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Gregorio Halverson Is an 82-Year-Old Diabetic Patient with Several Other

Question 3

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Gregorio Halverson is an 82-year-old diabetic patient with several other co-morbidities in addition to recent withdrawal from alcohol after he was admitted for emergency bowel obstruction surgery.He is both hearing-impaired and visually-impaired.His wife states that Gregorio has only an eighth-grade education and has occasional bouts of depression.The anesthesia provider classified Gregorio as an ASA IV for his surgery.He is now postoperative day 1,in the ICU,and exhibits confusion and delirium.His presentation suggests disorganized thinking,pain,and an acute onset of change in mental status.What risk reduction strategy before Gregorio's surgery might have provided substantial information for the care team to proceed with implementing corrective measures?


A) Conduct a meticulous assessment for underlying conditions.
B) Prepare Gregorio's wife to expect that he would be delirious postoperatively in the ICU.
C) Assess pain using the BODIES pain scale for demented and nonverbal elders.
D) Remember to "assume pain is present" in cognitively impaired perioperative patients.

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