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Fitch was formerly an instructor at the Columbia University School of Nursing, She has also worked as a research assistant at Memorial Sloane Kettering, where she was involved in the research program on preoperative teaching, recovery, and stress reduction in the surgical patient.
If the patient has had a subarachnoid hemorrhage (SAH), the situation is going to be emergent and most of the preoperative teaching is geared toward the family.
Kratz found that for patients receiving preoperative teaching in the hours immediately preceding surgery, they were often given a sedating agent before the conclusion of their preoperative teaching.