CTF Quick Tables: elderly men - A & B recommendations

Elderly Men (> 65 Years) Quick Table: "DOs"

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Quick Table of A & B Recommendations Specific to Elderly Men (>65 years)

Condition	Maneuver	Population
"A" Recommendations
Cognitive Impairment	Follow-up based upon caregiver or informant description of decline	Elderly
Falls/injury	Multidisciplinary post-fall assessment	Elderly
Hypertension	Pharmacologic treatment	Elderly, specific subgroups
Influenza	Outreach strategies to reach high-risk groups	Specific groups (e.g., diabetics), elderly
Influenza	Influenza vaccination	General population
Influenza	Neuraminidase inhibitor prophylaxis	General population
Pneumococcal pneumonia	Single dose of 23-valent pneumococcal vaccine	Immunocompetent patients >age 55 years in institutions
"B" Recommendations
Cognitive Impairment	Assessment based upon individual's complaint of memory loss	Elderly
Coronary heart disease	General dietary advice on fat and cholesterol	Males 30-69 years
Diminished visual acuity	Snellen sight card	Elderly
Falls prevention in long-term care facilities	Multifactorial screening and intervention program	Elderly
Hearing impairment	Enquiry, whispered voice test or audioscope	Elderly
Household and recreational injury	Legislation, safety aids, stairs, bathtubs	Elderly
Hypertension	Blood pressure measurement	Elderly
Influenza	Immunization, annual	Elderly

Quick Table of A & B Recommendations from General Population Recommendations Relevant to Elderly Men (>65 years)

Condition	Maneuver	Population
"A" Recommendations
Colorectal cancer	Multiphase screening with the Hemoccult test	Average risk adults > age 50
Dental caries, periodontal disease	Brushing and flossing teeth to apply toothpaste (A) and prevent gingivitis (B) but not cariostatic (C)	General population
Household and recreational injury	Public education/ Legislation on poison control	General population
MVA injury	Legislation, restraint use and control of drinking and driving	General population
Oral cancer mortality	Smoking cessation counselling	General population
Periodontal disease	Flossing teeth	Adult population
Progressive renal disease	Urine dipstick	Adults with IDDM
Tobacco-caused disease	Counselling, smoking cessation or offer nicotine replacement therapy	Smokers
"B" Recommendations
All-cause mortality and morbidity	Moderate physical activity	General population
Colorectal cancer	Sigmoidoscopy	Average risk adults > age 50
Colorectal cancer	Flexible sigmoidoscopy beginning at puberty, genetic testing	High-risk adults with FAP
Colorectal cancer	Colonoscopy	High-risk adults with HNPCC
Diet-related illness	Counselling on adverse nutritional habits	Adult population
Gingivitis	Brushing teeth	General population
Gonorrhea	Counselling, Educational materials	General population
Household and recreational injury	Legislation, window and stair guards, smoke detectors	General population
Household and recreational injury	Public education/ Legislation, fire burn and water (tub and swimming) safety	General population
Household and recreational injury	Legislation, avoidance of alcohol with water recreation	General population
Lung cancer	Dietary advice on green leafy vegetables and fruit	Smokers
MVA Injury	Counselling on restraint use and avoidance of drinking and driving	General population
Obesity	BMI measurement	Obese adults with obesity-related disease
Obesity	Weight-reduction therapy	Obese adults with obesity-related disease
Periodontal disease	Tooth scaling and prophylaxis	General population
Problem drinking	Case finding and counselling	General population
Skin cancer	Counselling, sun exposure, clothing	General population
Stroke	Anticoagulation if atrial fibrillation detected after stroke	Patients with paroxysmal atrial fibrillation
Stroke	Anticoagulation (warfarin) for intracardiac thrombus to prevent systemic emboli	Patients with stroke and intracardiac thrombus
Stroke	Echocardiography: Transthoracic (TTE) or transesophageal (TEE) for detection of intracardiac masses	Patients with clinical cardiac disease and no pre-existing indications for anticoagulation
Tobacco-caused disease	Referral to validated cessation program	Smokers
Vehicle-related injury	Legislation, bicycle motorcycle or all terrain vehicle helmet	General population

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