dc.contributor.advisor | Matheson, Linda | en |
dc.contributor.advisor | Bressie, Marylee | en |
dc.contributor.advisor | Hoffman, Nancy | en |
dc.contributor.author | Andrews, Lucy | en |
dc.date.accessioned | 2016-12-21T21:47:25Z | |
dc.date.available | 2016-12-21T21:47:25Z | |
dc.date.issued | 2016-12-21 | |
dc.identifier.uri | http://hdl.handle.net/10755/621170 | |
dc.description | <p>This evidence-based performance improvement project was to implement a change in nursing practice through the identification of patients at risk for delirium before surgery so that increased monitoring could be instituted to decrease the onset of delirium. Additional benefits included enhanced knowledge gained by the nursing staff through the educational information, nurse adherence to using the screening tool, and decreasing the incidence of delirium in older patients who have orthopedic surgery.</p> | en |
dc.description.abstract | <p>People 65 years or older are having surgery later in life and are at risk of developing a major postoperative complication, delirium. The Montreal Cognitive Assessment, is a preoperative cognitive screening tool which was used to screen thirty-three older orthopedic surgical patients to reduce the incidence of this serious postoperative complication. Patients who scored below normal were identified as <em>at risk</em> and monitored to ascertain if identification and monitoring influenced their postoperative course. At the first postoperative visit, each patient was evaluated for falls, confusion, and the ability to follow the required postoperative home exercise program to identify an undetected episode of delirium after discharge. Of the patients screened, 34.1% (<em>n </em>= 14) of patients fell below the cutoff for normal cognition. Subsequent monitoring and nursing interventions may have influenced their postoperative course as there were no reported episodes of delirium in the 90-day period. Thus, preoperative screening with the Montreal Cognitive Assessment tool provides a baseline cognitive assessment and early identification of patients at higher risk for postoperative delirium, and therefore, identification of patients at risk for postoperative delirium may allow for early interventions and decrease postoperative delirium.</p> | en |
dc.format | Text-based Document | en |
dc.language.iso | en_US | en |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Delirium | en |
dc.subject | Cognitive impairment | en |
dc.subject | Postoperative Delirium | en |
dc.subject | Dementia | en |
dc.subject | Older Adults and Surgery | en |
dc.subject | Cognitive Screening | en |
dc.title | Preoperative cognition screening and postoperative delirium in older surgical patients | en |
dc.type | DNP Capstone Project | en |
dc.rights.holder | <p>
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
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All permission requests should be directed accordingly and not to the Sigma Repository.
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
</p> | en |
dc.description.note | <p>This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.</p> | |
thesis.degree.grantor | Capella University | en |
thesis.degree.level | DNP | en |
dc.primary-author.details | Lucy Andrews, DNP, RN BSN, MS Lucy@ayshomecare.net | en |
thesis.degree.year | 2016 | |
dc.type.category | Full-text | en |
dc.evidence.level | Other | en |
dc.research.approach | Other | en |
dc.subject.cinahl | Preoperative Care--Methods | en |
dc.subject.cinahl | Preoperative Care | en |
dc.subject.cinahl | Delirium--In Old Age | en |
dc.subject.cinahl | Delirium--Prevention and Control | en |
dc.subject.cinahl | Delirium--Risk Factors | en |
dc.subject.cinahl | Delirium | en |
dc.subject.cinahl | Postoperative Complications--Etiology | en |
dc.subject.cinahl | Postoperative Complications | en |
dc.subject.cinahl | Patient Assessment | en |
dc.subject.cinahl | Cognition Disorders--Complications | en |
dc.subject.cinahl | Cognition Disorders | en |
dc.subject.cinahl | Aged | en |
dc.subject.cinahl | Aged, Hospitalized | en |
dc.author.details | Lucy Andrews, DNP, RN BSN, MS, Lucy@ayshomecare.net | en |
dc.description.reviewtype | None: Degree-based Submission | en |
dc.description.acquisition | Self-submission | en |