Red Book - Middle Age

Question 1

45-49yo - what health checks should be done?

Answer 1

Hx: SNAP, SEWB, skin lesions, pre-conception care, FHx
Ex: BMI + waist circ, BP, lipids
Mx:
- CST +/- mammogram + # risk factors
- immunisation (flu, dTpa)
- AUSDRISK
- absolute CVD risk

Question 2

50-64yo - what health checks should be done?

Answer 2

Hx: SNAP, SEWB, skin lesions, FHx
Ex: BMI + waist circ, BP, lipids
Mx:
- FOBT at least every 2y
- CST at least every 5y
- Mammogram at least every 2y
- immunisation (flu, dTpa) + pneumococcal if ATSI (13vPCV, 23vPVV 12m later then again at least 5y later)
- # risk factors if female
- AUSDRISK
- absolute CVD risk

Question 3

What 3 immunisations are recommended in the elderly?

Answer 3

1. Flu - annually (funded from 65yo if non-Indigenous)
2. Pneumococcal - single dose 13vPCV if non-Indigenous >70yo
3. Herpes zoster - single dose (Zostavax funded if 70-79yo)

Question 4

What physical activity is recommended in the elderly?

Answer 4

30mins moderate intensity on most, preferably all, days

Question 5

When should falls screening/case finding be completed in the elderly?

Answer 5

Screen for falls annually if average risk (all people >65yo)
or
Case find for risk factors every 6m if increased risk (PHx fall, recurrent falls or multiple risk factors)

Question 6

What visual and hearing impairment interventions should be completed in the elderly?

Answer 6

Visual acuity assessment if Sx or on request (NOT screening)
and
Hearing impairment screening annually from 65yo

Question 7

What dementia screening interventions should be completed in the elderly?

Answer 7

Case finding + early intervention if increased risk
- Sx
- Older age
- FHx
- PHx repeated head trauma, Down syndrome, elevated CVD risk, depression
- Low levels of education
- ATSI
No evidence of screening benefit in average risk (those without Sx)