Document Detail

Discharge planning for the elderly ambulatory surgical patient.
MedLine Citation:
PMID:  15801349     Owner:  NLM     Status:  MEDLINE    
Discharge planning for the elderly ambulatory surgery patient should begin as soon as the patient's procedure is booked. Successful discharge planning relies on 1) comprehensive preoperative assessment; 2) effective communication among the surgical facility's caregivers, the physician's office, the patient, and the family; 3) consideration of the patient's preoperative status; and 4) a strong patient and family education plan. The challenges of planning the aftercare are compounded by the physical, social, financial, cognitive, and sensory changes related to the normal aging process as well as to systemic diseases, which are more prevalent in the older population than in younger patients. The elderly patient's discharge plan should identify and address age-related barriers to communication, incorporate the patient's existing physical and medical condition, diminish the negative effects of social support challenges, and address environmental issues that can be improved to support recovery. The elderly population often deals with the imperfect: isolation from family or friends, aging bodies, hearing and visual loss, financial limitations, and emotional challenges. Although the nurse cannot reverse these challenges of old age, he or she can still make a difference by providing guidance and resources to blunt the potential complications of surgery and anesthesia.
Nancy Burden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses     Volume:  19     ISSN:  1089-9472     ISO Abbreviation:  J. Perianesth. Nurs.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-04-01     Completed Date:  2005-05-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9610507     Medline TA:  J Perianesth Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  N    
Morton Plant Health Services, Clearwater, FL, USA.
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MeSH Terms
Age Factors
Ambulatory Surgical Procedures / nursing*
Interdisciplinary Communication
Nursing Assessment
Patient Discharge*
Patient Education as Topic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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