Gerioperative Nursing Care

"e;The authors of this book share decades of geriatric perioperative nursing care experience with readers in a thorough, systematic manner....[This book] would be an excellent addition to the library of any health care professional, especially a perioperative nurse, who provides care to older adults."e;--AORN Journal, the official publication of the Association of Perioperative Registered Nurses"e;This is a solid, well thought out book. The text has a clarity and focus which enhances understanding of the topics presented. It is particularly notable for crisp reading and uncomplicated, meaningful illustrations. Kudos to the authors for presenting such a medically solid book without losing the art of nursing care or the vision of a well tended patient."e;--Nursing NewsThis timely volume introduces gerioperative care, a new model of surgical care for the elderly designed to improve surgical outcomes and prevent complications through a focus on communication and relationship-centered care. It is the only book to specifically address the care of older adults undergoing surgery, providing practitioners with critical, practical, and theoretical information from the initial decision to have surgery through the first follow-up visit post-discharge. The text includes the anatomy and physiology of aging, preoperative care, intraoperative and post-anesthesia care, postoperative care, returning home, risk appraisal, education, prevention, early intervention, multidisciplinary team collaboration, and effective communication across all systems of care. Gerioperative Nursing Care is an essential resource for students and practitioners of surgical, critical/acute care, and geriatric nursing, along with clinical and case managers. The tools presented help to sustain and enhance quality nursing care for older adults considering surgery, undergoing surgery, and during post-surgery visits.Key Features Presents a comprehensive new gerioperative care model for older adults undergoing surgery Follows patient from primary to follow up care, including hospital care, ambulatory care, emergency and elective surgery, and perioperative care Applies primary, secondary, and tertiary care concepts to surgery Presents innovative focus on case management, with new care guidelines Provides new applications in preoperative training, family coaching, and post-operative cognitive dysfunction prevention Describes how to make quality improvements in current surgical care practices Identifies and discusses major health problems of older adults through EBP Includes case studies with discussion questions

"SECTION I. Gerioperative Care
Overview of Gerioperative Care
Geriatric surgery
Making the surgical decision and informed consent
Ethical and legal issues
Coaching a coach: Facilitating communication and information
SECTION II. Aging anatomy and physiology: Maintaining function
General function
Cardiovascular function
Respiratory function
Musculoskeletal function
Endocrine and hematologic function
Renal function
Neurologic and sensory function
Mental function and cognition
SECTION III. Preoperative gerioperative care
Preoperative assessment and teaching
Training for surgery
Inpatient, ambulatory and emergency surgery
SECTION IV. Intraoperative gerioperative care
Geriatric anesthesia
Care and comfort in the OR
Outcomes of regional and general anesthesia
SECTION V. Post-anesthesia and post operative gerioperative care
Facilitating transition and trajectory
Physiologic care
Managing acute and chronic pain
Restoring activity and mobility
Minimizing delirium, depression, and post operative cognitive dysfunction
SECTION VI. Post hospital gerioperative care
Discharge readiness
Home based care
The follow up visit
SECTION VII. Special Topics in Gerioperative Care
Quality improvement and gerioperative care
Education and research
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