Preoperative Checklist for Geriatric Patient

• performed a complete history and physicial examination?

• performed appropriate preoperative diagnostic tests?

• evaluated the patient's cognitive ability?

• screened for depression?

• identified risk factors for delirium?

• screened for substance abuse (alcohol, drugs)?

• performed a cardiac assessment appropriate to the type of surgery?

• identified risk factors for postoperative pulmonary complications?

• assessed nutritional status?

• evaluated for fall risk?

• assessed functional status and any evidence of frailty?

• identified other risk factors for complications (renal, infection, etc)?

• obtained a complete medication history?

• screened for polypharmacy?

• identified any medications associated with a discontinuation syndrome?

• evaluated family support?

• evaluated social support?

• determined the patient's capacity to understand and consent?

• determined the patient's understanding of the proceudre?

• discussed treatment goals?

• determined the patient's expectations for outcomes?