{"id":115,"date":"2022-12-19T15:42:21","date_gmt":"2022-12-19T15:42:21","guid":{"rendered":"https:\/\/perioperative1003.slc-courses.ca\/?p=115"},"modified":"2023-01-04T12:45:14","modified_gmt":"2023-01-04T12:45:14","slug":"module-1-c-considerations-when-caring-for-geriatric-patients-in-the-or","status":"publish","type":"post","link":"https:\/\/perioperative1003.slc-courses.ca\/?p=115","title":{"rendered":"Module 1: C. Considerations when Caring for Geriatric Patients in the OR"},"content":{"rendered":"\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<h2>Considerations when Caring for Geriatric Patients in the OR<\/h2>\n\n\n\n<p>The baby boom population began to turn 65 in 2011. That means that in 2022, the baby boomer generation is in their mid 70s.<\/p>\n\n\n\n<p>Although there have been many improvements in technology and medicine, age remains a significant risk factor within surgical care. 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transform-origin: 243.563px 285.869px;\" id=\"elniaar51dvm8\" class=\"animable\"><\/path><path d=\"M286.33,284.54l-5-29.22c-2.86-16.45,2.85-27.53,9.23-25.68s11.08,1,14.27,27c1.42,11.57,2.57,22.85,3.42,31.81a15.82,15.82,0,0,1-17,17.24l-17.72-1.45a32.25,32.25,0,0,1-14.94-5.07l-.68-.44c4-9.26-1.56-14.59-1.56-14.59h0A20.07,20.07,0,0,1,268.5,282Z\" style=\"fill: rgb(69, 90, 100); transform-origin: 282.334px 267.589px;\" id=\"el8vb295qezp5\" class=\"animable\"><\/path><\/g><defs>     <filter id=\"active\" height=\"200%\">         <feMorphology in=\"SourceAlpha\" result=\"DILATED\" operator=\"dilate\" radius=\"2\"><\/feMorphology>                <feFlood flood-color=\"#32DFEC\" flood-opacity=\"1\" result=\"PINK\"><\/feFlood>        <feComposite in=\"PINK\" in2=\"DILATED\" operator=\"in\" result=\"OUTLINE\"><\/feComposite>        <feMerge>            <feMergeNode in=\"OUTLINE\"><\/feMergeNode>            <feMergeNode in=\"SourceGraphic\"><\/feMergeNode>        <\/feMerge>    <\/filter>    <filter id=\"hover\" height=\"200%\">        <feMorphology in=\"SourceAlpha\" result=\"DILATED\" operator=\"dilate\" radius=\"2\"><\/feMorphology>                <feFlood flood-color=\"#ff0000\" flood-opacity=\"0.5\" result=\"PINK\"><\/feFlood>        <feComposite in=\"PINK\" in2=\"DILATED\" operator=\"in\" result=\"OUTLINE\"><\/feComposite>        <feMerge>            <feMergeNode in=\"OUTLINE\"><\/feMergeNode>            <feMergeNode in=\"SourceGraphic\"><\/feMergeNode>        <\/feMerge>            <feColorMatrix type=\"matrix\" values=\"0   0   0   0   0                0   1   0   0   0                0   0   0   0   0                0   0   0   1   0 \"><\/feColorMatrix>    <\/filter><\/defs><\/svg>\n<\/div>\n<\/div>\n\n\n\n<p>When evaluating a geriatric patient for surgery, it is important to consider <a id=\"post-72-_Int_NmwGTE2a\"><\/a>numerous<a id=\"post-72-_Int_X2Nvs9qg\"><\/a> factors. Click on the links below to learn more:<\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-7\" class=\"h5p-iframe\" data-content-id=\"7\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 1: Considerations when Caring for Geriatric Patients in the OR\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Perioperative Considerations for Geriatric Patients<\/h5>\n\n\n\n<p>When preparing to care for an older adult patient, it is important to consider the anatomical and physiologic changes.<\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-6\" class=\"h5p-iframe\" data-content-id=\"6\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 1: Perioperative Considerations for Geriatric Patients\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Delirium and Cognitive Impairment in the Elderly<\/h5>\n\n\n\n<p>Acute cognitive impairments can occur when elderly patients are under stress, in pain, or have changes to their medications. Delirium has been shown to occur in more than 80% of elderly patients in the intensive care unit and over 50% of hospitalized patients near <a id=\"post-72-_Int_IxMU0Owd\"><\/a>the end of life. Delirium can be related to poorer outcomes and increased hospital stays<a id=\"post-72-_Int_wBQ8U19i\"><\/a>. Delirium in older adults can be demonstrated by agitation, aggressiveness, and paranoia.<\/p>\n\n\n\n<p><a id=\"post-72-_Int_MptQe2xS\"><\/a> Older adults may also have chronic cognitive impairments such as dementia or depression, which can make it challenging to communicate, especially when bringing the patient to the OR.