Senior citizens: To operate or not to operate?

As Malaysia prepares to become an ageing nation by 2030, questions surrounding elderly healthcare are becoming increasingly urgent.

This demographic shift places greater emphasis on healthcare decisions that affect the quality of life in later years, with one of the most challenging questions many families face being: to operate or not to operate?

Surgery can be a lifesaving and life-changing option.

Yet, many older patients are denied the option of surgery because of perceived notions based solely on age.

“About half of people over the age of 65 will require surgery at least once in their lives,” says consultant geriatrician and internal medicine physician Dr Chin Ai-Vyrn.

The most common causes are fractures from falls, head injuries and cancer.

However, the decision to proceed with surgery is rarely straightforward.

“It is not a one-size-fits-all situation.

“We assess frailty, physical and mental health, the patient’s priorities, and the level of support they will receive after surgery.

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