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Main arrow Archive of previous Issues arrow 4 2015 (44) arrow ORGANIZING PERIOPERATIVE EYE CARE TO THE ELDERLY AND SENILE PATIENTS FROM THE SAFETY PERSPECTIVE
ORGANIZING PERIOPERATIVE EYE CARE TO THE ELDERLY AND SENILE PATIENTS FROM THE SAFETY PERSPECTIVE Print
Thursday, 24 September 2015

Ivanov S.V.
All-Russia Research Institute of Railway Hygiene, Moscow

Contacts: Sergei Ivanov, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Nowadays, an important problem of social science is socialization and socio-psychological adaptation of the elderly. Retirement and related changes in life and work is a high point for the older age groups determining the necessity to cope with the new life conditions.

The study purpose. To describe organization of perioperative eye care to the elderly and senile people.

Study results. Volumes and contents of major laboratory and instrumental examinations in patients of different age were the same. Exceptions included therapy and cardiology consultations. Both in older and senile ages cardiology consultations before surgery covered 99.6+0.1% patients which was statistically significantly higher (p<0.05) than in middle age patients 82.0+2.2%. Furthermore, frequency of perioperative somatic complications was statistically significantly higher (p<0.05) in the elderly patients than in the middle age patients. For example, among complications and adverse reactions of the cardiovascular system, prevalence of hypertensive crises was higher by 9.2%, perioperative cardiac rhythm and conduction disturbances by 8.2%; and perioperative myocardial ischemia by 4.1%. Also, problems of barrier-free environment for the elderly patients remained unsolved.

Conclusions. Despite the existing differences in risks of care provision and differences in initial status, ophthalmology departments didnt apply special geriatric approaches: for example, cognitive functions were estimated in only 38.8% of the elderly and senile patients; risk of falling wasnt estimated, and intentional registration of falling during the hospital stay wasnt implemented.

Scope of application. The obtained results can be used to develop training programs for doctors, nurses and medical technicians of ophthalmology departments to increase knowledge about care organization for the elderly.

Keywords: Ophthalmology care; older and senile age; perioperational preparation; organization of medical care; safety.

References

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