Perioperative Understanding of Geriatric Patients
Paris Payton1, Jeffrey E Shook1
1Department of Podiatric Surgery, St. Vincent Charity Medical Center, 2351 East 22nd Street, Cleveland, OH 44115, USA.
Clinics in Podiatric Medicine and Surgery
|November 18, 2018
Summary
Thorough evaluation is crucial for elderly surgical candidates to identify risks like cognitive impairment. Involving family and physical therapy optimizes surgical outcomes and patient expectations.
Area of Science:
- Geriatric Surgery
- Perioperative Medicine
- Patient Safety
Background:
- Surgical treatment for elderly patients presents unique challenges.
- Comprehensive pre-operative assessment is vital for this demographic.
- Age-related issues can increase surgical risks.
Purpose of the Study:
- To highlight the importance of evaluating elderly surgical candidates.
- To identify risks such as cognitive impairment and delirium.
- To emphasize optimizing surgical outcomes through thorough assessment and communication.
Main Methods:
- Comprehensive patient evaluation focusing on age-related risks.
- Inclusion of family members and caregivers in the assessment process.
- Physical therapy evaluation to determine ambulatory capacity post-surgery.
Main Results:
- Identification of elderly patients at higher risk for adverse events.
- Improved communication of surgical goals and patient expectations.
- Assessment of functional status to guide post-operative care.
Conclusions:
- Multifaceted evaluation is essential for successful elderly surgical care.
- Addressing cognitive function and physical capacity improves outcomes.
- Family involvement and clear communication are paramount for optimizing results in geriatric surgery.
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