
EXECUTIVE
PHYSICAL ASSESMENT & HEALTH PROGRAM
[Executive
physical assessment] [Tests description] [Case
examples] [Executive health program] [Customized
programs] [Health risk appraisal] [Risk
factor reduction] [Services available]
Executive
physical assessment
The
Executive Physical Assessment, commonly called the executive physical, involves
an assessment of the whole body to determine if all the bodys systems
are functioning normally. The physician will identify any current problems and
recommend a course of action for treatment and prevention of future problems.
The medical history is a valuable part of the assessment, giving the executive
the opportunity to talk about past and present personal and family medical problems
as well as current lifestyle patterns. This background information provides
an important resource for the care and treatment of the patient. For example,
the medical history allows the physician to determine risk factors and to explain
the relationship between risk factors and disease, and between lifestyle and
disease. This understanding will form the basis for a preventive medicine program,
where the doctor and executive form an active partnership to protect the health
of the individual.
An integral part of the executive physical is the complete physical examination,
performed in the doctors office. Lab tests and X-rays are used to supplement
the physical examination and provide more detailed data.
The following are tests which may be included in the executive physical, depending
on the persons risk factors and gender:
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Tests description
- Blood
tests and urinalysis
- Used
as screening tools, as well as to provide specific information in evaluating
how the - body is performing.
- Electrocardiogram
(EKG) evaluates the heart in the resting state.
- Cardiac
stress test evaluates the heart during exercise.
- Prostate
Specific Antigen (PSA) is used to detect early sign of cancer of the prostate.
- Visual
acuity tests for changes in vision.
- Chest
X-ray evaluates the heart size and shape, the lungs, large blood vessels
and spine.
-
Spirometry evaluates lung capacity and function.
- Hemoccult
test.
- A
stool test for occult blood, which checks for blood loss that would possibly
indicate ulcers, tumors or other conditions.
- Sigmoidoscopy
(fiberoptic) screening test for colon cancer as well as lesions that may
develop into cancer.
- Pap
smear screening test for cervical cancer.
- Mammogram
screening test for breast cancer.
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Case
examples
A 56 year-old male accountant was scheduled a complete examination as a part
of his companys executive health program. He had an uneventful history
with no previous medical problems, no surgery, no hospitalizations, and no
symptoms. His examination was completely normal. His flexible sigmoidoscopy
exam, however, revealed a large polyp with a three centimeter cancer mass
growing at the end of it. The patient had no symptoms and no indication of
problems with the colon. Three days later he underwent elective surgery for
removal of the polyp and had an uneventful recovery. Tests revealed no evidence
of spread of the tumor and he has remained symptoms free with a different
prospective on life during the two years since his surgery.
A 49 year-old male executive was referred by his company for an executive physical
examination as part of their health program. He was slightly overweight and
concerned about a family history of heart disease but had no symptoms and had
not experienced medical problems in the past. His initial laboratory studies
revealed a fasting blood sugar of 158, and additional tests confirmed the presence
of adult onset diabetes. His cholesterol level was 281, and his triglyceride
level was 315. Even though he had no symptoms, his risk of cardiovascular disease
and stroke was markedly elevated because of the presence of diabetes, high cholesterol
and triglycerides, increased body weight and a positive family history.
To reduce these risks, he was started on medications for diabetes, medications
to lower cholesterol and triglycerides and careful monitoring of his blood levels.
Nutritional counseling was started to assist him with modification of the diet
to help control diabetes, elevated cholesterol and elevated triglycerides. Within
three months, he had reduced his body weight by more than 12 pounds, controlled
the diabetes and reduced his cholesterol level to normal. He never missed more
than a few hours of work and has had no symptoms.
A
47 year old female executive executive came in for a complete executive physical
examination as part of her companys health program. The woman had no
medical problems and was in great physical condition. Her examination was completely
normal. Her mammogram, however, revealed a small malignant tumor. Several days
later, she underwent surgery to remove the tumor. She had a complete and successful
recovery.
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EXECUTIVE
HEALTH PROGRAM
Good health and good business go hand in hand
In todays economy, one of the best ways to increase profits and productivity
is to ensure a healthy work force. As an employer, you know the staggering costs
that can be generated, and the loss of valuable time that occurs when executives
are ill. The company suffers.
Corporate Health Managements Executive Health Program allows your company
to offer executives more specialized services while providing lower cost managed
care. Your executives stay healthier and on the job while you keep company medical
expenses down...a smart way to compete in the global marketplace.
Customized programs... Individual
attention
Our program of health risk appraisal and preventative health education is customized
to meet the needs, situation and budget of your company. Each patient receives
personalized, one-on-one attention. Thorough communication of testing procedures,
results and treatment options enable the patient to make confident, intelligent
health care decisions. And, to make the best use of your time, tests and laboratory
work are done conveniently in our office, unless specialized tests are required.
- All
physicians are board certified in Internal Medicine
- Treatment
of illness available, if desired
- Registered,
licensed dietitian on staff
- Timely
reporting
- Physician
available 24 hours a day, 7 days a week
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Health
Risk Appraisal
We review all aspects of your family and personal health
history, and provide laboratory and diagnostic testing. The screenings we
conduct may be valuable in uncovering undetected medical problems.
We offer complete nutritional assessment and a current health-related lifestyle
assessment. From this data, we develop an individualized report showing your
health risks along with suggestions on how changes in your lifestyle could
decrease the risk of developing medical problems.
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Risk Factor Reduction
We provide support from experienced professionals who know how to help you
succeed in cholesterol control, weight management, smoking cessation, cardiovascular
risk reduction and stress reduction.
Health
crises from heart failure to stroke to diabetes strike millions of Americans
each year; many of these episodes could have been averted with early diagnosis
and preventative care. Thats why the Corporate Health Management Executive
Health Program makes such good business sense.
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Services
Available
Comprehensive Medical History - an assessment
of present, past and family health problems
Comprehensive Blood Chemistry - an analysis of
blood components for abnormal conditions
Urinalysis - an analysis of urine for abnormal
conditions
Cardiac Stress Test - evaluates the hearts
performance and fitness level during exercise
Cardiac Stress "Echo" - evaluates the
hearts performance in its resting state
Prostate Specific Antigen (PSA) - a test to detect
early signs of prostate cancer in men
Visual Acuity - a general examination to determine
the need for vision correction
Chest X-ray - evaluates the heart size and shape,
lungs, large blood vessels, and spine
Spirometry - a test to evaluate lung capacity
and function
Hemoccult Test - a stool test for occult blood
which checks for blood loss that may indicate ulcers, tumors, or other related
conditions
Fiberoptic Sigmoidoscopy - a screening test of
the lower colon to check for colon cancer as well as lesions that may develop
into cancer
Pap Smear - a uterine and cervical screening
for cancer in women
Mammogram - X-ray for screening breast cancer
Nutritional Counseling - consultation with a
registered, licensed dietitian to provide accurate diet information along
with recommendations for positive, realistic changes
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