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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
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Related Experiment Video

Updated: Feb 22, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Is current preoperative frailty assessment adequate?

Gilgamesh Eamer1, Jennifer A Gibson1, Chelsia Gillis1

  • 1From the Department of Surgery, University of Alberta, Edmonton, Alta. (Eamer, Khadaroo); the School of Public Health, University of Alberta, Edmonton, Alta. (Eamer); the School of Nursing, University of British Columbia, Vancouver, BC (Gibson); the Cumming School of Medicine, University of Calgary, Calgary, Alta. (Gillis); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Hsu); the Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ont. (Hsu); the Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC (Krawczyk); the Trinity Western University, Langley, BC (Krawczyk); the Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB (MacDonald); and the Department of Community Health Sciences, University of Manitoba, Winnipeg, Man. (Whitlock).

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|September 21, 2017
PubMed
Summary
This summary is machine-generated.

Preoperative frailty assessment is crucial for predicting poor surgical outcomes. Healthcare professionals need more training on frailty to improve patient care planning and the use of assessment tools.

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Area of Science:

  • Geriatric Medicine
  • Surgical Care
  • Health Services Research

Background:

  • Preoperative frailty is a known predictor of adverse postoperative outcomes in elderly patients.
  • Incorporating frailty assessment into perioperative care planning is recommended.
  • Limited research exists on healthcare professionals' perceptions and utilization of frailty assessments.

Purpose of the Study:

  • To assess the attitudes and practices of local healthcare employees regarding frail patients.
  • To identify barriers to the use of frailty assessments in perioperative care.

Main Methods:

  • A survey was conducted among local healthcare employees.
  • The survey assessed attitudes toward and practices for frail patients.

Main Results:

  • Nurses and allied health professionals were more likely than surgeons to believe frailty should influence patient care planning.
  • Lack of knowledge regarding frailty issues was a significant barrier to implementing frailty assessments.
  • Clinicians recognized that frailty impacts patient outcomes.

Conclusions:

  • Further education on frailty and assessment tools is essential for surgical healthcare professionals.
  • Improved training can enhance the adoption and effectiveness of frailty assessments in perioperative care planning.