Geriatrik Cerrahide Ameliyat Sürecindeki Güncel Yaklaşımlar

Yıl 2021, , 418 - 426, 26.12.2021

Havva Kara , Emel Yılmaz

https://doi.org/10.38108/ouhcd.916306

Cited By: 1

Öz

Dünya çapında ve ülkemizde artmakta olan geriatrik hasta sayısı ile beraber geriatrik cerrahiye duyulan ilgi ve ihtiyaç da artmaktadır. Bu hastaların pek çoğu, cerrahiye neden olan hastalık dışında birçok kronik hastalığa da sahiptir. Hastalar rutin ameliyat öncesi, sırası ve sonrası bakımın yanısıra daha kapsamlı bir hemşirelik bakımına ihtiyaç duymaktadırlar. Ayrıca geriatrik cerrahi hastalarında komplikasyonların ve hastaneye tekrar yatışların en aza indirgenmesi ve mortalite oranlarının azalması için bakımda güncel bilgilerin takip edilmesi ve kullanılması gerekmektedir. Bu makalede, geriatrik cerrahi hastalarının ameliyat süreci boyunca hemşirelik bakımına ilişkin güncel bilgiler tartışılmıştır.

Anahtar Kelimeler

Geriatri, geriatrik cerrahi, geriatri hemşireliği

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Current Approaches in the Surgery Process in Geriatric Surgery

Öz

While the increasing number of geriatric patients worldwide and in our country the interest and need for geriatric surgery is also increasing. Many of these patients also have many chronic diseases, except for the disease that causes surgery. Patients need a more comprehensive nursing care in addition to routine preoperative, intraoperative and postoperative care. In addition, current information should be followed and used in care in order to minimize complications and re-hospitalizations and decrease mortality rates for geriatric surgery patients. In this article, current information in nursing care of geriatric surgery patients during the operation process was discussed.

