The Older Patient

Early detection of disease is a good thing, but we should not forget about our older patients. Older patients are particularly likely to benefit from interventions to reduce heart attacks and stroke. These include controlling blood pressure and lowering cholesterol as well as weight reduction. Weight loss produces favorable changes in elevated cholesterol, elevated blood sugar and elevated blood pressure. Control of obesity also encourages a more active lifestyle.  

The symptoms of coronary artery disease may be more subtle over the age of 80; patients should be sure to report even what they consider to be trivial complaints. A pain in the calf while walking could indicate a critical blockage in a coronary artery.  

It is never too late to stop smoking! Within five years of smoking cessation the risk of smoke declines to that of people who never smoked. Approximately 15 percent of adults over age 65 years experience health problems related to the complications of alcohol consumption in combination with medication or chronic conditions. Risk factors for alcohol abuse among older adults include bereavement, depression, anxiety, pain, disability, and a prior history of alcohol use. 

All older adults, including the very old, those with multiple medical problems, or those who are in chronic care facilities, can benefit from physical activity. Participation in any amount of physical activity will result in some health benefit.  

It’s never too late to improve your health. Small investments can have big pay-offs.