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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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Patient-Centred Preoperative Assessment.

Ben Chisnall1, Joanna Simpson2

  • 1Department of Anaesthesia, Royal Papworth Hospital, Cambridge, UK.

British Journal of Hospital Medicine (London, England : 2005)
|September 25, 2025
PubMed
Summary
This summary is machine-generated.

Patient-centred preoperative assessment prioritizes individual patient needs through early screening, comorbidity management, and shared decision-making. This tailored approach optimizes surgical preparation and patient outcomes.

Keywords:
perioperative careperioperative medicineprehabilitationshared decision-making

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Area of Science:

  • Medicine
  • Healthcare Management
  • Surgical Care

Background:

  • Traditional preoperative assessment often lacks individualization.
  • Optimizing patient health before surgery is crucial for outcomes.
  • Patient preferences and lifestyle significantly impact surgical journeys.

Purpose of the Study:

  • To define patient-centred preoperative assessment.
  • To review evidence supporting this approach.
  • To provide practical methods for implementation.

Main Methods:

  • Literature review of patient-centred preoperative assessment strategies.
  • Analysis of components: early screening, triage, comorbidity optimization, lifestyle management, shared decision-making, and multidisciplinary collaboration.
  • Examination of evidence and practical implementation approaches.

Main Results:

  • Patient-centred preoperative assessment integrates patient-specific factors like comorbidities, functional status, and lifestyle.
  • It emphasizes shared decision-making regarding surgical interventions or avoidance.
  • Multidisciplinary teamwork is essential for successful implementation.

Conclusions:

  • Patient-centred preoperative assessment enhances surgical preparedness by tailoring care to individual needs.
  • This approach respects patient autonomy and desired outcomes.
  • Evidence supports its role in improving patient experience and potentially surgical results.