Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-25T00:38:24.188Z Has data issue: false hasContentIssue false
  • English
  • Français

Older People with Dementia in the Perioperative Care Environment: Key Issues for Perioperative Nursing

Published online by Cambridge University Press:  01 August 2011

Alice Coffey
Alice Coffey*
Affiliation:
Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
*
Correspondence to: Dr A. Coffey, College Lecturer, Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland. Tel: +353214901459; Fax: +353214901493; E-mail: a.coffey@ucc.ie
Get access

Abstract

Ageing is a normal process and much diversity exists in the physical, psychosocial and spiritual needs of older individuals. While many older people remain independent active and well, there is a rise in the prevalence of dementia. Developments in surgical techniques and improved patient outcomes have resulted in larger numbers of older people now undergoing surgery. However, age-related risks and complexities persist including the existence of cognitive impairment and dementia. Perioperative care of older patients with dementia provides additional challenges for nurses and other healthcare professionals. This paper discusses the unique care needs of older people with dementia and the role of perioperative nurses in meeting these needs.

Keywords

DementiaPerioperative nursingOperating theatreOlder peopleSurgery
Type
Education
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 12 , Issue 3-4 , August 2011 , pp. 45 - 49
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alzheimer's Society of Ireland 2011. Irish statistics (online). Retrieved 28 September 2011, from http://www.alzheimer.ie/eng/Media-Centre/Facts-About-Dementia/Irish-StatisticsGoogle Scholar
Alzheimer's Association U.S. 2011. 10 signs of Alzheimer's (online). Retrieved 28 September 2011, from http://www.alz.org/alzheimers_disease_10_signs_of_alzheimers.aspGoogle Scholar
Alzheimer's Society UK (online) 2011. Retrieved 28 September 2011, from http://alzheimers.org.uk/site/scripts/documents_info.php?documentID=412Google Scholar
Börsch-Supan, A. European welfare state regimes and their generosity toward the elderly. Working Paper no. 479, The Levy Economics Institute, Mannheim Research Institute for the Economics of Aging (MEA), University of Mannheim, Germany, 2006.Google Scholar
Buckwalter KC and Buckwalter JA. Seeing older perioperative patients in 3-D: when your patient is demented, delirious, or depressed. Operative Techniques in Orthopaedics 2002; 12(2): 64–71.Google Scholar
Central Statistics Office (CSO) 2010. Irish population statistics (online). Retrieved 28 September 2011, from http://www.cso.ie/en/index.htmlGoogle Scholar
Dementia Ireland (online) 2011. What is Dementia? Retrieved 28 September 2011, from http://www.dementia.ie/Google Scholar
Draper, B, Karmel, R, Gibson, D, Peut, A, Anderson, P. The Hospital Dementia Services Project: age differences in hospital stays for older people with and without dementia. International Psychogeriatrics 2011; 9: 1–10.Google Scholar
Fahey, T, Maitre, B, Nolan, B, Whelan, CT. A Social Portrait of Older People in Ireland. Dublin: Government Stationary Office, 2007, 28–29.Google Scholar
Fetzer, J. Dementia a complex symptom. Journal of PeriAnesthesia Nursing 1999; 14(4): 228–334.Google Scholar
Gerdner, L, Buckwalter, K, Reed, D. Impact of a psychoeducational intervention on caregiver response to behavioral problems. Nursing Research 2002; 51: 363–374.CrossRefGoogle ScholarPubMed
Harari, D, Hopper, A, Dhesi, J, Babic-Illman, G, Lockwood, L, Martin, F. Proactive care of older people undergoing surgery (‘POPS’): designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients. Age and Ageing 2007; 36: 190–196.Google Scholar
Morrison, RS, Siu, AL. Survival in end-stage dementia following acute illness. JAMA 2000; 284(1): 47–52.CrossRefGoogle ScholarPubMed
Ng, TP, Niti, M, Chiam, P, Kua, E. Prevalence and correlates of functional disability in multiethnic elderly Singaporeans. Journal of the American Geriatric Society 2006; 54(1): 21–29.CrossRefGoogle ScholarPubMed
O'Connell, B, Gardner, A, Takase, M, Hawkins, MT, Ostaszkiewicz, J, Ski, C, Josipovic, P. Clinical usefulness and feasibility of using Reality Orientation with patients who have dementia in acute care settings. International Journal of Nursing Practice 2007; 13: 182–192.Google Scholar
O'Shea, E. Implementing Policy for Dementia Care in Ireland: the Time for Action is Now. Dublin: Alzheimer's Society of Ireland, 2007, 10–11.Google Scholar
Redfern, SJ, Ross, FM. Nursing Older People, 3rd edn. London: Churchill Livingstone, 1999, 525–565.Google Scholar
Reed, P, Tilly, J. Dementia care practice recommendations for nursing homes and assisted living, phase 1: dementia care fundamentals, food and fluid consumption, pain management, and social engagement. Alzheimer's Care Today 2008; 9(1): 33–41.Google Scholar
Saufl, NM. Preparing the older adult for surgery and anesthesia. Journal of PeriAnesthesia Nursing 2004; 19(6): 372–378.Google Scholar
Tvanderweyde, T, Bednar, MM, Forman, SA, Wolozin, B. Iatrogenic risk factors for Alzheimer's disease: surgery and anesthesia. Journal of Alzheimers Disease 2010; 22(S3): 91–104.CrossRefGoogle Scholar
Williams, AS. Perianaesthesia care of the Alzheimer's patient. Journal of PeriAnesthesia Nursing 2009; 24(6): 343–347.CrossRefGoogle Scholar
Williams, MM, Roe, CM, Morris, JC. The stability of clinical dementia rating. Archives of Neurology 2009; 66(6): 773–777.Google Scholar