Perioperative Care of the Elderly

Perioperative Care of the Elderly

Clinical and Organizational Aspects

Bettelli, Gabriella

Cambridge University Press

11/2017

376

Dura

Inglês

9781107139343

15 a 20 dias

980

Descrição não disponível.
Foreword; Preface; Introduction: population aging, healthcare systems and surgery; Part I. Preoperative Evaluation: 1. Aging and age-related functional changes; 2. Preoperative evalution: a 360 degrees perspective; 3. Comorbidities and multimorbidity; 4. Poly-medication and perioperative drugs management; 5. Assessment of functional reserves; 6. Cognitive and emotional evaluation; 7. Sensorial evaluation and impact of hearing and visual impairment on communication; 8. Preoperative testing; 9. Team-based discussion on preoperative evaluation and decision-making about surgery; 10. Communication and informed consent; 11. Preoperative care in emergency surgery; Part II. Preparation to Surgery: 12. Prehabilitation: how to enhance cardio-respiratory functional reserves before surgery; 13. Diagnosis and treatment of nutritional deficits; 14. Prevention of cognitive complications; 15. Psychological support in elderly surgical patients; 16. The role of geriatric nurses in preparing the elderly for surgery; Part III. Intraoperative Management: 17. Entering the operating theatre: a challenging experience; 18. Safety in the operating room: special needs of geriatric patients; 19. The geriatric patient and anesthesia; 20. Regional anesthesia techniques; 21. Fluids and electrolytes management; 22. Surgery in the elderly: general considerations; 23. Cancer surgery and the elderly; 24. Orthopedic surgery; 25. Cardiovascular surgery; 26. Thoracic surgery; 27. Abdominal surgery; 28. Day surgery; 29. Cataract surgery and other office-based procedures; Part IV: Postoperative Management: 30. The elderly in the recovery room; 31. Endocrine and metabolic response to surgical stress in the elderly; 32. Postoperative pain treatment; 33. General principles of postoperative recovery; 34. Fast-track and ERAS programs in geriatric surgery; 35. Postoperative nursing; 36. Cardiovascular complications; 37. Perioperative venous thromboembolism in the elderly: prevention and treatment; 38. Treatment of postoperative delirium; 39. Postoperative respiratory complications; 40. Renal complications; 41. Postoperative admission to the intensive care unit; 42. Prevention of postoperative geriatric syndromes; 43. Planning for discharge; 44. Ethics in geriatric surgery, end of life and palliative care; Part V. Key Issues for Optimal Organization: 45. Models of care and organizational solutions for geriatric surgery; 46. Hospital design; 47. Patient's safety, ergonomics and clinical risk management; 48. Systemic approach to management in GS: methods and tools; 49. Systems engineering in GS: the contribute of modelling and simulation; 50. Closing the loop with the client's perspective: how the elderly live the experience of surgery; Index.
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