In addition to conducting a complete history and physical examination of the patient, the following assessments are strongly recommended: |
Assess the patient's cognitive ability and capacity to understand the anticipated surgery. |
Screen the patient for depression. |
Identify the patient's risk factors for developing postoperative delirium. |
Screen for alcohol and other substance abuse/dependence. |
Perform a preoperative cardiac evaluation according to the American College of Cardiology/American Heart Association algorithm for patients undergoing noncardiac surgery. |
Identify the patient's risk factors for postoperative pulmonary complications and implement appropriate strategies for prevention. |
Document functional status and history of falls. |
Determine baseline frailty score. |
Assess patient's nutritional status and consider preoperative interventions if the patient is at severe nutritional risk. |
Take an accurate and detailed medication history and consider appropriate perioperative adjustments. Monitor for polypharmacy. |
Determine the patient's treatment goals and expectations in the context of the possible treatment outcomes. |
Determine patient's family and social support system. |
Order appropriate preoperative diagnostic tests focused on older patients. |
Determine venue for surgery. |
Do you want to add Medilib to your home screen?