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Checklist for the optimal preoperative assessment of the geriatric surgical patient

Checklist for the optimal preoperative assessment of the geriatric surgical patient
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.
Original figure modified for this publication. From: Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. J Am Coll Surg 2012; 215:453. Table used with the permission of Elsevier, Inc. All rights reserved.
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