Older Persons Health Assessment

Last updated 13.02.13

Definition

-  In-depth health assessement of older patients

-  >75yrs for non-indigenous patients

-  >55yrs for indigenous patients

 

Features

-  Structured way of identifying health issues potentially preventable or amenable to intervention

-  Medicare item numbers

-  Non-indigenous patients

-   In GP clinic: 700

-   At patients home: 702

-  Indigenous patients

-   In GP clinic: 702

-   At patients home: 706

-  Must include

-  BP

-  Current medications

-  Immunisation status

-  ADLs

-  Mobility

-  Cognition & mood

-  Social support, carers, formal help

-  Should also include

-  Number of falls

-  Incontinence

-  Oral health & dentition

-  Nutrition status

-  Information collection component may be performed by a nurse or other medical assistant acting under the supervision of the medical practitioner

 

Procedure

-  Check medications

-  Current, PRN: correct dose & frequency

-  Remove non-current

-  Allergies

-  Immunisations

-  Flu vaccine

-  Pneumococcal

-  Tetanus

-  Social Hx

-  Smoking

-  EtOH

-  Living arrangements

-  Social supports

-  ADLs

-  Physical Examination

-  Chest, heart

-  Abdo

-  Visual acuity

-  MMSE

-  Screening tests

-  Fasting glucose & lipids

-  FWT

 

 

 

References

 

Department of Health & Ageing: Older Persons Health Assessment Fact Sheet