Postoperative Cognitive Dysfunction in Older Adults: Knowledge and Nursing Care Based on Empirical Evidence
Postoperative cognitive dysfunction, Cognitive impairment after surgery, Cognitive dysfunction after surgery
Keywords:
cognitive dysfunction, older adults, postoperative, nursing care based on empirical evidenceAbstract
Abstract
The incidence of Postoperative Cognitive Dysfunction (POCD) usually increases
in elderly people. However, because the knowledge of POCD is not widely known,
healthcare personnel may mishandle the condition, wrongly assuming that older adults’
memory loss is a normal age-related physiological consequence. Elderly patients with
POCD usually display slow postoperative recovery, a high rate of re-hospitalisation,
and an increased mortality rate. In addition, POCD affects the quality of life of both the
elderly patients and their families. Currently, mechanisms leading to POCD are not
fully understood, but they are believed to be related to several factors. As healthcare
personnel working closely with elderly patients, nurses are, therefore, required to develop
a better understanding of POCD. Such an understanding could enable them to properly
monitor any resulting abnormalities and provide elderly patients with suitable care
based on empirical evidence, to prevent or reduce POCD-related abnormalities in this
group of patients.
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References
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29.Kadoi Y, Goto F. Factors associated with postoperative cognitive dysfunction in patients undergoing cardiac surgery. Surg Today 2006;36(12):1053-7.
30.Srikulkit P, Piset P. Effects of clinical practice guideline for postoperative pain management in the elderly with hip fracture. Academic Services Journal Prince of Songkla University 2015;26(1):130-
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31.Dejarkom S, Wangdee A, Jirakulsawat A. Nursing Care in the post anesthesia care unit. Thai journal of anesthesiology 2014;40(1):46-62. (In Thai)
32.Damrongrucktham C, Kimpee S, Toskukao T,Asdornwised U. Effects of hand reflexology on level of pain in abdominal surgery patients. J Nurs Sci 2009;2(1):49-58. (In Thai)
33.Zywiel, MG, Prabhy A, Perruccio AV, Msc RG.The influence of anesthesia and pain management on cognitive dysfunction after joint arthroplasty:A systematic review. Clin Orthop Relat Res 2014;472(5): 1453-66.26
34.Katie JS, and Stacie GD. Postoperative delirium in the geriatric patient. Anesthesiol Clin 2015;33(3): 505–16.
35.Sogprasert S, Somboontanont W, Visavajarn P, Siritipakorn P, The effect of a clinical nursing practice guideline on prevention of delirium among hospitalized elderly patients at a university hospital. The Journal of Nursing Science 2015;33(1)60-8. (In Thai)
36.Chaiard J. Disturbed Sleep Factors in the Hospitals: non-pharmacological managements. Nursing Journal 2013;40:105-15. (In Thai)
37.Ann DL, Roberta TC, Brian TB, Euahna V. Neuroprotective effects against POCD by photobiomodulation: evidence from assembly/ disassembly of the cytoskeleton. J Exp Neurosci 2016;10:1–19.
2. Mala M. Factors related to the occurrence of cardiovascular complications during surgery among older adults. The Southern College Network Journal of Nursing and Public Health 2015;3(2):92-102. (In Thai)
3. Battelli, G. Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history. Minerva Anesthesiol 2011;77(6),637-46.
4. Bannister C., Kendall S., Side effects and complications heart surgery. CTSNet 2016: 1-4.
5. Steinmetz J., Christensen KB, Lund T, Lohse N, Rasmussen LS. Long-term consequences of postoperative cognitive dysfunction. Anesthesiology. 2009;110(3),548-55.
6.Wang W., Wang Y., Wu H., Lei L., Xu S., Shen X., Shen X., etc. Postoperative cognitive dysfunction: current developments in mechanism and prevention. Med Sci Monit 2014;20,1908–12.
7.Rasmussen Lars S. Postoperative cognitive dysfunction: incidence and prevention. Best Pract Res Clin Anaesthesiol 2006;20(2),315–30,
8. Naknonehun P, Wirojrattana V, Leelahakul V, Kitiyarak C. Risk factors for postoperative cognitive dysfunction after cardiac surgery in older adults. The Journal of Nursing Science 2016;34(1):156-66. (In Thai)
9. Niwatpumin P. Postoperative Cognitive Dysfunction (POCD). Thai journal of anesthesiology. 2012; 38(1):66-77. (In Thai)
10.Norkiene I., Samalavicus R., Misiuriene I., Paulauskiene K., Budrys V., & Ivaskevcius J.Incidence and risk factors for early postoperative cognitive decline after coronary artery bypass grafting. Medicina (Kaunas) 2010;46(7):460-64.
11.Monk TG, Weldon BC, Garvan CW, Dede DE, van der Aa MT, Heilman KM, et al. Predictors of cognitive dysfunction after major noncardiac surgery.Anesthesiology 2008; 108(1):18-30.
12.Silverstein JH, Steinmetz J, Reichenberg A, Harvey PD, Rasmussen LS. Postoperative cognitive dysfunction in patients with preoperative cognitive impairment. Anesthesiology 2007,106:431-35.
