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Tips to Help Seniors and Their Caregivers
Prepare for Surgery

(Page 1 of 2)

As a growing number of the estimated 78 million Baby Boomers transition into their senior years, an increased focus is placed on the health of this important group of Americans. According to the United States Census Bureau, more than 12 percent of the total U.S. population is over age 65 and, of that segment, more than half will undergo at least one surgical procedure as senior citizens. 
 
Research indicates that seniors are at an increased risk for experiencing complications both during and after surgery. In an effort to ensure that senior patients have the best possible outcome, the American Society of Anesthesiologists (ASA) has developed a set of tips to help prepare senior citizens and their caregivers for surgery.  
 
“Surgical procedures are understandably intimidating and it is a central role of the anesthesiologist to inform and care for the senior patient, before, during and after surgery,” said Terri Monk, M.D., M.S., Duke University Medical Center. “The driving force behind these tips and the additional information found on LifelinetoModernMedicine.com was to create a central resource for seniors having surgery.”
 
According to the Society for the Advancement of Geriatric Anesthesia (SAGA), “the elderly are more sensitive to drugs, and often in an unpredictable way. It is more difficult to find the right amount of drug to use, and it is easy to have more dramatic undesired effects of a drug. There are many reasons for the increased sensitivity, including the fact that the older brain is more sensitive to some drugs than young people. In other words, the same amount of drug has a bigger effect in the elderly. Some drugs achieve higher concentrations in the blood in elderly patients than in young patients, so more drug gets to the brain and heart and so the effects are greater. Lastly, most drugs are eliminated from the body more slowly in the elderly so the drug effects last longer in older people.”
 
“Two complications that may occur in elderly patients following surgery are postoperative delirium, a condition that causes some patients to become confused and disoriented for up to a week after surgery, and postoperative cognitive dysfunction (POCD), which is defined for patients as having long-term problems with memory loss, learning and the ability to concentrate,” said Dr. Monk. “In an effort to help minimize the likelihood of cognitive problems after surgery, seniors are encouraged to undergo a cognitive exam before surgery and avoid taking certain drugs.”
 
Additional information and resources are available at LifelinetoModernMedicine.com, the ASA’s Web site dedicated to educating and empowering the public about anesthesiology.
 

Tips to Help Seniors and Caregivers Prepare for Surgery

1.  Get to know your physicians
When considering whether or not to have surgery, find out if the surgery is really necessary and what benefits it will provide. You should also talk to the anesthesiologist prior to surgery and consider scheduling a consultation with a geriatric specialist, particularly if you are taking multiple medications. A geriatric anesthesiologist specializes in treating the geriatric patient, and he or she has specific experience caring for the elderly both preoperatively and postoperatively. Lastly, if you may be depressed, please see a psychiatrist and seek treatment prior to surgery. This is extremely important because depression has been tied to higher mortality rates in surgical patients. The psychiatrist, in consultation with other members of the surgical team, may also recommend minimizing the use of sedatives, especially long-acting drugs such as benzodiazepines.

2.  Don’t be afraid to ask questions about the procedure
Having a surgical procedure can bring up a lot of questions, and it is important to bring that list of questions to your preoperative appointments in order to ensure you are as educated and confident as possible. Important questions to ask include:

  • Can you tell me more about the procedure?
  • Where will the surgery be conducted?
  • What do I need to do before the procedure?
  • At what point in the procedure will anesthesia be administered? What type of anesthesia will I receive?
  • Who will be my anesthesia provider?
  • When can I speak with my anesthesiologist?
  • As a senior citizen, are there any specific complications associated with anesthesia and this procedure that I should be aware of?
  • How long will the entire surgery take?
  • Will the anesthesia make me nauseous after the procedure?
  • Will I be in pain when I wake up from the procedure?
  •  When will I be discharged from the hospital?
  • When will I be completely healed?

 

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