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Dr. Brenda Estrada Geriatrician · Ciudad Juárez

Geriatric service

Geriatric preoperative assessment · Ciudad Juárez

Geriatric evaluation before surgery to anticipate risks and support a better recovery.

  • Office and home visits
  • Bring someone with you
  • Written plan

When to consult

When should you ask for a preoperative assessment?

Ideally two to four weeks before surgery: that leaves time to correct anemia, nutrition and medications.

When to consult

  • You have surgery scheduled and want to know your real risk.
  • You were told you are "too old for surgery" and want a second opinion.
  • You had confusion (delirium) during a previous hospital stay.
  • You live with several conditions or take multiple medications.

Before your visit

  • Bring the surgical order and any existing preoperative tests.
  • Full list of medications and supplements.
  • Note previous hospital stays and how you tolerated them.

Important points

  • Postoperative delirium can largely be prevented; it has to be planned beforehand.
  • Some drugs must be stopped or adjusted days before: follow the written instructions.
  • Recovery starts before surgery: nutrition and movement beforehand count.

During the visit

What is evaluated during the visit?

01 Surgical risk based on frailty and function
02 Delirium risk and a prevention plan
03 Anemia, nutrition and glucose control that can be optimized
04 Medications: what to stop, continue or adjust
05 Cardiac and pulmonary function in geriatric context
06 Functional capacity and a prehabilitation plan
07 Support network for the postoperative period
08 Coordination with surgeon and anesthesiologist

Step by step

From assessment to a practical plan

01

Book your visit

By WhatsApp or phone. We confirm the time and the current fee before closing the appointment.

02

Prepare your documents

ID, recent test results, prescriptions and every medication, supplements included.

03

The assessment, unhurried

We estimate risk with geriatric scales and leave concrete instructions to arrive at surgery in better shape.

04

Written plan and follow-up

You leave with your instructions explained, the treatment adjustments and the date of the next check.

Expected results

What you can expect from this care

Every person progresses differently; these are realistic goals, adjusted at each follow-up.

Short term
  • A report for your surgeon and anesthesiologist
  • Clear medication instructions
  • A delirium prevention plan
Medium term
  • Surgery with fewer complications
  • Fewer hospital days
  • Faster functional recovery
Long term
  • Return to your previous level of independence
  • Fewer readmissions
  • Surgical decisions aligned with your goals

Scientific backing

Trustworthy, verifiable sources

The recommendations on this page follow the guidance of these organizations:

Educational content: it does not replace an individual medical assessment.

Get ready for your surgery

Message me on WhatsApp: I answer personally and we book the right assessment, at the office or at home.

Contact

Leave your details and I will call you during office hours.

Office hours Monday to Friday · 3:00 to 8:00 pmSaturday · 9:00 am to 1:00 pmSunday · closed

Phone and WhatsApp 656 582 1954

Is this an emergency? Chest pain, trouble breathing or a fall with a hard blow do not wait for an appointment: go to the emergency department or call 911.

Leave your details and I will contact you

We get back to you during the next office hours.

Who is the consultation for?

Please do not share clinical data here: we go through it in consultation.

From the blog

Related notes

The questions that come up most in consultation, explained calmly and without jargon.

Frequently asked questions

About this service

Question not here? Send me a WhatsApp message and I will answer personally.

Ask on WhatsApp
How far in advance is best?

Two to four weeks before is ideal, to correct anemia and nutrition and adjust drugs.

What is delirium and why does it matter?

An acute confusional state that is frequent after surgery in older adults. Preventing it shortens the stay and protects function and memory.