Decision making in frail patients at risk of postoperative delirium: A case study and literature review

Maureen K. English-Cremeans, Dorothy J. Wholihan, Ellen Olson, Carolyn Zhu, Fred C. Ko

Research output: Contribution to journalArticlepeer-review

Abstract

Preoperative frailty is strongly associated with risks of postoperative delirium. However, gaps exist in targeted recommendations for clinical decision making related to surgical interventions in frail older patients. A case study is presented involving a frail 74-year-old referred to the palliative care team for assistance with clinical decision making and in weighing risks and benefits of a surgical intervention. A literature review on the quantification of postoperative delirium risk and how this information might inform medical decision making in frail surgical patients did not identify clear clinical guidelines. In the absence of practice guidelines, the Patient Priorities Care model is proposed as a framework to help providers working with patients and caregivers facing complex medical decisions to better align interventions with patient values.

Original languageEnglish (US)
JournalGeriatric Nursing
DOIs
StateAccepted/In press - 2022

Keywords

  • Clinical decision making
  • Delirium
  • Frailty

ASJC Scopus subject areas

  • Gerontology

Fingerprint

Dive into the research topics of 'Decision making in frail patients at risk of postoperative delirium: A case study and literature review'. Together they form a unique fingerprint.

Cite this