This timely volume introduces gerioperative care, a new model of surgical care for the elderly designed to improve surgical outcomes and prevent complications through a focus on communication and relationship-centered care. It is the only book to specifically address the care of older adults undergoing surgery, providing practitioners with critical, practical, and theoretical information from the initial decision to have surgery through the first follow-up visit post-discharge. The text includes the anatomy and physiology of aging, preoperative care, intraoperative and post-anesthesia care, postoperative care, returning home, risk appraisal, education, prevention, early intervention, multidisciplinary team collaboration, and effective communication across all systems of care. Gerioperative Care is an essential resource for students and practitioners of surgical, critical/acute care, and geriatric nursing, along with clinical and case managers. The tools presented help to sustain and enhance quality nursing care for older adults considering surgery, undergoing surgery, and during post-surgery visits. Key Features.: Presents a comprehensive new gerioperative care model for older adults undergoing surgery; Follows patient from primary to follow up care, including hospital care, ambulatory care, emergency and elective surgery, and perioperative care; Applies primary, secondary, and tertiary care concepts to surgery; Presents innovative focus on case management, with new care guidelines; Provides new applications in preoperative training, family coaching, and post-operative cognitive dysfunction prevention; Describes how to make quality improvements in current surgical care practices; Identifies and discusses major health problems of older adults through EBP; Includes case studies with discussion questions.;. This timely volume introduces gerioperative care, a new model of surgical care for the elderly designed to improve surgical outcomes and prevent complications through a focus on communication and relationship-centered care. It is the only book to specifically address the care of older adults undergoing surgery, providing practitioners with critical, practical, and theoretical information from the initial decision to have surgery through the first follow-up visit post-discharge. The text includes the anatomy and physiology of aging, preoperative care, intraoperative and post-anesthesia care, postoperative care, returning home, risk appraisal, education, prevention, early intervention, multidisciplinary team collaboration, and effective communication across all systems of care. Gerioperative Care is an essential resource for students and practitioners of surgical, critical/acute care, and geriatric nursing, along with clinical and case managers. The tools presented help to sustain and enhance quality nursing care for older adults considering surgery, undergoing surgery, and during post-surgery visits. Key Features.: Presents a comprehensive new gerioperative care model for older adults undergoing surgery; Follows patient from primary to follow up care, including hospital care, ambulatory care, emergency and elective surgery, and perioperative care; Applies primary, secondary, and tertiary care concepts to surgery; Presents innovative focus on case management, with new care guidelines; Provides new applications in preoperative training, family coaching, and post-operative cognitive dysfunction prevention; Describes how to make quality improvements in current surgical care practices; Identifies and discusses major health problems of older adults through EBP; Includes case studies with discussion questions.; SECTION I. Gerioperative Care. Overview of Gerioperative Care. Geriatric surgery. Making the surgical decision and informed consent. Ethical and legal issues. Coaching a coach: Facilitating communication and information. SECTION II. Aging anatomy and physiology: Maintaining function. General function. Cardiovascular function. Respiratory function. Musculoskeletal function. Endocrine and hematologic function. Renal function. Neurologic and sensory function. Mental function and cognition. SECTION III. Preoperative gerioperative care. Preoperative assessment and teaching. Training for surgery. Inpatient, ambulatory and emergency surgery. SECTION IV. Intraoperative gerioperative care. Geriatric anesthesia. Care and comfort in the OR. Outcomes of regional and general anesthesia. SECTION V. Post-anesthesia and post operative gerioperative care. Facilitating transition and trajectory. Physiologic care. Managing acute and chronic pain. Restoring activity and mobility. Minimizing delirium, depression, and post operative cognitive dysfunction. SECTION VI. Post hospital gerioperative care. Discharge readiness. Home based care. The follow up visit. SECTION VII. Special Topics in Gerioperative Care. Quality improvement and gerioperative care. Education and research.