The student has seen pre and post operative patients receive diagnosis which are unexpected, i.e. cancer, metastasis, long term rehabilitation or paralysis. Empathy is essential in caring for these individuals, allowing the person to express feelings yes ensuring they still feel empowered, independent and able to fulfil their own needs as much as possible. Referrals to different support services are helpful, cancer society NZ, cancer support, hospice, enhanced Intermediate assessment treatment team (EICATT) which helps older persons return home while reducing inpatient stay.