scholarly journals Preoperative preparation of geriatric patients

2011 ◽  
Vol 58 (2) ◽  
pp. 169-175 ◽  
Author(s):  
Radmilo Jankovic ◽  
Angelina Bogicevic ◽  
Biljana Stosic ◽  
Anica Pavlovic ◽  
Anita Petrovic ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Elderly Patient ◽  
Geriatric Patients ◽  
Elderly Care ◽  
Postoperative Cognitive Dysfunction ◽  
The Elderly ◽  
Surgical Patient ◽  
Preoperative Preparation ◽  
Continuous Increase ◽  
Preoperative Optimization

There is a continuous increase in the proportion of elderly patients undergoing surgical procedures. This review will concentrate on selected topics related to elderly care that represent current unresolved and relevant issues for the care of the elderly surgical patient including: aging related organ dysfunction, perioperative risk assessment of geriatrics patient, preoperative optimization and pharmacological support of elderly patient. Additionally, age as a clear risk factor for postoperative cognitive dysfunction is also discussed.

Nursing nel paziente urologico, anziano, operato: Nursing of the elderly urological patient

1998 ◽  
Vol 65 (2) ◽  
pp. 215-221
Author(s):  
A. Barbieri ◽  
B. Monica ◽  
N. Sebastio
Keyword(s):  
Quality Of Life ◽  
Elderly Patient ◽  
The Elderly ◽  
Postoperative Management ◽  
Psychological State ◽  
Surgical Patient ◽  
Nursing Management ◽  
Treatment Results ◽  
Discharge From Hospital

There are two important issues in the postoperative management of the urological elderly patient: complications and rehabilitation. Aging is associated with a loss of homeostatic reserve that may lead to postoperative complications due to drug interaction, malnutrition, infection, defects in wound healing, and poor psychological state. Furthermore rehabilitation, if not properly planned or implemented may influence not only the quality of life, but also the whole treatment results. The authors, in relation to pathogenetic aspects, describe what to do to prevent complications and to promote patient recovery. They conclude that both urologists and nurses must have specific geriatric training and that a psychiatrist, dietician, geriatrician and physiotherapist should be part of the team caring for the elderly surgical patient. Finally discharge from hospital must not be the end of therapy: in selected patients nursing management may continue at home reducing morbidity and mortality and helping better rehabilitation.

Postoperative cognitive dysfunction in geriatric patients after orthopedic surgery

2012 ◽  
Vol 19 (3) ◽  
pp. 108-114
Author(s):  
Arūnas Gelmanas ◽  
Tomas Bukauskas ◽  
Andrius Macas ◽  
Giedrė Žarskienė ◽  
Ainius Žarskus
Keyword(s):  
Orthopedic Surgery ◽  
Older Patients ◽  
Geriatric Patients ◽  
Neuropsychological Test ◽  
Postoperative Cognitive Dysfunction ◽  
The Elderly ◽  
Mental Activity ◽  
Younger Patients ◽  
Orthopedic Operation ◽  
Group B

The aim of our study was to find out the changes of cognitive functions of geriatric patients after orthopedic surgery and when these differen­ ces are marked. We also tried to find out factors, which have influence on the results of common mental activity, to estimate the dynamics of mental activity and to choose the most optimal intervals of estimation. The population of our investigation consisted of 25 consecutive adult patients, undergoing orthopedic operation, applying regional anesthesia. Neurophysiological assessment where all patients underwent neurophysiological tests consisted of the Mini-mental State Examination (MMSE), 6 Item Cognitive Impairment test (6CIT), Trail-making test  –  a neuropsychological test of visual attention and task switching. Patients were tested the day before the surgery (MMSE1, 6CIT1, TMT1), on the day of the surgery (MMSE2, 6CIT2, TMT2) and on the third day after the surgery (MMSE3, 6CIT3, TMT3). The day before the surgery reveals that results of MMSE1, 6CIT1 tests were better in a group of younger patients. We found that the results of the MMSE test were significantly worse 3 days after the surgery than those before the procedure in the A group, p = 0.016. The biggest digression was fixed in “copying” and “repeating” after the surgery intervention, p = 0.01, p = 0.04. The orientation in time significantly decreased in the group B after the surgery, p = 0.00. MMSE, 6CIT, TMT test results were significantlt worse in older patients rather than younger ones 3 days after the surgery. We set that the elderly have a significantly shorter duration of education. Younger patients and patients with a longer studying period achieved better results of tests. The results mean that age and lasting of education are significant predictors of POCD. Our pilot study confirmed that POCD develops for older patients, undergoing neuroaxial anesthesia for orthopedic surgery. It is very important to continue studies and reveal how to decrease POCD events, keep the quality of life.

