Chapter 6 Health Maintenance: Ages 65 Years and Older IMPORTANT CONSIDERATIONS (PHYSIOLOGIC CHANGES) The 65 years and older age group is notable for maturity, leisure, and age-related health changes. Health care is still directed toward prevention, but it becomes more and more occupied by the management of general medical and age-related illness. Although reproductive health issues no longer are the focus of well-women visits, the women’s health care provider is often still the patient’s primary entry point for health care. Leading Causes of Death • Cardiovascular disease • Coronary artery disease • Colorectal, lung, and breast cancer • Cerebrovascular disease • Obstructive lung disease • Alzheimer’s disease • Pneumonia/influenza • Diabetes mellitus and its complications • Renal disease • Accidents Leading Causes of Morbidity • Nose, throat, and upper respiratory conditions • Osteoporosis • Arthritis • Hypertension • Urinary and fecal incontinence • Heart disease • Musculoskeletal and soft tissue injuries • Hearing and vision impairment • Colon disease (e.g., diverticulitis) SCREENING History • Reason for visit • Health status: medical, surgical, family • Dietary/nutritional assessment • Physical activity and activities of daily life • Tobacco, alcohol, other drugs (concurrent medications including complementary and alternative medicines) • Abuse/neglect (two thirds of the victims of elder abuse are women, with almost 90% of abuse cases occurring in the home) • Sexual practices/activity • Urinary and fecal incontinence (These issues become more common with childbearing and age, but patients seldom volunteer these complaints.) Physical • Height • Weight (body mass index) • Blood pressure • Oral cavity • Neck: adenopathy, thyroid • Breasts • Abdomen • Pelvic and rectovaginal examination • Skin • Hearing and vision screening (including glaucoma testing) Laboratory Periodic • Pap test (physician and patient discretion after three consecutive normal test results if low risk) • Urinalysis/dipstick Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Urinary Incontinence: Bypass, Overflow Acne Inversa (Hidradenitis Suppurativa) Breast: Intraductal Papilloma Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Health Maintenance: Ages 65 Years and Older Full access? Get Clinical Tree
Chapter 6 Health Maintenance: Ages 65 Years and Older IMPORTANT CONSIDERATIONS (PHYSIOLOGIC CHANGES) The 65 years and older age group is notable for maturity, leisure, and age-related health changes. Health care is still directed toward prevention, but it becomes more and more occupied by the management of general medical and age-related illness. Although reproductive health issues no longer are the focus of well-women visits, the women’s health care provider is often still the patient’s primary entry point for health care. Leading Causes of Death • Cardiovascular disease • Coronary artery disease • Colorectal, lung, and breast cancer • Cerebrovascular disease • Obstructive lung disease • Alzheimer’s disease • Pneumonia/influenza • Diabetes mellitus and its complications • Renal disease • Accidents Leading Causes of Morbidity • Nose, throat, and upper respiratory conditions • Osteoporosis • Arthritis • Hypertension • Urinary and fecal incontinence • Heart disease • Musculoskeletal and soft tissue injuries • Hearing and vision impairment • Colon disease (e.g., diverticulitis) SCREENING History • Reason for visit • Health status: medical, surgical, family • Dietary/nutritional assessment • Physical activity and activities of daily life • Tobacco, alcohol, other drugs (concurrent medications including complementary and alternative medicines) • Abuse/neglect (two thirds of the victims of elder abuse are women, with almost 90% of abuse cases occurring in the home) • Sexual practices/activity • Urinary and fecal incontinence (These issues become more common with childbearing and age, but patients seldom volunteer these complaints.) Physical • Height • Weight (body mass index) • Blood pressure • Oral cavity • Neck: adenopathy, thyroid • Breasts • Abdomen • Pelvic and rectovaginal examination • Skin • Hearing and vision screening (including glaucoma testing) Laboratory Periodic • Pap test (physician and patient discretion after three consecutive normal test results if low risk) • Urinalysis/dipstick Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Urinary Incontinence: Bypass, Overflow Acne Inversa (Hidradenitis Suppurativa) Breast: Intraductal Papilloma Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Health Maintenance: Ages 65 Years and Older Full access? Get Clinical Tree
