The high prevalence of chronic diseases has become a major health problem for the elderly. Cardiovascular and cerebrovascular diseases, malignant tumors and respiratory diseases are the top three causes of death among the elderly in China. The prevalence of common chronic diseases such as hypertension, diabetes and chronic obstructive pulmonary disease (COPD) increases with age.
The assessment of lifestyle and health status includes: understanding the basic health status, self-care ability and lifestyle of smoking, drinking, eating and physical exercise of the elderly, as well as the common symptoms and treatment of past diseases and current chronic diseases.
Physical examination, including general physical examination and auxiliary examination. Auxiliary examinations include blood routine, urine routine, liver function (serum aspartate aminotransferase, serum alanine aminotransferase and bilirubin), renal function (serum creatinine and blood urea), fasting blood glucose, blood lipid (total cholesterol, triglyceride, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol), electrocardiogram and abdominal B-ultrasound (liver, gallbladder, pancreas and spleen). At the same time, it is necessary to establish a health file, record the results of each health management and manage it continuously.
Beneficiary groups: All elderly people who have lived in the community for more than half a year, regardless of registered or non-registered population, can enjoy health management services for the elderly in the township hospitals, village clinics or community health service centers (stations) where they live.
The Opinions on Formulating and Implementing Nursing Services for the Elderly mentioned that in basic public health services, health management services should be provided for permanent residents aged 65 and above in the jurisdiction.
Cycle: Free physical examination once a year. Main contents: lifestyle and health status assessment, physical examination, auxiliary examination and health guidance.