A nurse is providing healthy-aging counseling to a 68-year-old at a wellness visit. Which recommendations align with current USPSTF and CDC guidelines for older adults? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Healthy aging recommendations: 150+ min/week aerobic + strength + balance training (balance is critical for fall prevention), continued breast cancer screening through 74 (USPSTF), continued CRC screening through 75 routinely, bone health (Ca, vitamin D, weight-bearing, DEXA). Choice 3 is wrong — preventive screening continues into older age and is highly effective; the question shifts to individualizing benefits vs harms beyond 75-85, NOT stopping at 65.
Two highest-yield older-adult healthy-aging traps: (1) "stop screening at 65" — wrong, screenings continue and individualize, not stop; (2) "exercise is too risky for older adults" — wrong, balance and resistance training reduce falls and disability. CDC STEADI initiative also focuses on annual fall risk screening.
68-year-old at routine wellness visit, generally healthy with controlled hypertension. The nurse provides USPSTF and CDC healthy-aging counseling on physical activity, screening, and falls prevention.
USPSTF older-adult screening — Mammogram through 74, CRC through 75 routinely, individualize 76-85 based on health and prior screening.
Balance training for falls — Tai chi, yoga, or progressive balance exercises reduce fall risk by 20-30% in community-dwelling older adults.
Bone health bundle — Adequate calcium, vitamin D, weight-bearing exercise, DEXA per USPSTF, fall prevention.