Surgery for older adults

Age alone is a poor guide to risk. These points from Dr. Elalfy's guides are for older patients and their families.

Key points from the guides

Age alone is a poor guide to surgical risk. Two people of the same age can have very different reserves. The more useful question is frailty: how well your body and mind can withstand the stress of an operation and recover afterward. This guide is for older patients and the families who support them. Its promise, in the words of the book: we plan around what matters most to you and your family, and we work hard to protect your mind as well as your body.
From the guide: Surgery for Older Adults: Frailty, Delirium and Goals of Care
Sometimes after an operation, older patients become confused for a while: muddled, seeing things that are not there, or unusually sleepy or agitated. This is called delirium. It is common, frightening to watch, and almost always temporary. It is not the same as dementia, though it is more likely in someone who already has memory problems. It can affect up to about 1 in 5 frail patients after major surgery, and more often with greater frailty. Family members often notice the change first, because they know the patient's usual self. Tell the nurses at once if your relative seems different from usual.
From the guide: Surgery for Older Adults: Frailty, Delirium and Goals of Care
Family involvement is welcome and protective, but the patient's own wishes come first. If you have capacity, you decide who is involved and how much is shared, even if your family is present and vocal. Some older patients prefer their children to decide; others wish to decide themselves. The team will ask you directly.
From the guide: Surgery for Older Adults: Frailty, Delirium and Goals of Care
Recovery may be slower than for a younger person; this is normal. Strength and independence are rebuilt gradually, with support if needed.
From the guide: Surgery for Older Adults: Frailty, Delirium and Goals of Care

Guides to read next

Go to the emergency room immediately, then call your surgeon, if you have severe pain, difficulty breathing, heavy bleeding, fever, or any warning sign in your guide.

This page gives general information and does not replace the advice of your treating team. Your own team's instructions always come first.