Table 2.

Some Key Perioperative Care Team Members for Older Adult Individuals with and without Cognitive Impairment and Basic Summary of Perioperative Roles

Team Members	Roles
Anesthesiology team members	-Integrate information from geriatric medicine and neuropsychology into perioperative practice considerations -Communicate with surgery care team to ensure referral to geriatric inpatient medicine when needed -Observe behavioral changes from pre- to postoperative settings
Caregiver	-May participate in giving information to medical providers, teaching the patient, communication with patient and family, preoperative initiation, postoperative care management, and palliative care needs
Geriatric medicine	-Integrate medical history with current medical regimen to provide insight into surgical medical risk and perioperative delirium risk medication management -Use baseline cognitive testing and baseline neurobehavioral assessment from neuropsychology to assess for postoperative status change -Assist with postoperative monitoring, delirium intervention, and follow-up palliative care needs -Integrate with neurology and memory care team for patients with persistent cognitive change
Primary care	-Provide referring information to patient, family, and care teams -Integrate information from perioperative care providers and surgical providers -Provide follow-up treatment and palliative care initiation, as needed
Neuropsychology	-Integrate background history with preoperative neurobehavioral assessment to provide information regarding premorbid intellectual ability relative to type of current cognitive impairment -Provide providers with applied information on patient reading ability, comprehension, learning memory strengths, attention deficits, and methods for improving communication and learning strategies -Available for postoperative cognitive domain comparison and perioperative cognitive monitoring relative to baseline -Assist with differential diagnosis via more comprehensive evaluation -Integrate with neurology and memory care team for patients with persistent cognitive change
Surgery team members	-Integrate information from team providers for optimal surgical decision making, postoperative rehabilitation planning, referral to inpatient providers including follow-up with geriatric medicine.

Note. Suggested interdisciplinary team members and their roles identifying patients with cognitive impairment perioperatively