Outpatient Surgery Magazine

Thumbs Up on Safety Scalpels - May 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1118620

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Page 26 of 112

Always educate We're on a mission to educate our patients and help them get back to their pre-surgery lives as soon as possible. Working at a surgical facili- ty, you play a critical role in giving patients and their families guid- ance about what to expect after surgery. Anything you can do to reduce the risk of post-op delirium and cognitive disorders in your older patients will have a direct impact on our health- care system by reducing readmissions, medication errors and other prob- lems that arise when patients' post-op complications go undiagnosed. OSM Dr. Fleisher (lee.fleisher@uphs.upenn.edu) is chair of the American Society of Anesthesia's ad hoc committee on Brain Health Initiative (asahq.org/brainhealthinitiative) and chair of anesthesiology and critical care at the University of Pennsylvania Perelman School of Medicine in Philadelphia, Pa. M A Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 2 7 1. Conduct a pre-surgery cognitive test. The physician can use the results as a baseline for comparison after surgery. 2. Be sure a caregiver, family member or friend stays or can visit with the patient during recovery, carefully observing physical and mental activity after surgery. 3. Patients should check with the physician before taking medica- tions after surgery that can affect their nervous system, such as those for anxiety, seizures, muscle spasms or sleep difficulties. 4. Make hearing aids or glasses available as soon as possible after the procedure. 5. Make a room with a window available for recovery, so patients can tell whether it's day or night. Providing patients with per- sonal items, such as family photos, will help to reorient them. SOURCE: American Society of Anesthesiologists 5 Tips to Prevent Confusion in Older Patients PREVENTABLE DAZE

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