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At some point before surgery a health care provider conducts a preoperative assessment to verify that a person is fit and ready for the surgery. [ 1 ] [ 2 ] For surgeries in which a person receives either general or local anesthesia, this assessment may be done either by a doctor or a nurse trained to do the assessment. [ 2 ]
Frail elderly people are at significant risk of post-surgical complications and the need for extended care. Frailty more than doubles the risk of morbidity and mortality from surgery and cardiovascular conditions. [59] Assessment of older patients before elective surgeries can accurately predict the patients' recovery trajectories. [60]
The body's inflammatory response to surgery likely plays an important role, at least in elderly patients. Various research initiatives during recent years have evaluated whether actions taken before, during and after surgery can lessen the possible deleterious effects of inflammation. For example, anti-inflammatory agents can be given before ...
Strong for Surgery (S4S) is a public health campaign and quality improvement (QI) initiative developed and launched by the University of Washington in Washington State in 2012. [1] Strong for Surgery was developed by the Comparative Effectiveness Research Translation Network (CERTAIN) and informed by data from the Surgical Care and Outcomes ...
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Palliative care (from Latin root palliare "to cloak") is an interdisciplinary medical caregiving approach aimed at optimising quality of life and mitigating or reducing suffering among people with serious, complex, and often terminal illnesses. [1] Many definitions of palliative care exist. The World Health Organization (WHO) describes ...
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Surgery to cut the adhesions (capsular release) may be indicated in prolonged and severe cases; the procedure is usually performed by arthroscopy. Surgical evaluation of other problems with the shoulder, e.g., subacromial bursitis or rotator cuff tear, may be needed. Resistant adhesive capsulitis may respond to open release surgery.