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KCE Reports 85 S Médecine à l’acte/médecine au forfait – ANNEXES 45
12. If a person age 75 or older has
no history of anaphylactic
hypersensitivity to eggs or to
other components of the influenza
vaccine, then the patient should
be offered an annual influenza
vaccination
13. All persons age 75 or older
should be offered an eye
evaluation every 2 years that
includes the essential components
of a comprehensive eye exam
35 OUI Influenza vaccination for
person age 75 or older:
=> Number of patienst age
>= 75 receiving influenza
vaccine yearly.
35 OUI
Vision Care
Frequency of
ophthalmologist follow-up
for patients age 75 or older:
=> Number of patients age
>= 75 who have had a
comprehensive eye exam
(consultation to an
ophthalmologist) every 2
years.
=> Number of times (dates)
that each patient age 75 or
older has had a
comprehensive eye exam
(consultation to an
ophthalmologist)
Voir indicateurs
vaccinations
« comprehensive eye
exam » ? on ne peut
ici évaluer que les
visites
ophtalmologiques
globalement.
Indicateurs non retenus.
indicateurs non mesurables car nécessitent données cliniques ou du dossier
If a person age 75 or older (a vulnerable elder) is taking a MAOI, then he or she
should not receive medications that interact with MAOI for at least 2 weeks
after termination (35,37)
If a person age 75 or older has responded to antidepressant medication, then he
or she should be continued on the drug at the same dose for at least 6
months, and should make at least 1 clinician contact (office visit or phone)
during that time period (35)
If a diabetic person age 75 or older (a vulnerable elder) does not have established
renal disease and is not receiving an ACE inhibitor or ACE receptor blocker,
then he or she should receive an annual test for proteinuria (35,37)
If a person age 75 or older has established CHD and is not on warfarin, then he
or she should be offered antiplatelet therapy (35)
If a person age 75 or older has osteoporosis, then calcium and vitamin D
supplements should be recommended at least once (35)
(If a vulnerable elder) If a person aged 75 or older with a history of cardiac
disease is started on a tricyclic antidepressant, then a baseline
electrocardiogram should be performed prior to initiation of or within 3
months prior to treatment (35,37)
If a person age 75 or older has depression with psychotic features, then he or she
should be referred to a psychiatrist and should receive treatment with a
combination of an antidepressants and an antipsychotic, or with
electroconvulsive therapy (35)
ACE inhibitors use: If a person age 75 or older has heart failure with a left
ventricular ejection fraction ≤ 40% the he or she should be offered an ACE
inhibitor (35)
If a person age 75 or over has cerebrovascular disease, then the patient should be
offered appropriate stroke prophylaxis with antiplatelet agents or warfarin
(35)