Description
The book provides current principles and practices for integrating geriatric management with surgical and perioperative care. The book discusses the science of aging and how this impacts surgery and surgical considerations. It focuses on the concepts of frailty and sarcopenia accompanying surgical patients. It also provides insights into the optimal model of care for surgical patients with reduced functional reserves and specific considerations on what should be considered optimal outcomes and how to achieve them.
With rapidly aging populations, surgical and perioperative care teams are presented with patients of increasing median ages. The chapters cover current surgical practice incorporating management of geriatric issues for holistic and effective surgical care where value is captured by the patient and explain how to deal not only with the pathology of the surgical issues but also with the aging person within which the surgical pathology resides. Each chapter provides helpful take-home messages. The book is written by experienced surgeons, physicians, anesthetists, oncologists, nursing, and allied health professionals.
This book is beneficial for surgeons, surgical trainees, perioperative physicians, trainees of anesthesia, geriatric medicine, and perioperative medicine.
Table of Contents
1. Understanding the Older Person that Needs Surgery.- 2. Frailty in the Context of Surgery.- 3. Geriatric Assessment Models for the Frail Older Person.- 4. Sarcopenia and its Impact on Surgical Outcomes.- 5. The Importance of Functional Recovery After Surgery.- 6. Pharmaceutical Reconciliation and Surgery.- 7. Anaesthesia in the Older Person.- 8. Pain Control in the Older Person.- 9. Cognitive impairment and Surgical Care in Geriatric Patients.- 10. Nursing Strategies for Older Perioperative Patients.- 11. Minimally invasive surgery in the older population: Challenges and Opportunities.- 12. Strategies for Older Patients Undergoing Breast Surgery.- 13. Strategies for Older Patients Undergoing Colorectal Surgery.- 14. Strategies for Older Patients Undergoing Upper Gastrointestinal Surgery.- 15. Strategies for Older Patients Undergoing Emergency Surgery.- 16. Driving Quality, Consistency and Value in Surgery for Older Patients.- 17. Value Based Outcomes Measurement for Surgical Care Teams.- 18. Consent and Autonomy.- 19. Rational Approach to Surgery in Older Persons.- 20. Addressing the Person Who Needs Surgical Management.
