Geriatric Patient Care Improvement

This study was planned as a randomized controlled experimental study to evaluate the effect of postoperative telehealth counseling on patient outcomes in geriatric patients undergoing day surgery. Hypotheses of the Study H11: In geriatric patients undergoing day surgery, the postoperative self-care power of the intervention group receiving postoperative telehealth counseling is higher than the control group not receiving counseling. H12: In geriatric patients undergoing day surgery, the postoperative recovery status of the intervention group receiving postoperative telehealth counseling is higher than that of the control group not receiving counseling. Inclusion Criteria; * 65 years of age or older, * Having undergone day surgery (appendectomy, hernia operations, biopsy procedures, cholecystectomy...) * No communication problems (no vision and hearing problems), * No mental problems, * Being able to communicate by telephone (by the patient or relative), * Volunteering to participate in the study, * Having at most two chronic diseases (Diabetes and Hypertension). Exclusion Criteria; * Surgery in emergency conditions, * developed complications during the case

This study will be conducted on patients aged 65 and older scheduled for surgery due to lumbar or cervical disc herniation. General anesthesia is routinely used for these types of surgeries in the hospital. In patients receiving general anesthesia, anesthesia depth monitoring is performed. As part of the study, a preoperative anesthesia evaluation will be conducted, which will include age, weight, height, comorbidities, regularly used medications, previous surgical or anesthesia experiences, nutritional habits, mental status, and daily activity levels. On the day of surgery, upon arrival in the operating room, the following will be measured and recorded: * Blood pressure using a non-invasive blood pressure monitor * Heart rate and rhythm via electrocardiogram (ECG) * Blood oxygen level with a pulse oximeter * Anesthesia depth using a forehead-applied sensor All monitoring procedures are non-invasive and painless. Following the placement of these monitoring devices and initial measurements, anesthesia induction and surgery will commence. Throughout surgery, blood pressure, heart rate, and brain activity will be continuously recorded. After the surgical procedure, anesthesia emergence and mental status will be assessed. Preoperative evaluation data and intraoperative recordings will be used solely for research purposes, with patient identity information remaining confidential.