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Geriatric Surgical Quality and Wellness

  • Daniel J. Galante
  • JoAnn Coleman
  • Mark R. Katlic
Chapter

Abstract

Geriatric surgical patients are a unique subset of the surgical population. This is not because they have different pathological problems requiring surgical intervention, but because there are certain geriatric “syndromes” that add layers of complexity to perioperative care. As the general population becomes older, more and more patients will present with these syndromes, thus creating a greater need for recognition and adjustment of perioperative care. Frailty, problems with cognition, polypharmacy, decreased mobility and falls, nutritional problems, decreased function and ability to perform activities of daily living, circumstances surrounding goals of life and care, depression and seclusion, and the cumulative effect of comorbid conditions are all common geriatric syndromes. Additionally, caregiver burden is an important element to consider in the care of the older surgical patient. Here we present how these common syndromes and the burden on caregivers relate to basic tenets of surgical care for the geriatric population (the Principles).

Keywords

Geriatric Surgery Perioperative Caregiver burden Geriatric syndromes Frailty 

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Daniel J. Galante
    • 1
  • JoAnn Coleman
    • 2
  • Mark R. Katlic
    • 3
  1. 1.Department of SurgerySinai Hospital of BaltimoreBaltimoreUSA
  2. 2.Sinai Center for Geriatric Surgery, Department of SurgerySinai HospitalBaltimoreUSA
  3. 3.Department of SurgerySinai HospitalBaltimoreUSA

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