Do each visit
|
Discuss periodically with caregiver
|
* * * *
|
|
Maintain awareness of elder abuse
|
Do each visit
|
Do each visit
|
Do each visit
|
Do each visit
|
|
Assess ADLs and IADLs
|
Do yearly
|
Do yearly
|
Do each visit
|
Do each visit
|
|
Visual acuity testing
|
Consider yearly
|
Consider yearly
|
Consider yearly
|
* * * *
|
|
Auditory testing
|
Consider yearly
|
Consider yearly
|
Consider yearly
|
* * * *
|
|
Ask about urinary incontinence
|
Do yearly
|
Do yearly
|
Do yearly
|
Do yearly
|
|
Males: ask about erectile dysfunction and ADAM screen for hypogonadism Rapid Geriatric Assessment
|
Do yearly Do at each visit
|
Do yearly Do at each visit
|
Consider yearly Do at each visit
|
* * * * Consider
|
|
Cognitive screening
|
Do initially; do if symptomatica
|
Do initially; do if symptomatic
|
Do initially
|
Consider if symptomatic
|
|
Depression screening
|
Do initially; do if symptomatic
|
Do initially; do if symptomatic
|
Do initially; do if symptomatic
|
Do initially; do if symptomatic
|
|
Screening for gait and balance
|
Do initially; do if symptomatic
|
Do initially; do if symptomatic
|
Do initially; do if symptomatic
|
Do if symptomatic
|
|
Advance directives
|
Do yearly and as needed
|
Do yearly and as needed
|
Do yearly and as needed
|
Do yearly and as needed
|
|
Influenza vaccine
|
Do yearly
|
Do yearly
|
Do yearly
|
Do yearly
|
|
Pneumococcal vaccine
|
Do once; consider repeat every 6 years for patients with chronic diseases
|
Do once
|
Do once
|
Consider vaccination once
|
|
Tetanus
|
Do primary series if not vaccinated before and booster every 10 years
|
Do primary series if not vaccinated before
|
Do primary series if not vaccinated before
|
* * * *
|
|
Zostavax Hepatitis C
|
Do once Do once
|
Do once Do once
|
Do once * * * *
|
Consider * * * *
|
|
Breast examination
|
Do yearly
|
Do yearly
|
Do yearly
|
* * * *
|
|
Mammography
|
Do every 1–2 years up to age 80
|
Consider every 1–2 years up to age 75
|
Consider every 1–2 years up to age 70
|
* * * *
|
|
Pap smear
|
Consider 1–3 Pap smears if patient has never had one
|
* * * *
|
* * * *
|
* * * *
|
|
Faecal occult blood test
|
Do yearly
|
Consider yearly
|
Consider yearly
|
* * * *
|
|
Colonoscopy
|
Consider every 10 years
|
* * * *
|
* * * *
|
* * * *
|
|
PSA
|
Discuss pros and cons with patient
|
Discuss pros and cons with patient
|
Discuss pros and cons with caregiver
|
* * * *
|
|
Osteoporosis
|
Do at least once; consider every 2 years
|
Do at least once every 2 years
|
Do at least once
|
* * * *
|
|
Cholesterol screening
|
Consider screening for patients aged 65–75 if they have additional risk factors (e.g. smoking, diabetes, hypertension)
|
Consider screening for patients aged 65–75 if they have additional risk factors (e.g. smoking, diabetes, hypertension)
|
* * * *
|
* * * *
|
|
TSH
|
Do every 5 years or if symptomatic
|
Do every 5 years or if symptomatic
|
Do every 5 years or if symptomatic
|
Consider
|
|
Fasting blood glucose
|
Do if symptomatic or every 3 years if the patient has risk factors
|
Do if symptomatic or every 3 years if the patient has risk factors
|
Do if symptomatic or every 3 years if the patient has risk factors
|
Consider if symptomatic
|
|
Sleep apnoea Abdominal aortic aneurism
|
Do yearly Do once
|
Do yearly Do once
|
* * * * * * * *
|
* * * * * * * *
|
MNA, Mini‐Nutritional Assessment; OTC, over‐the‐counter; ADLs, activities of daily living; IADLs, instrumental activities of daily living; ADAM, androgen deficiency in adult males; PSA, prostate‐specific antigen; SNAQ, Simplified Nutritional Assessment Questionnaire; TSH, thyroid‐stimulating hormone.
a The term symptomatic refers to any complaint given by the patient or caregiver or any problem observed/elicited by the clinician.
Since screening for weight loss is very low‐cost and low‐risk and the benefits of intervention are somewhat positive,
