Patients should be encouraged to be physically active and to evaluate their homes for environmental hazards in order to aid the prevention of falls. Patients should be warned about the dangers of firearms. It is not clear whether the risks of low-dose aspirin therapy outweigh the benefits in the very old, and each patient should be evaluated individually. Most organizations recommend counseling older women regarding hormone replacement therapy, but specific recommendations on whom, when, and for how long to treat vary. Male screening Erectile dysfunction is common with multiple treatments available.
Male hypogonadism is associated with muscle weakness, osteoporosis and visuospatial deficits.
Vision Visual acuity testing is suggested for the elderly every 1-2 years and can be performed by primary care physicians. It is recommended that screening for glaucoma be performed by an eye specialist. Many eye specialists recommend an annual eye examination in older adults and an annual eye examination in all diabetics. Hearing It is important for primary care physicians to consider screening for hearing impairment in older patients, although guidelines are lacking. The portable audioscope may be the screening test of choice.