In older people, prevention is v. a. to illness, frailty, accidents (d. h. unintentional injuries) aligned iatrogenic complications and psychosocial problems. Not every older patient benefits from each preventive measure. The choice of preventive measures is determined by the condition of the patient: Healthy: These older people have little or no chronic diseases and are self-employed in their function. Primary and secondary prevention of diseases and prevention of frailty are the measures that provide the greatest benefits for this group. Chronically ill: These patients typically have several incurable but treatable disease, they are self-employed or minimally dependent usually in their function, often take several prescription drugs and are admitted to a hospital on occasion due to exacerbations of their chronic diseases. Secondary and tertiary prevention of diseases and prevention of frailty have priority, as is the primary prevention of diseases and the prevention of iatrogenic complications and accidents. Frail / complex: These patients usually have a number of serious chronic diseases, they are functionally dependent and have depleted their physiological reserve. They are often located in hospitals and homes. For them, the prevention of accidents and iatrogenic complications is most important. Some preventive measures apply to all older people. Motion for can. As healthy or chronically ill elderly help prevent frailty. Frail elderly may help this exercise to maintain their functioning and to reduce the frequency of accidents. A (annual) Grippeschutz- and pneumococcal vaccination (which is required only once, are excluded high-risk patients) are effective, inexpensive and associated with minimal morbidity. Affairs of patients and caregivers Healthy elderly people should contact their family doctor at least once a year to ensure the timely implementation of measures for primary and secondary prevention, including screening (screening recommendations for older patients and refer to the table. Recommendations for tumor screening in the elderly ) and chemoprevention (z. B. vaccinations, aspirin chemoprevention and vaccination in the elderly). For more information, s. Recommendations for clinical preventive services of the United States Preventive Services Task Force (USPSTF). Medicare covers a comprehensive preventive physical “Welcome to Medicare ‘inquiry, which must take place within 12 months Part B enrollment. Regular exercise (training for seniors) and healthy eating (s. Dietary recommendations for the prevention of frailty) contribute to prevent or postpone frailty and many diseases, this also applies to other preventive measures (s. Lifestyle measures that help frequent prevent chronic diseases). Chronically ill patients should be, as well as their caregivers informed about their disease and treatment plans. Regular doctor visits and timely reporting of symptom changes can help to reduce severe exacerbations of the disease, which can lead to hospitalization and the decline in functional ability. Persons who take care frail elderly, must conscientiously in the prevention of accidents work by setting up a security checklist for the home and the correction of possible problems that are identified. Caregivers should also pay attention to barely noticeable functional changes in older patients and report them immediately to a health professional. When a patient has multiple unmet needs, v. a. if they are coupled with a functional decline, should consider a caregiver to seek care from a geriatric interdisciplinary team.