Principles of surgical risk assessment of the elderly patient

1990 ◽  
Vol 48 (9) ◽  
pp. 972-979 ◽  
Author(s):  
Gregg H. Gilbert ◽  
Kenneth L. Minaker
Keyword(s):  
Risk Assessment ◽  
Elderly Patient ◽  
The Elderly ◽  
Surgical Risk

Pancreaticoduodenectomy in the Elderly Patient: Age-Adapted Risk Assessment

2016 ◽  
Vol 34 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Georg Wiltberger ◽  
Babett Muhl ◽  
Christian Benzing ◽  
Hans-Michael Hau ◽  
Michael Bartels ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Elderly Patient ◽  
The Elderly ◽  
Patient Age ◽  
Patient Âgé

Preoperative Evaluation of the Elderly Surgical Patient

2017 ◽  
Author(s):  
Tracy S. Wang ◽  
Jennifer Roberts ◽  
Nicholas G Berger
Keyword(s):  
Risk Assessment ◽  
Elderly Population ◽  
Preoperative Evaluation ◽  
Hospital Costs ◽  
The Elderly ◽  
The United States ◽  
Surgical Patient ◽  
Key Words Aging ◽  
Major Morbidity ◽  
Short Term Mortality

The elderly population uses a significant portion of health care resources in the United States and poses an increasing challenge to perioperative care. Many reports point to both increasing age and frailty as important risk factors for short-term mortality; cardiovascular, pulmonary, and renal complications; and increased length of stay and hospital costs following operation. To provide the best care for the aging US population, it is important for the clinician to be familiar with the appropriate presurgical workup specific to the comorbidities prevalent to the elderly population. This review discusses the postoperative complications facing elderly surgical patients and the physiologic complications of aging, with a particular emphasis on the concept of frailty as a predictor of major morbidity and mortality. With age and comorbidities in mind, this review discusses the relevant preoperative cardiovascular, respiratory, and renal workup and includes important guidelines for appropriate risk assessment and reduction in the elderly surgical patient. This review contains 1 figure, 5 tables, and 86 references. Key words: aging, anesthesia, elderly, frailty, outcomes, preoperative workup, risk assessment

scholarly journals Geriatric Emergency Care in Canada: Present and Future

2021 ◽  
Author(s):  
Nancy Shi ◽  
Anamika Mishra
Keyword(s):  
Elderly Patient ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Care ◽  
Geriatric Patients ◽  
The Elderly ◽  
Resident Training ◽  
Current State ◽  
Efficient Resource ◽  
Senior Population

With the growing senior population in Canada, geriatric emergency care becomes an emerging field of importance in medicine. This article will provide an overview to the current state of geriatric care in the emergency department (ED) in Canada by reviewing recent peer-reviewed literature. Although emergency medicine (EM) physicians have a series of sophisticated triage tools and algorithms, Canadian EM residents report feelings of ill-preparedness to treat geriatric patients in ED. High levels of burnout and frustration have been reported by EM staff including physicians and nurses regarding their attitudes towards elderly patients in the ED. The article concludes with several areas to focus on in order to improve geriatric EM in Canada, such as more efficient resource allocation, geriatric exposure in EM resident training, and room for respectful mutual decision-making between EM physicians and the elderly patient and their families.

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