Anahtar Kelimeler

Geriatric, geriatric surgery, geriatric nursing

Proje Numarası

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Kaynakça

• Aceto P, Antonelli Incalzi R, Bettelli G, Carron M, Chiumiento F ve ark. (2020). Perioperative management of elderly patients (PriME): recommendations from an Italian intersociety consensus. Aging Clinical And Experimental Research, 32(9), 1647–1673.
• Association of Perioperative Registered Nurses (AORN) position statement on care of the older adult in perioperative settings. (2015). AORN Journal, 101(4), 460-463.
• Aseni P, Orsenigo S, Storti E, Pulici M, Arlati S. (2019). Current concepts of perioperative monitoring in high-risk surgical patients: A review. Patient Safety in Surgery, 13, 32.
• Ayan SF, Dağtekin T. (2020). Geriatrik cerrahide güncel yaklaşımlar. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, 12, 460-474.
• Aygin D. (2016). Bulantı ve kusma. Yoğun Bakım Hemşireliği Dergisi, 20(1), 44-56.
• Bettelli G, Maggi S. (2018). Decision-making about surgery in the elderly. Aging Clinical and Experimental Research, 30(3), 225–227.
• Bettelli G. (2011). Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history. Minerva Anestesiologica, 77(6), 637–46.
• Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T ve ark. (2016). Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. The journal of Pain, 17(2), 131-157.
• Devalapalli AP, Kashiwagi DT. (2020). Perioperative care of geriatric patients. Hospital Practice (1995), 48(sup1), 26–36.
• Elvir-Lazo OL, White PF, Yumul R, Cruz Eng H. (2020). Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review. F1000Research, 9 (Faculty Rev), 983.
• Fawcett WJ, Thomas M. (2019). Pre-operative fasting in adults and children: clinical practice and guidelines. Anaesthesia, 74(1), 83–88.
• Gan TJ, Belani KG, Bergese S, Chung F, Diemunsch P, Habib AS ve ark. (2020). Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesthesia and Analgesia, 131(2), 411–448.
• Hebert C. (2018). Evidence-based practice in perianesthesia nursing: application of the American Geriatrics Society clinical practice guideline for postoperative delirium in older adults. american Society of PeriAnesthesia Nurses, 33(3), 253–264.
• Heming N, Moine P, Coscas R, Annane D. (2020). Perioperative fluid management for major elective surgery. British Journal of Surgery, 107(2), e56–e.
• Miskovic A, Lumb AB. (2017). Postoperative pulmonary complications. British Journal of Anaesthesia, 118(3), 317–334.
• Hohenberger H, Delahanty K. (2015). Patient-centered care--enhanced recovery after surgery and population health management. AORN journal, 102(6), 578–583.
• Kronzer VL, Wildes TM, Stark SL, Avidan MS. (2016). Review of perioperative falls. British Journal of Anaesthesia, 117(6), 720–732.
• LeLaurin JH, Shorr RI. (2019). Preventing falls in hospitalized patients: State of the Science. Clinics in Geriatric Medicine, 35(2), 273–283.
• Link T. (2020). Guidelines in practice: hypothermia prevention. AORN Journal, 11(6), 653–666.
• Liu J, Ma C, Elkassabany N, Fleisher L, Neuman M. (2013). Neuraxial anesthesia decreases postoperative systemic infection risk compared with general anesthesia in knee arthroplasty. Anesthesia Analgesia, 117, 1010-1016.
• Manworren R.C. (2015). Multimodal pain management and the future of a personalized medicine approach to pain. AORN Journal, 101(3), 308–318.
• Miskovic A, Lumb AB. (2017). Postoperative pulmonary complications. British Journal of Anaesthesia, 118(3), 317–334.
• Mohanty S, Rosenthal RA, Russell MM, Neuman MD, Ko CY, Esnaola NF. (2016). Optimal perioperative management of the geriatric patient: a best practices guideline from the american college of surgeons NSQIP and the American Geriatrics Society. Journal of the American College of Surgeon, 222(5), 930-947.
• Neuman MD, Rosenbaum PR, Ludwig JM, Zubizarreta JR, Silber JH. (2014). Anesthesia technique, mortality, and length of stay after hip fracture surgery. JAMA. 311(24), 2508-2517.
• Oh ST, Park JY. (2019). Postoperative delirium. Korean Journal of Anesthesiology, 72(1), 4–12.
• Olotu C, Weimann A, Bahrs C, Schwenk W, Scherer M, Kiefmann R. (2019). The perioperative care of older patients. Deutsches Arzteblatt International, 116(5), 63–69.
• Payton P, Shook JE. (2019). Perioperative understanding of geriatric patients. Clinics in Podiatric Medicine and Surgery, 36(1), 131–140.
• Pearce L, Bunni J, McCarthy K, Hewitt J. (2016). Surgery in the older person: training needs for the provision of multidisciplinary care. Annals of the Royal College of Surgeon of England, 98(6), 367‐370.
• Rajan J, Behrends M. (2019). Acute pain in older adults: recommendations for assessment and treatment. Anesthesiology Clinics, 37(3), 507–520.
• Riley C, Andrzejowski J. (2018). Inadvertent perioperative hypothermia. BJA Education 18(8), 227-233.
• Schlitzkus LL, Melin AA, Johanning JM, Schenarts PJ. (2015). Perioperative management of elderly patients. The Surgical Clinics of North America, 95(2), 391–415.
• Sellers D, Srinivas C, Djaiani G. (2018). Cardiovascular complications after non-cardiac surgery. Cardiovascular complications after non-cardiac surgery. Anaesthesia, 73(Suppl 1), 34–42.
• Sullivan D, Lyons M, Montgomery R, Quinlan-Colwell A. (2016). Exploring opioid-sparing multimodal analgesia options in trauma: A nursing perspective. Journal of Trauma Nursing, 23(6), 361–375.
• Şahin AD ve Demiraran Y. (2018). ERAS ve geriatrik hasta. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 10 (Ek sayı), 53-55.
• Ulukan U. (2020). Türkiye’de demografik dönüşüm ve yaşlı işçiler. Fiscaoeconomi 4(1), 94-110.
• Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S ve ark. (2017). ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition, 36(3), 623-650.
• Wolfe JD, Wolfe NK, Rich MW. (2020). Perioperative care of the geriatric patient for noncardiac surgery. Clinical Cardiology, 43(2), 127–136.