Payton Paris, Shook Jeffrey E
Department of Podiatric Surgery, St. Vincent Charity Medical Center, 2351 East 22nd Street, Cleveland, OH 44115, USA.
Department of Podiatric Surgery, St. Vincent Charity Medical Center, 2351 East 22nd Street, Cleveland, OH 44115, USA.
Clin Podiatr Med Surg. 2019 Jan;36(1):131-140. doi: 10.1016/j.cpm.2018.08.006. Epub 2018 Oct 26.
Surgical treatment of the elderly can be a very difficult and complex endeavor. Appropriate and thorough evaluation of this group of patients is essential to identify surgical candidates who may be at increased risk for developing age-related problems, such as cognitive impairment or postoperative delirium. Involvement of family members and ancillary caregivers is ideal. In order to optimize surgical results, communication of goals of surgery and expectations of patients in order to achieve these goals is paramount. Physical therapy assessment of the elderly will give input on patients' capacity to perform needed changes in ambulatory status after surgery.
对老年人进行手术治疗可能是一项非常困难和复杂的工作。对这组患者进行恰当而全面的评估，对于识别那些可能面临与年龄相关问题（如认知障碍或术后谵妄）风险增加的手术候选者至关重要。让家庭成员和辅助护理人员参与是理想的做法。为了优化手术效果，沟通手术目标以及为实现这些目标患者的期望至关重要。对老年人进行物理治疗评估，将有助于了解患者术后在行走状态方面进行必要改变的能力。
