Adult Preventive Guidelines

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Recommendations
History & Physical, Weight & BMI
• Every year
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

• Every year for those age 50 & older or at high risk (check with your PCP if high risk)

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

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

• 19-64 years: if you have any chronic disease or smoke. 1 time revaccination will be needed.
• 65>: 1 immunization at least 5 years after last immunization

• >60: 1 dose

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

• Get an exam & cleaning every 6 months.

HPV (Human Papillomavirus Immunization)

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

Additional Recommendations for Women
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)
Pap Test

• Three years after you start having intercourse or no later than age 21

• Every 1- 3 years (depending on type of test performed - check with your PCP or GYN specialist). Not indicated if you had a hysterectomy, unless the hysterectomy was for cancer.

• Stop at age 70, unless increased risk.

Chlamydia
• 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)

Additional Recommendations for Men
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