Innovative Pathway for Dementia Patients in Skin Cancer Surgery

This article is a clinical practice report detailing an innovative pathway developed for performing skin cancer surgery under local anaesthesia for patients with dementia. The initiative addresses the high incidence of post-operative delirium and complications associated with general anaesthesia in this vulnerable patient group. It outlines a comprehensive pre-operative assessment process, including mental capacity evaluations and personalized support throughout the surgical journey. By avoiding general anaesthesia, the pathway aims to reduce risks and improve patient outcomes. The article discusses the implementation challenges faced by the surgical team and emphasizes the importance of multidisciplinary collaboration in developing a holistic care pathway. The success of this approach has led to its adoption in other trusts, highlighting its potential benefits for various surgical specialties. The article concludes by affirming the positive impact of nurse-led innovation on patient care and organizational efficiency, advocating for continued adaptation of surgical practices to better serve vulnerable populations.