Preventive Health Recommendations

For Screening or Counseling

65 + years

Assessment
Frequency of Health Screening Exams / Annually
Abdominal Aortic Aneurysm / One-time screening for abdominal aortic aneurysm ultrasound in men ages 65-75 who have ever smoked.
Breast Cancer Screening / Screening Mammography with clinical breast exam every 1-2 years for women age 40 and older
Cervical Cancer Screening / May discontinue regular testing after age 65 in women who have had adequate recent screenings in which test results have been normal and who are otherwise not at risk.
Colorectal Screening / Routine screening. Your physician will discuss potential screening options including colonoscopy, flexible sigmoidoscopy, and the combination of home FOBT and flexible sigmoidoscopy.
Diabetes-Type 2 / Routine screening at time of annual exam
Hypertension / Periodic Screening
Lipid Disorder Screening / Routine Screening
Osteoporosis Screening / Routine screening for women age 65 and older
Routine screening for men 70 and older
STD Screening
(Chlamydia, HIV, Syphilis Other) / Counseling and screening routine for other asymptomatic males and females at increased risk for infection
Tetanus / Booster every 10 years
Hepatitis A / All adults at increased risk, 2 doses: 2nd dose 6-18 months after 1st dose – per physician
Hepatitis B / All adults with medical, behavioral, occupational or other high risk indications
Influenza / All patients at increased risk for complications or transmission to high risk persons annually in fall/winter
MMR / Based on vaccine history
Pneumococcal / All patients ≥ 65 years; 2nd dose if initial vaccination was ≥ 5 years previously
Varicella / Susceptible persons at risk for exposure or transmission
Advanced Directives / All patients
Cardiovascular Disease Prevention / Based on risk factors discuss aspirin chemoprevention, including potential benefits and harms
Dental Health / Counseling regarding regular dental care
Depression Screening / Routine screening; provide counseling when needed
Diet and Exercise / Provide counseling; limit fat and cholesterol, maintain caloric balance, balanced diet
Adequate calcium intake for women
Regular physical activity
Injury Prevention/Patient Safety / Screen and provide counseling
Measures to reduce risk of falling
Memory Issues / Screen and provide counseling
Obesity / Patients with BMI>25 formulate exercise program; refer to nutrition counseling
Prostate Cancer Screening / Discuss PSA testing
Sexual Behavior / Sexually Transmitted Disease: All adults advised of risk factors and counseled about effective measures to prevent infection
Spousal/Partner/Elder Abuse / Screen and provide counseling
Substance Use and Substance Abuse / Regular screening and counseling for tobacco use, alcohol misuse and illicit drug use.
Tuberculosis Screening / Counseling and screening for all persons at increased risk of developing tuberculosis
Vision Screening / Refer high risk individuals for evaluation

Preventive Health Recommendations for Screening or Counseling based on the published Preventive Health Recommendations for 2005 developed by the American Academy of Pediatrics, Centers for Disease Control and Prevention and U.S. Preventive Services Task Force.

* Indicates not part of AAP,CDC, USPSTF, recommendations.

- 1 -