Healthy Aging

Getting the Medical Care You Need

Medical prevention, regular checkups, and prompt treatment play a key role in your quality of life as you age.

Prevention

Whereas your grandparents' generation had few protections from life-threatening conditions, you now have the advantage of immunizations and regular screenings. To maximize your odds of living a longer, higher-quality life, make sure you get all screenings and immunizations that are recommended for all people over age 50:

• Preventive health screenings for both men and women may include blood pressure checks, cholesterol screening, colorectal cancer screening, hearing and vision tests, and dental examinations. Men may also be advised to have an annual prostate check, which may include a digital rectal examination and/or a blood test. Women are advised to also have a regular breast examination and mammogram as well as a pelvic examination and Pap test. For detailed information on these and other recommended health screenings, see the topic Early Disease Detection. There are sections in the topic for people ages 50 to 64, and people over 65 years old.
• The recommended immunizations includes tetanus boosters, yearly influenza (flu) shot, and pneumococcal vaccine. For detailed information on these and other recommended immunizations, see the topic Immunizations. There is a section in the topic about immunizations for adults.

Managing your health care

Be an informed health care consumer. When concerned about a medical condition, read as much as you can about it and its possible treatments. Make a list of unanswered questions and talk to your health professional about them. Explore all treatment options before deciding how to treat a problem, and get at least one second opinion if you're considering a surgery, medication with dangerous side effects, or experimental treatment. For more information, see the topic Making Wise Health Decisions.

Be your own best health advocate. Make it your goal to work in partnership with your health professionals. In general, people who make health decisions with their health professionals are happier with the care they receive and the results they achieve. It's important to share in every decision about your health. The decisions you make influence your overall well-being as well as the quality and cost of your care. Whenever you have a medical appointment:

• Bring your health and medication history with you, as well as a list of questions you want answered during your appointment.
• Make sure you understand your health professional's key points about your health and any possible tests and treatments.
• You can bring along a friend or family member to support you and help you remember key information for later on. This can be especially useful when you're under a lot of physical or emotional stress.

For more information about how to work in partnership with a health professional, see the topics Work Closely With Your Doctor and Smart Decisions: Know Your Options.

Get organized. Feeling organized and in control of your health care can be a challenge, especially when something comes up unexpectedly. Your best approach to managing your health care is to organize now—create a personal medical information file, including an ongoing record of your:

• Health professionals' names and numbers.
• Medications, herbal supplements, and vitamins. For each, include the dosage, who prescribed it and why, and any side effects you have had.
• Any known allergies to medications, foods, or insects (include the type of allergic reaction).
• Immunization record.
• Symptoms, health conditions, and treatments. For each, jot down dates and any details that you might easily forget.
• Examination and test results.
• Emergency medical information, such as pacemaker use or chronic disease diagnosis.
• Insurance policy. This may be needed when you travel outside of your province.

For more information on how to organize your medical information, see the topic Your Home Health Centre.

Should you become physically or mentally unable to make your own medical decisions, an advance directive (this may be called a living will or another term in your province) can ensure that you will get the care you want. An advance directive states your wishes about your medical care; a representation agreement (this may be called another term in your province) gives a person you choose (your substitute decision-maker ) the authority to make medical decisions for you if you become unable to make these decisions for yourself. In addition to having a legal advance directive and representation agreement, also be sure to clearly communicate your choices to all family members who might be involved in your health care in the future. For information about writing advance directives or selecting a substitute decision-maker, see the topics Writing an Advance Directive and Choosing a Substitute Decision-Maker.

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Author:	Shannon Erstad, MBA/MPH Carrie Henley	Last Updated: August 15, 2006
Medical Review:	Renée M. Crichlow, MD - Family Medicine Tom Bailey, MD - Family Medicine Christine Fordyce, MD - Family Practice/Geriatrics
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