Older adult surgical care · Perth, WA

Surgery is one day. Getting home well takes a plan.

We prepare older adults in Perth for an operation, watch over them through the days after it, and rebuild the strength that gets them back through their own front door.

Make a referral See what we do

Australian registered · ABN 88 699 323 478

The care pathway
Schematic of the perioperative care pathway A line showing everyday function rising during prehabilitation, dropping around surgery, then climbing through recovery and rehabilitation to a stable level at home. Everyday function Prehab Surgery Recovery Rehab Home

Schematic of the pathway we plan around — not patient data.

Why it matters

An operation asks more of an older body than it does of a younger one

Age itself is rarely the problem. Deconditioning, unreviewed medicines and an unplanned discharge are. Each of those can be worked on before the theatre list is even set.

  • We start before the operation, not after it

    Conditioning, nutrition, medicine review and a frank conversation about what recovery will actually involve — done in the weeks a waiting list gives you, rather than lost to them.

  • We plan for delirium and falls in advance

    Cognition, hearing, vision, continence, sleep and pain are all reviewed before admission, so the ward team inherits a plan instead of writing one at 2am.

  • Home is the goal, and we say so out loud

    Every plan we write names the level of independence we are aiming for and what has to be true for it — equipment, stairs, showering, shopping, who is around in week one.

What we do

Care built around the surgical journey

Four of the services families and referrers ask us for most often. The full list, with what each one involves, sits on the services page.

Prehabilitation

A structured build-up in the weeks before a planned operation: strength and walking tolerance, breathing work, protein and iron, and stopping what should be stopped.

Perioperative assessment

Comprehensive geriatric assessment before admission — frailty, cognition, continence, nutrition and a full medicines reconciliation, written up for the surgical and anaesthetic team.

Rehabilitation programs

Goal-led strength, balance and gait retraining after surgery, progressed against what the person actually needs to do at home rather than a fixed number of sessions.

Discharge and home transition

Home safety review, equipment and rail placement, a written medicines list the family can follow, and a first-fortnight check-in once the hospital is out of the picture.

All six services
The pathway

From the decision to operate to the front door at home

Five phases, in order. We can join at any one of them, but the earlier we start the more of the plan is ours to shape.

  1. 01

    Prehabilitation

    Build reserve while there is still time: exercise, nutrition, anaemia, medicines, smoking and alcohol.

  2. 02

    Assessment

    Frailty, cognition and function documented before admission, with risks and mitigations sent to the treating team.

  3. 03

    Early recovery

    The first days after theatre: pain, hydration, bowels, sleep, delirium screening and getting upright early.

  4. 04

    Rehabilitation

    Strength, balance, stairs and confidence, measured against the tasks the person needs to resume.

  5. 05

    Home

    Equipment in place, carers briefed, follow-up booked, and a plan for what to do if things slip.

Who we are

A Perth practice built around one clinical question

Perioperative and Rehabilitation Older Adult Care Pty Ltd works with older Western Australians facing surgery, and with the people around them. We are based in Perth’s western suburbs and work across the metropolitan area.

The question we keep coming back to is a simple one: what would have to change for this person to come through this operation and still be living the life they had before it? Everything we offer is an answer to some part of that.

More about the practice

Who we work with

  • Older adults facing surgery

    Planned orthopaedic, abdominal, vascular and cancer procedures.

  • Families and carers

    Told plainly what to expect, and what their part in it is.

  • Referrers

    GPs, surgeons, anaesthetists, hospital discharge planners and aged care providers.

Company details

ABN
88 699 323 478
ACN
699 323 478
Registered
Australia
Based in
Perth WA 6016

Is there a date for the operation yet?

If there is, there is time to prepare. Send us the situation in a few lines and we will tell you what we would do first.

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