Surgery

Contact Us

300 S. Prairieville St
PO Box 991
Athens, TX 75751

Toll Free: 877-596-3500
Phone: 903-677-3500
Fax: 903-677-4700

Office Hours:
M-F 9am - 4pm

Our services may include but are not limited to:

  • Supportive Care Education of
  • Disease Process
  • Individual and Family Counseling
  • Management and Evaluation of Patient Care
  • Observation and Assessment
  • Home Safety and Emergency Education
  • Medication Education
  • Assistance with ADLs
  • Nutrition Education
  • Restorative Therapy (Physical, Occupational and Speech)
  • Medical Social Services

Who is eligible?

All elderly patients who undergo a surgical procedure that requires general anesthesia are eligible for our Health Check recovery at home after surgery due to the increased risk of complications postoperatively.

About 50% of people over age 65 will have surgery at some point in their remaining lifetime. The physiologic changes that occur during the normal aging process places the older adult at increased risk for the development of postoperative complications.

  • Anesthesia and surgery can impair short-term memory and cause confusion and other cognitive declines in some elderly patients.
  • The aging process may alter wound healing.
  • Vascular changes may impair circulation to the wound site.
  • Reduced liver function alters the synthesis of clotting factors.
  • The inflammatory response slows. The formation of antibodies and lymphocytes is reduced.
  • Collagen and scar tissues are less pliable and elastic.

Older adults are often in poor nutritional health as a consequence of dependency or disability, social isolation, and inappropriate or inadequate food and fluid intake. The inadequate intake of nutrients for tissue growth and repair contribute to poor wound healing.

Elderly patients are increasingly susceptible to infections due to declining immune system. Older adults are at greater risk of developing pneumonia and other respiratory complications because of the normal physiological changes that occur with aging. Signs and symptoms of pneumonia postoperatively may not appear for 48–72 hours. (As hospitals are discharging patients earlier or doing same-day procedures, patients may develop respiratory complications after leaving the hospital.)

Through observation and assessment, the home care nurse plays a pivotal role in the prevention and early detection of postoperative complications. The following table describes physiologic changes of aging and postoperative implications:

Body SystemChangesPostoperative
Skin & Connective TissueDecreased vascularity
Loss of collagen
Poor wound healing
RespiratoryReduced lung elasticity
Weakened intercostal muscles
Decreased respiratory clearance
Ineffective cough
Shallow breathing
Increased risk for pneumonia
CardiovascularReduced cardiac output
Reduced blood flow
Delayed wound healing
Increased risk for DVT
Altered response to infection
GIDecreased intestinal absorption of nutrients
Decreased peristalsis
Loss of elasticity of abdominal muscles
Dehydration and malnutrition
Delayed wound healing
Paralytic ileus
Intestinal obstruction
RenalDecreased glomerular filtration rate
Decreased concentrating ability
Prolonged drug metabolism and clearance
GastricDiminished blood flowProlonged drug metabolism and clearance
ImmuneReduced formation of antibodies and lymphocytes
Slowed inflammatory response
Delayed fever response
Delayed wound healing
Increased risk for infection

Meeting the special needs of our elderly surgical patients

Our Health Check surgery recovery program is quickly returning patients to their preoperative, optimal, functional level of independence. Our protocols allow patients to recover at home with the reassurance that their postoperative care needs are being met by highly professional, skilled nurses and therapists in accordance with their physician’s orders and nationally recognized standards of care.

Program Benefits

In-home postoperative care and services focused on improving the elderly patient’s recovery are provided by licensed RNs, LVNs, and therapists as needed.

Services may include:
  • Skilled observation and assessment, teaching, and specific care and treatment
  • Therapeutic exercise and ambulation program by PT and/or OT
  • Focused care and standardized approach to minimize post-op complications
  • Regular progress reports and clinical feedback to MD

Vision: Our vision is to simply exceed the quality and service expectations of those we serve…

Philosophy: Our philosophy is providing patient care to the best of our ability in an effort to promote healing while maintaining respect through teamwork…

Mission Statement: Outstanding Service with Integrity.