13.Bekker A, Lee C, Santi SD, Pirraglia E, Zaslavsky A, Farber S. Does mild cognitive impairment increase the risk of developing postoperative cognitive dysfunction? Am J Surg 2010;199(6):782-88.25
14.Hudetz JA, Iqbal Z, Gandhi SD, Patterson KM, Hyde TF, Reddy DM, Hudetz AG, Warltier DC. Postoperative cognitive dysfunction in older patients with a history of alcohol abuse. Anesthesiology 2007;106(3):423-30.
15.Pappa M, Theodosiadis N,Tsounis A, Sarafs P. Pathogenesis and treatment of post-operative cognitive dysfunction. Electron Physician 2017; 9(2): 3768–75.
16.Tao Xu, Lulong Bo, Jiafeng Wang, Zhenzhen Zhao, Zhiyun Xu, Xiaoming Deng, Wenzhong Zhu. Risk factors for early postoperative cognitive dysfunction after non-coronary bypass surgery in Chinese population. J Cardiothorac Surg 2013;8:2-6.
17.Krenk L, Rasmussen LS, & Kehlet H. New insights into the pathophysiology of postoperative cognitive dysfunction. Acta Anaesthesiol Scand 2010;54(8):951-56.
18.Hudetz JA, Gandhi SD, Iqbal Z, Patterson KM, Pagel PS. Elevated postoperative inflammatory biomarkers are associated with short- and mediumterm cognitive dysfunction after coronary artery surgery. J Anesth 2011;25(1):1-9.
19.Nelson AM, Battersby AS, Baghdoyan HA, Lydic R. Opioid-induced decrease in rat brain adenosine levels are reversed by inhibiting adenosine deaminase. Anesthesiology 2009;111(6):1327-33.
20.Rundshagen I. Postoperative cognitive dysfunction. Dtsch Arztebl Int 2014;111(8):119-25.
22.Rudolph JL, Marcantonio ER, Culley DJ, Silverstein JH, Rasmussen LS, & Crosby GJ. Delirium is associated with early postoperative cognitive dysfunction. Anaesthesia 2008;63(9):941-47.
23.Jennum P, Martiny K, Bech P. Insomnia. Ugeskrift for Leager, 2009;171(22):1854-9.
24.Gogenur I, Middleton B, Burgdorf S, Rasmussen LS, Skene DJ, Rosenberg J. Impact of sleep and circadian disturbance in urinary 6-sulhatoxymelatonin levels, on cognitive function after major surgery. J Pineal Res 2007;43(2):179-84.
25.Hanning CD. Postoperative cognitive dysfunction. Br.J.Anaesth. 2005; 95(1): 82-7.
26.Tang L, Kazan R, Taddei R, Zaouter C, Cry S, Hemmerling TM. Reduced cerebral oxygen saturation during thoracic surgery predicts early postoperative cognitivedysfunction.Br.J.Anaesth2012;101(4):623-9.
27.Funder KS, Steinmetz J. Post-operative cognitive dysfunction – Lessons from the ISPOCD studies. Curr Anaesth Crit Care 2012;2(3):94-7.
28.Needham MJ, Webb CE, Bryden DC. Postoperative cognitive dysfunction and dementia: what we need to know and do. BJA 2017;10(1):115-25.
29.Kadoi Y, Goto F. Factors associated with postoperative cognitive dysfunction in patients undergoing cardiac surgery. Surg Today 2006;36(12):1053-7.
30.Srikulkit P, Piset P. Effects of clinical practice guideline for postoperative pain management in the elderly with hip fracture. Academic Services Journal Prince of Songkla University 2015;26(1):130-
40. (In Thai)
31.Dejarkom S, Wangdee A, Jirakulsawat A. Nursing Care in the post anesthesia care unit. Thai journal of anesthesiology 2014;40(1):46-62. (In Thai)
32.Damrongrucktham C, Kimpee S, Toskukao T,Asdornwised U. Effects of hand reflexology on level of pain in abdominal surgery patients. J Nurs Sci 2009;2(1):49-58. (In Thai)
33.Zywiel, MG, Prabhy A, Perruccio AV, Msc RG.The influence of anesthesia and pain management on cognitive dysfunction after joint arthroplasty:A systematic review. Clin Orthop Relat Res 2014;472(5): 1453-66.26
34.Katie JS, and Stacie GD. Postoperative delirium in the geriatric patient. Anesthesiol Clin 2015;33(3): 505–16.
35.Sogprasert S, Somboontanont W, Visavajarn P, Siritipakorn P, The effect of a clinical nursing practice guideline on prevention of delirium among hospitalized elderly patients at a university hospital. The Journal of Nursing Science 2015;33(1)60-8. (In Thai)
36.Chaiard J. Disturbed Sleep Factors in the Hospitals: non-pharmacological managements. Nursing Journal 2013;40:105-15. (In Thai)
37.Ann DL, Roberta TC, Brian TB, Euahna V. Neuroprotective effects against POCD by photobiomodulation: evidence from assembly/ disassembly of the cytoskeleton. J Exp Neurosci 2016;10:1–19.
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Published
2018-06-12
How to Cite
1.
นาคโนนหัน พ. Postoperative Cognitive Dysfunction in Older Adults: Knowledge and Nursing Care Based on Empirical Evidence: Postoperative cognitive dysfunction, Cognitive impairment after surgery, Cognitive dysfunction after surgery. J Thai Nurse midwife Counc [Internet]. 2018 Jun. 12 [cited 2024 Nov. 5];33(1):15-26. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/111405
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Academic Article
