Adult Preventive Guidelines

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Needed
History & Physical, Weight & BMI
 • Every year along with risk factor counseling/discussion, such as: diabetes, depression, alcohol misuse, substance abuse, healthy diet & aspirin use.
Blood Pressure
 • Check at least annually & at every visit (more often if your BP is high)
Cholesterol, Triglyceride, HDL/LDL
 • Starting at age 20, check at least every 5 years (check more often if cholesterol is high)
Colon Cancer Screening

• Stool sample every year beginning at age 50.

• Starting at age 50, get a colonoscopy every 10 years (more often if you are high risk)
Eyes Exam
 • 40-65 years: Every 2-4 years. Over 65 years: Every 1-2 years.
Immunizations:

• Flu influenza) Vaccine

• Tetanus/Diphtheria/Pertussis (Tdap)

• Hepatitis B


• Pneumovax (pneumonia)



• Zostavax

•HPV (Human Papillomavirus             Immunization)


• Every year for all members 6 months and older.

• Every 10 years (may need booster after injury) [If pregnant or age 65 & older, get Tetanus (Td)]

• Certain job classifications (healthcare, police, fire, etc) & high risk should be vaccinated–check with your PCP.

• 19-64 years of age: if you have any chronic disease or smoke. 1 time revaccination will be needed.
• Over 65 years of age: 1 immunization. If received immunization prior to age 65, will need second vaccine at least 5 years after last immunization.

• At age 60 & older: 1 dose

• All members 9 – 26 years of age: 3-dose series (first dose must be started by 26 years, 6 months and last dose prior to 27th birthday)

Skin

• Check yourself for any spots, sores, and moles (call your PCP if you’re not sure)

Dental

• Get an exam & cleaning every 6 months.

HIV Screening

• All members 13 – 64 years should be voluntarily screened

For Women Only

Breast Cancer Screening:

Mammogram

• Every year starting at age 40 - earlier if you are high risk for breast cancer (check w/your PCP to see if you are high risk)

• BRCA testing for those at risk * see USPSTF Guidelines (Check w/PCP)

Cervical Cancer Screening:

Pap Test

• Age 21 – 30 should be screened every two years or younger if high risk

• After age 30, may be screened every three years – check with your doctor

• Not indicated if hysterectomy & no cervix, unless it was for cancer

• Stop at age 65 – 70, unless increased risk, check with your doctor

Chlamydia Screening
• Annual screening for all sexually active women age 24 & younger
Bone Density Screening for Osteoporosis

• Starting at age 65 for all postmenopausal women; follow-up every 2 yrs

• Screen before age 65, if at risk for Osteoporosis (check with your PCP to see if you are high risk)
Prenatal care

• Routine prenatal & postnatal care, labs, immunizations & counseling, including breastfeeding, as determined by your PCP or OB/GYN
For Men Only
Prostate Cancer Screening • Discuss the risks and potential benefits of screening with your PCP.
Testicular Self-exam • Once a month (call your PCP if you're not sure)
Screening for Abdominal Aortic Aneurysms (AAA) • Age 65-75: 1 time screening if you have smoked at least 100 cigarettes in your lifetime