If you’re like most people, you’ve gone under the knife at least once in your life. According to a survey by the American College of Surgeons, the average American undergoes nine surgeries during their lifetime, with coronary angioplasty, cesarean section and lens and cataract surgery among the most common procedures.
As we age, the frequency and complexity of surgeries increases, putting us at higher risk for complications and lengthier recovery, says registered nurse Susan Nicoletto, who has spent the latter half of her 40-year career working in and around operating rooms.
“The most obvious issue is that you don’t bounce back nearly as fast after a major surgery as you once did in your younger years,” Nicoletto says.
If you’re facing a surgery, preparing ahead of time can shorten your recovery time and make the whole process more tolerable.
First, ask your doctor and pre-op nurse questions, and keep asking until you know what to expect. Make a list of questions as you think of them, and take the list to your doctor.
“Ask, and ask again until you are completely sure you understand everything you’ve been told about your surgery,” Nicoletto says. “I’ve cared for patients who are prepped and on their way into the operating room, who are frighteningly clueless about the procedure they’re about to have and what to expect afterward.”
Try to stay as healthy as possible before your surgery. Nicoletto says many surgeries are canceled at the last minute because a patient has developed a cough or slight fever, despite passing a pre-op physical a week earlier.
“I’ve even seen a patient show up on the day of surgery with an active case of poison ivy and another with a tick embedded in her skin,” she says.
Even a seemingly minor pre-existing health issue can lead to surgical complications or post-operative infections. To safeguard your health in the two weeks before surgery, keep your distance from those who are sick.
“Asking a friend who’s under the weather to refrain from visiting isn’t being rude,” she says. “It’s taking care of yourself.”
Just as important as preparing for your operation is planning for your recovery. Your physician or nurse can tell you what accommodations you’ll need at home. If you’re having major surgery like knee or hip replacement, you’ll need a walker or cane to help you get around, and someone to stay with you for several weeks.
“For patients who live alone, a short stay in a transitional care center—which provides comprehensive care—is a great option,” Nicoletto says.
With all surgical procedures, make sure you plan for the basics, including how you’ll get medications and meals if you’re not able to drive. Some pharmacies offer home delivery, but don’t wait until the last minute to find out if there’s one in your community. “Making and freezing meals ahead of time is also an excellent plan,” Nicoletto says.
Most importantly, maintain realistic expectations before and after surgery.
“With so many folks having multiple procedures, there’s the tendency to not take it seriously,” Nicoletto says.
“Remember, surgery is traumatic for your body, and it’s going to take a toll. There will be some pain and discomfort, and your life will be impacted for a while.”
