Ages 65+

 


Screening and Consulation

History: Tell Us About You

  • Reason for visit
  • Health status: medical/surgical, menstrual, reproductive health 
  • Family Medical History
  • Dietary/nutrition assessment- Weigh concerns, calcium intake....
  • Physical activity 
  • Pelvic prolapse 
  • Menopausal symptoms
  • Use of complementary and alternative medicine 
  • Tobacco, alcohol, and concurrent medication use
  • Abuse/neglect- physical and emotional
  • Sexual practices (including vaginal, anal and oral sex; sexual orientation, number of  partners; any current or prior high risk sexual behaviors)
  • Urinary and fecal incontinence

Physical Examination

  • Height
  • Weight
  • Body mass index (BMI)
  • Blood pressure
  • Neck: adenopathy, thyroid 
  • Breasts, axillae (yearly clinical breast examination)
  • Abdomen
  • Pelvic examination (where appropriate for age and circumstances)

Psychosocial Evaluation

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

Cardiovascular Risk Factors

  • Hypertension
  • Dyslipidemia
  • Weight management concerns
  • 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)
  • Skin exposure to ultraviolet rays
  • Suicide: depressive symptoms
  • Visual acuity/glaucoma


Yes...We are thorough, but you are worth it.

Let us help you start healthy and stay healthy. Call us at 989-753-8453
to schedule your Well Woman Visit.