- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 563) Supporting older peoples’ care in surgical and oncological services
- Chapter:
- (p. 563) Supporting older peoples’ care in surgical and oncological services
- Author(s):
Jugdeep Dhesi
, and Judith Partridge
- DOI:
- 10.1093/med/9780198746690.003.0057
The clinical profile of patients presenting for elective and emergency surgery and for oncological treatment is changing. Patients are now older and more complex with coexisting multimorbidity and geriatric syndromes. There is increasing recognition of the need to improve the effectiveness, efficiency, and the experience of patients in this vulnerable group. Achieving the best outcomes requires attention to asessment, quantification of risk, and proactive and responsive management among other aspects. Such wide-ranging interventions cannot be delivered by single specialties, but require collaboration across disciplines and specialties to ensure delivery of patient-centred services, relevant education, and training, and a research programme that aims to inform routine clinical practice.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine