elderly undergoing surgery for hip.
INTRODUCTION - With the increasing need for anesthetic and surgical procedures of elderly population, has been expanding the responsibilities of the nursing process related to the period. OBJECTIVE - Study was to seek the available evidence in the literature on complications arising from surgical placement in the elderly undergoing surgery for hip. METHOD - This is the study of systematic review of the literature following the recommendations suggested by the Cochrane Collaboration. The question of the study was built using the PICO strategy: Is there evidence of complications resulting from surgical placement in elderly patients in surgeries of the hip? To search for articles using the electronic databases considered by the international centers of practice based on evidence. The descriptors used in the search of the studies were identified through DECs – Descriptors in Health Sciences, founded by Medical Subject Headings of the U.S. National Library of Medicine. RESULTS - A database that supplied the largest electronic quantity of publications was the PUBMED (401), followed by, OVID (112), COCHRANE (100), CINAHAL (33) and LILACS (16), totaling 662 publications. In the pre-selection phase, which consisted of reading the titles and summaries, the total pre-selected publications were 47. Of these, 2 publications were repeated between the different electronic databases and 43 fall outside the proposed objective. After this phase of analysis, only 2 articles were included in this review. CONCLUSION – In the search could not locate studies on strength of evidence to say that the complications identified in the work mentioned were related to surgical placement in the elderly undergoing surgery to hip. Through analysis of the methodological quality can be understood that there is need for better research and outlined to address the specifics of the elderly population, which leaves a warning for future studies that provide internal validity.