In addition to conducting a complete history and physical examination of the patient, the following assessments are strongly recommended: |
Assess the patient's cognitive ability and capacity to understand the anticipated surgery. |
Screen the patient for depression. |
Identify the patient's risk factors for developing postoperative delirium. |
Document history of falls. |
Determine baseline frailty score. |
Assess patient's nutritional status and consider preoperative interventions if the patient is at severe nutritional risk. |
Monitor for polypharmacy. |
Determine the patient's treatment goals and expectations in the context of the possible treatment outcomes. |
Determine patient's family and social support system. |
Order appropriate preoperative diagnostic tests focused on older patients. |