Related Experiment Video
Updated: Nov 21, 2025
06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
9.3K
Perioperative Multidisciplinary Delirium Prevention: A Longitudinal Case Report
Kristin M Hamlet1,2, Eliana Pasternak1,2, Ferenc Rabai2,3
1From the Department of Clinical and Health Psychology.
A&A Practice
|January 14, 2021
Summary
Postoperative delirium can worsen cognitive decline and increase mortality. Comprehensive preoperative assessments and interdisciplinary care may reduce delirium risk in older surgical patients.
Area of Science:
- Geriatric Medicine
- Anesthesiology
- Neurosurgery
Background:
- Postoperative delirium (POD) is a significant complication linked to adverse outcomes like cognitive decline and mortality.
- Effective perioperative risk identification and prevention strategies for POD are crucial but remain under development.
Observation:
- A case study of a 79-year-old patient undergoing three lumbar spine surgeries within a year.
- Two of the surgeries were complicated by POD, while one was not.
Findings:
- A thorough preoperative cognitive assessment guided anesthetic choices and postoperative care.
- Multimodal delirium prevention strategies, involving geriatric medicine, were implemented.
Implications:
- This case highlights the potential of coordinated, interdisciplinary team management in mitigating POD.
- Comprehensive preoperative assessment and tailored interventions can improve outcomes for high-risk surgical patients.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
728
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
728
01:27Peripheral Artery Disease III: Interprofessional Care
117
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
117
01:23Peripheral Artery Disease V: Postoperative Nursing Management
135
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...
135
01:28Acute Coronary Syndrome IV: Interprofessional Care
96
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
96
01:26Aneurysm III: Interprofessional Care
110
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
110
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
118
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
118