4.The personal opinion of a nurse to the statement is that the nurse agrees that complex surgeries are risky for older adults as they expose them to additional complications due to their decline in age-related physiology. Hence, surgery should be planned for them only when they are in immediate for them. Secondly, while preparing for surgery, all precautions should be taken to ensure that the elderly patient is not prone to any risk during the surgery. This can be done by comprehensive assessment of patient and evaluating the likelihood of complications during the surgery. Secondly, to minimize the burden of treatment and risk of post-operative functional impairment in older adults, it is necessary to engage in shared decision making process to promote favorable outcome for patients (Murthy et al., 2015).
Ancelin, M. L., De Roquefeuil, G., Scali, J., Bonnel, F., Adam, J. F., Cheminal, J. C., ... & Ritchie, K. (2010). Long-term post-operative cognitive decline in the elderly: the effects of anesthesia type, apolipoprotein E genotype, and clinical antecedents. Journal of Alzheimer's Disease, 22(s3), 105-113.
Baquero, G. A., & Rich, M. W. (2015). Perioperative care in older adults. Journal of geriatric cardiology: JGC, 12(5), 465.
Bellelli, G., Mazzola, P., Morandi, A., Bruni, A., Carnevali, L., Corsi, M., ... & Gustafson, Y. (2014). Duration of Postoperative Delirium Is an Independent Predictor of 6?Month Mortality in Older Adults After Hip Fracture. Journal of the American Geriatrics Society, 62(7), 1335-1340.
Murthy, S., Hepner, D. L., Cooper, Z., Bader, A. M., & Neuman, M. D. (2015). Controversies in anaesthesia for noncardiac surgery in older adults. British journal of anaesthesia, 115(suppl 2), ii15-ii25.
Wang, S. Y., Zhao, Y., & Zang, X. Y. (2014). Continuing care for older patients during the transitional period. Chinese Nursing Research, 1, 5-13.
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