Preparing the older adult for surgery and anesthesia

Job Stress Management in Nurses

“…The ability to adapt is decreased in the very young, the very old, and those with altered physical or mental health; who do not have the necessary physiologic reserve to cope with physical changes (Saufl, N. M., 2004). In our study, age, tenure status and job experience of respondents were significant factors (<0.05) for SM.…”

Older People with Dementia in the Perioperative Care Environment: Key Issues for Perioperative Nursing

“…The ageing process (physiological ageing) reduces metabolism, and decreases the body's ability to tolerate stress, infection or complications of surgery. A slower metabolism can also result in altered responses to medications and anaesthesia [Saufl, 2004]. The primary predictor of poor outcomes of surgery, however, is co-morbidity as opposed to chronological age [Harari et al, 2007].…”

“…For example, visual and auditory changes are not uncommon so any sensory deficits need to be identified and communicated to other staff [Saufl, 2004]. Skin integrity is of concern as there is increased potential for injury to fragile skin already compromised by age-related changes.…”

“…Talking 'with the patient' is important and not around him [Saufl, 2004]. The dignity and personal integrity of the patient must be considered and communication should be tailored to the individual's needs and stage of dementia.…”

Carotid bruit on an orthopaedic preoperative exam

“…Cardiovascular functional assessment is made more difficult as activity decreases. 15 It is essential, therefore, that the PCP qualify the patient's activity level by asking specific questions such as the ability to climb a flight of stairs, carry a bag of groceries, or walk a block without developing chest pain, fatigue, or shortness of breath. A patient scheduled for lower extremity joint replacement surgery may attribute a decrease in her activity level solely to the pain and decreased mobility associated with the arthritic process, not an underlying medical condition.…”