Preoperative Evaluation of the Elderly Surgical Patient

Gabeau, Darlene; Rosenthal, Ronnie A.

doi:10.1007/978-1-4757-3432-4_10

Cited by 5 publications

(5 citation statements)

References 71 publications

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“…Guidelines developed by professional organizations to assist practitioners in determining the degree of cardiac risk for surgery are available at the Merck Manual of Geriatrics web site 14 . Practice has migrated away from cardiac testing to medication treatment at the physician's discretion 15–18 . If a patient has suspected or is at high risk for a complication, prophylaxis may be implemented without cardiac testing.…”

Section: Normal Changes Of Agingmentioning

confidence: 99%

“…Aspirin and statin medications have been found to be beneficial in nonrandomized observations of high‐risk patients 19 . Cardiac revascularization is not recommended as a means to facilitate attempting another surgical intervention 9,15,20 …”

Section: Normal Changes Of Agingmentioning

confidence: 99%

“…“Aging of the population of the United States has created the need to provide surgical care to increasing numbers of [older adults].” 15 (p126) Aging should be differentiated from disease because normal changes of aging are not disease processes. Aging does, however, cause some natural losses of function and reserve.…”

Section: Normal Changes Of Agingmentioning

confidence: 99%

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Older Adult Surgical Patients: Presentation and Challenges

Doerflinger¹

2009

AORN Journal

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The age of the population is increasing dramatically, and the age of the surgical population parallels that of the general population. This is occurring at a time when there are fewer health care providers with geriatric expertise in all disciplines. All health care providers must be knowledgeable about the normal changes of aging and must understand communication challenges with older adult patients. Health care providers must understand the specific risks and benefits of surgery and perform a complete individualized preoperative assessment to improve older adult patients' outcomes.

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Section: Normal Changes Of Agingmentioning

confidence: 99%

Section: Normal Changes Of Agingmentioning

confidence: 99%

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Older Adult Surgical Patients: Presentation and Challenges

Doerflinger¹

2009

AORN Journal

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“…Due to the physiological and psychosocial changes that occur alongside aging and chronic diseases, homeostasis deteriorates more easily, the response to surgical stress and quality of life decreases, and the risk of postoperative complications increases (Finlayson & Birkmeyer, 2009;Hacker, Zimmerman, & Burgener, 2014). This leads to a decrease in tolerance levels for cases requiring surgical treatment in elderly individuals (Finlayson & Birkmeyer, 2009;Gabeau & Rosenthal, 2001;Totur & Korkmaz, 2011: 62).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, determining the functional independence level of elderly patients admitted to the hospital should be a routine part of preoperative assessment (Gabeau & Rosenthal, 2001).…”

Section: Introductionmentioning

confidence: 99%

Determining the functional autonomy level of preoperative elderly patients: A Turkish case study

Kalkan

Karadağ

2017

HumanSciences

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Purpose: This study was conducted to determine the functional autonomy level of preoperative elderly patients. Method and materials:In this descriptive and cross-sectional study, the statistical sample comprised 153 preoperative elderly patients who were hospitalized at a university hospital general surgery, neurosurgery, urological, and orthopaedic clinics in Ankara. Data were collected using a personal information form, which was based on the researcher's work and the Functional Autonomy Measurement System. Data were obtained through face-to-face interviews conducted between October 1 and December 31, 2012. Results: Patients' total scale median score was -4.5 (min:-60, max:0), activities of daily living subscale median score was -3.5 (min:-53, max:0), communication subscale median score was 0.0 (min:-4, max:0), and mental functions subscale median score was -1.0 (min:-3, max:0). The factors affecting the level of functional independence the most were as follows (in order): using walking aids, polypharmacy, education status, nutrition status, and participation in social activities. While use of walking aids and polypharmacy have the most effect on decrease in functional independence level; primary school and higher education, regular nutritional status and participation in social activities have the most effect on increase in functional independence level. Conclusions: In this study, the functional independence level of the elderly patients was on the border of the maximal scale score.

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