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Preoperative care aims to do whatever is right to increase the success of the surgery. At some point before the operation, the healthcare provider will assess the fitness of the person to have surgery. This assessment should include whatever tests are indicated, but not include screening for conditions without an indication.
On the positive side, if a patient experiences moderate amounts of anxiety, the anxiety can aid in the preparation for surgery. [1] On the negative side, the anxiety can cause harm if the patient experiences an excessive or diminutive amount. One reason for this is that small amounts of anxiety will not adequately prepare the patient for pain. [1]
Prehabilitation interventions are tailored to the patient so that even those with high amounts of comorbidities can receive a positive outcome. Research evidence is mixed, but suggests that prehabilitation reduces hospital stays and therefore risk of hospital acquired infections such as pneumonia .
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The circulating nurse is a perioperative nurse who assists in managing the nursing care of a patient during surgery. The circulating nurse observes for unintended breaches in surgical asepsis and coordinates the additional needs of the surgical team, such as procuring extra instruments, monitor operating room conditions, and liaising the ...
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Patients may be admitted on the day of surgery if the pre-op work-up is done in the pre-anesthetic clinic or may come into hospital one or more days before surgery. As of 2017, there was insufficient quality evidence to support the use of pre-operative physiotherapy in older adults undergoing total knee arthroplasty. [14]