Preoperative Evaluation of the Older PatientSusan E Wozniak, JoAnn Coleman and Mark R Katlic*
Sinai Center for Geriatric Surgery, Department of Surgery, Sinai Hospital, Baltimore, Maryland, USA
- Corresponding Author:
- Mark R Katlic, MD
Chairman, Department of Surgery
Center for Geriatric Surgery
Sinai Hospital, Baltimore, Maryland, USA
Tel: 410 601 5547
E-mail: [email protected]
Received Date: December 18, 2015; Accepted Date: January 27, 2016; Published Date: February 03, 2016
Citation: Wozniak SE, Coleman J, Katlic MR (2016) Preoperative Evaluation of the Older Patient. J Perioper Crit Intensive Care Nurs 1:103. doi:10.4172/2471-9870.1000103
Copyright: © 2016 Wozniak SE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
As the number of surgical procedures performed on geriatric patients continues to grow, it is essential to realize the unique needs of the older surgical population. With this in mind best practice guidelines were developed by leaders in the field of geriatric surgery. These best practice guidelines, “Optimal Preoperative Assessment of the Geriatric Surgical Patient,” are a comprehensive assessment addressing domains likely to impact older surgical candidates. Examples of these domains include: cognition, pre-operative physical baseline, social support, functionality, nutrition, frailty, and polypharmacy. While such a comprehensive “geriatric screening” may not always be practical, a more limited geriatric tailored preoperative assessment is still highly recommended. It allows the surgical team to proactively involve a nutritionist, physical or occupational therapist, social worker and other vital members of the postoperative care team.