Ages 65 Years and Older: Evaluation and Counseling

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Ages 65 Years and Older
     Laboratory and other tests
     Screening
     Immunizations

Sexuality

Sexual function
□ Sexual behaviors
□ Sexually transmitted infections—barrier protection

Fitness and Nutrition

□ Physical activity
□ Dietary/nutrition assessment (including eating disorders and obesity)
□ Calcium intake

Psychosocial Evaluation

□ Neglect/abuse
□ Intimate partner violence
□ Lifestyle/stress
□ Depression/sleep disorders
□ Family relationships
□ Advance directives

Cardiovascular Risk Factors

□ Hypertension
□ Dyslipidemia
□ Obesity
□ Diabetes mellitus
□ Personal history of preeclampsia, gestational diabetes, or pregnancy-induced  hypertension
□ Sedentary lifestyle

Health/Risk Assessment

□ Aspirin prophylaxis (for women aged 79 years or younger)* 
□ Breast self-awareness (may include breast self-examination)
□ Chemoprophylaxis for breast cancer (for high-risk women)
□ Hearing
□ Hormone therapy
□ Hygiene (including dental)
□ Injury prevention
     Exercise and sports involvement
     Firearms
     Occupational hazards
     Prevention of falls
     Recreational hazards
     Safe driving practices (seat belt use, no distracted driving or driving while under the influence of substances)
□ Skin exposure to ultraviolet rays
□ Suicide: depressive symptoms
□ Tobacco, alcohol, other drug use
□ Visual acuity/glaucoma

*The recommendation for aspirin prophylaxis must weigh the benefits of stroke prevention against the harm of gastrointestinal bleeding. Visit the U.S. Preventive Services Task Force for more information.

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998