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Why Medication Review for elderly at home, Vital Sign Monitoring & Blood Tests Are Essential for Elderly Patients

a doctor is reviewing elderly patients medication at home during home visit doctor service

As our loved ones age, their medical needs become more complex. Many elderly patients are on multiple medications, have chronic illnesses, and require close monitoring.


However, due to mobility issues, weakness, or transportation challenges, many elderly patients miss regular clinic follow-ups — putting their health at risk.


This is why regular medication review, vital sign monitoring, and blood tests are not optional — they are a necessity.


The Problem: Polypharmacy in the Elderly


Most elderly patients take multiple medications daily for conditions such as:


  • High blood pressure

  • Diabetes

  • Heart disease

  • Kidney problems

  • Stroke

  • Dementia


Taking 5, 8, or even 10 medications daily is common.


This increases the risk of:

  • Drug interactions

  • Side effects

  • Overdosing or underdosing

  • Kidney strain

  • Falls and confusion


Without proper review, medications that were once necessary may become harmful over time.


1. Why Medication Review for Elderly at home Is Critical


A medication review ensures that:


✔ Each medication is still necessary

✔ Dosage is appropriate for age and kidney function

✔ There are no harmful drug interactions

✔ Blood pressure or sugar medications are not too strong

✔ Sedatives are not increasing fall risk


As elderly patients age, their body metabolism slows down. What worked 2 years ago may no longer be safe today.


Regular review prevents:

  • Hospital admissions

  • Sudden deterioration

  • Unexplained weakness

  • Confusion or delirium


2. Why Vital Sign Monitoring Matters


Vital signs give early warning of hidden problems.


Important parameters include:

  • Blood pressure

  • Heart rate

  • Oxygen level

  • Temperature

  • Blood sugar (for diabetic patients)


For example:

  • Low blood pressure may cause dizziness and falls

  • High blood pressure increases stroke risk

  • Low oxygen levels may indicate heart or lung failure

  • Abnormal pulse may signal arrhythmia


Many elderly patients deteriorate slowly and silently — regular monitoring detects problems early.


3. Why Blood Tests Are Necessary


Blood tests help detect problems before symptoms appear.


Common essential tests for elderly patients:


  • Kidney function (creatinine, urea)

  • Electrolytes (sodium, potassium)

  • Liver function

  • Blood count (anemia, infection)

  • Diabetes control (HbA1c)

  • Cholesterol


Medication safety depends heavily on kidney and liver function.


For example:

  • Diuretics can disturb potassium levels

  • Diabetes medication may cause low sugar

  • Blood pressure medication may worsen kidney function


Without regular blood tests, complications can go unnoticed.


The Reality: Many Elderly Patients Miss Follow-Ups


Common reasons include:


  • Difficulty walking

  • Wheelchair dependency

  • Bedbound status

  • Fear of hospital visits

  • Transport inconvenience

  • Long waiting times


This leads to:


  • Unmonitored medication use

  • Worsening chronic diseases

  • Avoidable hospital admissions


How OnCallMD Helps Families Manage Elderly Care at Home


At OnCallMD, we bring comprehensive medical review services directly to your home.

Our services include:


✔ Home visit doctor consultation

✔ Full medication review

✔ Vital sign assessment

✔ Blood tests done at home

✔ IV treatment (if required)

✔ Adjustment of medications

✔ Ongoing monitoring plan

✔ Caregiver guidance


We ensure your loved ones receive hospital-level monitoring without the stress of travel.


Who Should Consider Home Medical Review?


Home medication review is strongly recommended for elderly patients who:


  • Are on 5 or more medications

  • Have heart failure, kidney disease, or diabetes

  • Recently discharged from hospital

  • Have frequent falls

  • Show sudden weakness or confusion

  • Miss regular clinic appointments


Early Monitoring Prevents Emergencies


Many hospital admissions can be prevented with proper early monitoring.

A simple medication adjustment or early detection of abnormal blood results can prevent:

  • Stroke

  • Severe infection

  • Electrolyte imbalance

  • Kidney failure

  • Sudden collapse


Preventive care is always safer than emergency care.


Final Thoughts


Elderly care requires more than just giving medication. It requires careful monitoring, regular review, and proactive prevention.


If your elderly loved one has mobility issues or struggles to attend clinic appointments, home-based medical review may be the safest and most practical solution.


At OnCallMD, we are committed to providing comprehensive elderly medical management in the comfort of your home.


Because aging should be supported with proper care — not complicated by avoidable risks.

© 2024  ONCALLMD SERVICES

​Level 23, Premier Suite, Plaza 1 Montkiara, Jalan Kiara, Montkiara 50480 Kuala Lumpur

Tel: 012-3900443

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