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Physicals
A physical examination for senior primary care, often referred to as a "senior wellness exam" or "senior health assessment," is a comprehensive medical evaluation designed specifically for older adults to assess their overall health, detect age-related health issues, and create a personalized healthcare plan. This type of examination aims to promote healthy aging, prevent and manage chronic conditions, and address the unique healthcare needs of seniors. Here is a description of what a physical for senior primary care typically involves:
Medical History Review: We begin by discussing your medical history, including past illnesses, surgeries, medications, and family medical history. This helps identify potential risk factors and concerns.
Physical Assessment: A thorough physical examination is conducted, including assessments of vital signs (blood pressure, heart rate, respiratory rate, and temperature), heart and lung function, and neurological function. We also check for signs of mobility issues or balance problems.
Cognitive Function Assessment: Cognitive function is evaluated through basic mental status tests to detect early signs of cognitive impairment, such as dementia or Alzheimer's disease.
Immunization Review: The healthcare provider ensures that the senior is up-to-date on recommended vaccines, such as flu, COVID-19, pneumonia, and shingles vaccines.
Nutritional Assessment: Dietary habits are reviewed to assess if the senior is receiving proper nutrition and hydration. Nutritional counseling may be provided if necessary.
Functional Assessment: Assessments of daily living activities (e.g., dressing, bathing, cooking) and instrumental activities (e.g., managing finances, transportation) are performed to gauge a senior's ability to maintain independence.
Advance Care Planning: Discussions about advance directives, end-of-life care preferences, and healthcare proxies may be included in the examination to ensure that the senior's wishes are respected in case of incapacity.
Medication Review: We review all current medications, including prescription drugs, over-the-counter medications, and supplements, to check for any interactions or side effects.
Vision and Hearing Testing: Visual acuity and hearing assessments may be performed, as these senses can deteriorate with age. Corrective measures or referrals to specialists may be recommended if needed.
Bone Health Assessment: For seniors at risk of osteoporosis or fractures, a referral may be given to obtain a bone density or DEXA scan to assess bone health.
Cancer Screening: Depending on the senior's age, gender, and risk factors, cancer screenings like mammograms, Pap smears, prostate cancer screening, and colonoscopies may be discussed or scheduled.
Physical Activity and Exercise: The provider discusses the importance of physical activity and may offer recommendations for appropriate exercises and activities to maintain mobility and strength.
Social and Emotional Well-being: We will address mental health, social connections, and emotional well-being which may include depression, anxiety, loneliness, or caregiver stress.
Healthcare Recommendations: Based on the findings of the examination, the healthcare provider develops a personalized healthcare plan. This may include adjustments to medications, referrals to specialists, recommendations for preventive measures, lifestyle changes, and follow-up appointments.
A senior wellness exam is an opportunity for older adults to proactively manage their health, receive guidance on aging-related issues, and establish a partnership with their healthcare provider to ensure a healthy and fulfilling senior life. The frequency of these exams may vary based on individual health status and risk factors but is typically recommended on an annual or biannual basis.
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