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Specialist pre‐operative assessment clinics
Author(s) -
Dhesi J. K.,
Swart M.
Publication year - 2016
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.13307
Subject(s) - medicine , paternalism , scope (computer science) , rehabilitation , preference , medical assessment , quality (philosophy) , nursing , population , clinical decision making , medical emergency , family medicine , physical therapy , philosophy , environmental health , epistemology , political science , computer science , microeconomics , law , economics , programming language
Summary While specialist pre‐operative assessment is not new, its focus has evolved in response to more operations and changes in the surgical population. Patients are older and have more long‐term medical comorbidities. At the same time, there has been a move from paternalistic medical decision‐making to shared decision‐making, based on an individual patient's choice or preference. Specialist pre‐operative consultations have had to adapt to these changes by broadening their scope. Pre‐operative clinics have a central role in shared decision‐making, coordinating and planning care before, during and after surgery, including rehabilitation and discharge planning. Multiple specialties need to work together to deliver quality patient‐centred care.