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Updated: Mar 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Approach to preventive care in the elderly.

Bachir Tazkarji¹, Robert Lam², Shawn Lee³

¹Assistant Professor of Family Medicine at the University of Toronto in Ontario and a practising family physician with the Summerville Family Health Team in Toronto.

Canadian Family Physician Medecin De Famille Canadien

|September 16, 2016

Summary

Family physicians can improve elder care by tailoring preventive screening and treatment plans. Consider patient age, frailty, comorbidities, and individual values for effective health interventions.

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Last Updated: Mar 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Area of Science:

Geriatric Medicine
Preventive Healthcare
Family Practice

Background:

Elderly patients require individualized preventive screening and treatment plans.
Current guidelines may lack clarity for older adults (e.g., >74 years).
Frailty is an emerging concept to aid in assessing life expectancy.

Purpose of the Study:

To guide family physicians in developing preventive health strategies for elderly patients.
To inform the creation of personalized screening and treatment plans for seniors.

Main Methods:

Systematic review of Canadian guidelines and literature on primary care for the elderly.
Searched MEDLINE for guidelines, meta-analyses, and systematic reviews (2006-2016).
Included English-language articles on preventive services for the elderly in family practice (2012-2016).

Main Results:

Estimating life expectancy is complex; frailty offers a helpful concept.
Cancer screening guidelines need individualization for patients over 74.
Preventive care benefits decrease as life expectancy shortens; patient perspective is key.

Conclusions:

Key factors for preventive interventions in the elderly include age, life expectancy (frailty), comorbidities, functional status, and patient values.
Shared decision-making is crucial for preventive management plans.
A mnemonic (CCFP: Cancer, Cardiovascular, Falls/Osteoporosis, Immunizations) can aid primary care prevention.