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PPT : The Right Path A Focus on Preventive Care for the Elderly

IHS Elder Care Initiative Excellence in Care of the Elderly Bruce Finke, MD
Working to help AIAN elders maintain health, function, and their vital role in the life of their community and culture
The Goal of Elder Care…
* Maintain health * Maintain function * Maintain ability to play a vital role in the life of community and culture
Prevent or delay disability, frailty, and displacement from home and community
Is The Care We Provide to Older Women Good Enough?
How good is “good enough”?
Does every older woman you care for have access to the full array of recommended evidence-based preventive care services?
Preventive Care Guidelines for the Elderly How did we get here?
* USPSTF Recommendations
* Interdisciplinary Indian Health on-line work group
* “Expert Opinion” recommendations
* Meant to be modified
Preventive Care Guidelines for the Elderly USPSTF
* BMI (uncertain predictive value over 75)
Age-Adjusted Cerebrovascular Diseases Death Rates, CY 1996-1998
IHS Adjusted Total – All Areas = 29.5
U.S. All Races (1997) = 25.9
Regional Differences in Indian Health – 2000-2001 Chart 4.29
Unadjusted
Adjusted for Race Misreporting
Preventive Care Guidelines for the Elderly USPSTF
* Colorectal Cancer Screening o Either + FOBT – annual + Sigmoidoscopy – q 5 years + Colonoscopy – q 10 years + Double contrast BE and sigmoidoscopy q 5 yrs
Age-Adjusted Colon-Rectal Cancer Death Rates

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