Surgery in elderly people: preoperative, operative and postoperative care to assist healing.
Surgery for elderly women is likely to increase steadily as the population of elderly people increases globally. Although increasing age increases perioperative morbidity and mortality, the functional age and physiologic reserve rather than chronological age is more important in preventing complications. Preparation for surgery, with special attention to functional capacity and activity, mental status, and existing comorbid conditions, can improve outcomes. Perioperative management must be tailored to physiologic changes of ageing, which affect respiratory, cardiac and renal function, as well as guidelines for preventing infection and thrombotic events. Of particular note is the enhanced effect of narcotic medications in elderly people, which affects intraoperative and postoperative management of pain. Prevention of postoperative delirium is accomplished through preoperative and postoperative planning. Discharge planning, particularly for frail elderly people, must start before surgery.
['Hughes|Sarah|S|', 'Leary|Antonella|A|', 'Zweizig|Susan|S|', 'Cain|Joanna|J|']
D000368:Aged D000375:Aging D003693:Delirium D005260:Female D006801:Humans D059408:Pain Management D010149:Pain, Postoperative D010351:Patient Discharge D056888:Patient Positioning D011182:Postoperative Care D011300:Preoperative Care D020127:Recovery of Function D012307:Risk Factors D013514:Surgical Procedures, Operative D054556:Venous Thromboembolism D014945:Wound Healing
surgery elderly women