<\/p>\n\n\n\n<p><strong>Strategies to support an elderly patient in the OR who may have an acute or chronic cognitive impairment include:<\/strong><\/p>\n\n\n\n<div class=\"slider\">\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-11.png\" width=\"25%\">\n            <p class=\"slide-description\">Approaching them slowly and not from behind<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-12.png\" width=\"25%\">\n            <p class=\"slide-description\">Identifying yourself clearly<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-13.png\" width=\"25%\">\n            <p class=\"slide-description\">Ensuring the OR and assessment areas are quiet and well lit. Remove all distractions<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-14.png\" width=\"25%\">\n            <p class=\"slide-description\">Ensuring you have the patient\u2019s attention before beginning to talk<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-15.png\" width=\"25%\">\n            <p class=\"slide-description\">Only asking one question at a time. Be noticeably clear and ready to rephrase<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-16.png\" width=\"25%\">\n            <p class=\"slide-description\">Gesturing, showing words or pictures to explain<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-17.png\" width=\"25%\">\n            <p class=\"slide-description\">Paying attention to the patient\u2019s body language<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-18.png\" width=\"25%\">\n            <p class=\"slide-description\">Talking slowly, being patient<\/p>\n        <\/div>\n    <\/div>\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n            <img src=\"https:\/\/perioperative1003.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-72-19.png\" width=\"25%\">\n            <p class=\"slide-description\">Being ready to repeat<\/p>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n\n<p>(Allen, 2019)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Differences in the Operating Room When Caring for a Geriatric Patient<\/h5>\n\n\n\n<p>Anesthesia \u2013 Because <a id=\"post-72-_Int_5DNwgoF7\"><\/a>of physiological changes in the elderly patient, there are multiple considerations for the anesthesia care provider and circulating nurse, including:<\/p>\n\n\n\n<ol><li>Other diseases\/medical conditions that may be unstable or affected by the anesthetic being provided.<\/li><li>Decreased mobility of the patient may make positioning the airway more difficult.<\/li><li>Changes in airway anatomy may make intubation more difficult.<\/li><li>Potential alterations to cardiac and respiratory reserves.<\/li><\/ol>\n\n\n\n<p>Fluids \u2013 The older adult is <a id=\"post-72-_Int_BE6hbXJM\"><\/a>overly sensitive to fluid volume changes which can lead to impaired respiratory function, swelling of extremities and even heart failure. Fluid volume excess can easily occur when providing fluid replacement intraoperatively. It is essential to monitor fluid losses carefully.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83d\udcfd\ufe0f AORN CINE-MED VIDEO&nbsp;<\/h5>\n\n\n\n<p>Navigate to the <a rel=\"noreferrer noopener\" href=\"https:\/\/cine-med.com\/aornonline\/index.php\" target=\"_blank\">AORN Cine-Med website<\/a> and make sure that you are logged in before clicking on the link below.&nbsp;<\/p>\n\n\n\n<ul><li>Watch the AORN Cine-Med Videos on Perioperative care of the older adult <a href=\"https:\/\/cine-med.com\/aornonline\/overview.php?cat=7&amp;id=2003\" target=\"_blank\" rel=\"noreferrer noopener\">Part 1: advanced directives and patient priorities<\/a> and Perioperative care of the older adult <a href=\"https:\/\/cine-med.com\/aornonline\/overview.php?cat=7&amp;id=2004\" target=\"_blank\" rel=\"noreferrer noopener\">Part 2: Addressing patient conditions and intraoperative concerns<\/a><\/li><li>Download the included Study Guides to follow along.<\/li><li>Runtime \u2013 part 1 &#8211; 17minutes; part 2 \u2013 20 minutes<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Considerations when Caring for Geriatric Patients in the OR The baby boom population began to turn 65 in 2011. That means that in 2022, the baby boomer generation is in their mid 70s. Although there have been many improvements in technology and medicine, age remains a significant risk factor within surgical care. Pre-operative assessment and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[12],"tags":[],"wf_post_folders":[3],"_links":{"self":[{"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/115"}],"collection":[{"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=115"}],"version-history":[{"count":3,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/115\/revisions"}],"predecessor-version":[{"id":380,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/115\/revisions\/380"}],"wp:attachment":[{"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=115"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1003.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}