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An update on patient selection for OOKP surgery; Psychosocial Assessment
Author(s) -
BUSUTTIL A,
TURTON E,
HEROLD J,
LIU C
Publication year - 2011
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2011.4271.x
Subject(s) - psychosocial , medicine , selection (genetic algorithm) , outcome (game theory) , identification (biology) , presentation (obstetrics) , psychiatry , surgery , botany , mathematics , mathematical economics , artificial intelligence , biology , computer science
Purpose This presentation will provide an update on the contribution of Psycho‐social factors in the assessment and selection of patients for OOKP surgery. Assessment aims to identify Psychiatric, Psychological and Social issues which may positively or negatively affect physical and psychological outcome. Identification of such factors may not be a barrier to selection and successful outcome, as appropriate measures may be put in place to address factors which may impede physical or psychological recovery. Methods Drawing on the existing psychological literature on patient assessment for complex surgery and studies carried out with OOKP patients in Brighton, Psychological factors associated with positive and negative biological and psychological outcome are described and the assessment protocol detailed. Results A model which seeks to assess the contribution of psycho‐social factors in the prediction of complicated recovery is being developed and will be described. This is currently being incorporated into a prospective study to test the validity and utility of the model. Conclusion Attention to Psycho‐social factors in selection of patients for OOKP surgery facilitates good bio‐psychosocial outcome by encouraging active patient participation in informed decision making about the surgery, good psychological preparation for the procedure and patient and family commitment to after‐care and follow‐up. For those where surgery is not appropriate or a decision needs to be postponed the selection process can also be of value for both patients and staff.