Why Medication Review for elderly at home, Vital Sign Monitoring & Blood Tests Are Essential for Elderly Patients
- Dr.David Mathew
- 12 hours ago
- 3 min read

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.


