Older adults, particularly those with frailty, experience prolonged functional recovery and unmet care needs following major elective noncardiac surgery. A multicenter study of adults aged 65 and older found that a majority still had impairments in daily living activities one to six months post-surgery.
Most patients returned home after discharge, but significant functional limitations and ongoing support requirements were common. This suggests recovery may be more extended and disruptive than anticipated by patients and their families.
Caregivers, often spouses, also faced challenges, frequently managing their own health issues while providing support. Key themes identified included inadequate education and preparation for surgery and discharge, reduced independence, mental health impacts, and the crucial need for postoperative healthcare team support.
Participants expressed a desire for clearer preoperative counseling, better discharge teaching, and improved post-hospital communication. The study emphasizes that caregiver-inclusive discharge planning, covering wound care, complication recognition, and guidance on seeking help, can enhance both patient and caregiver experiences.
Overall, recovery for older adults is closely linked to their functional status, caregiver support, and perioperative communication. Targeted preoperative education, earlier follow-up, and robust postoperative support are vital to reduce uncertainty and improve outcomes for this high-risk group.