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Checkup (cont.)

Preventive Services by Age

Preventive services for ages 19-39

  • Schedule of visits
    • Males: Every five years
    • Females: Every three to five years
  • Screening
    • A thorough individual risk assessment
    • Height and weight
    • Blood pressure
    • Clinical breast examination (every three years starting at age 20)
    • Blood cholesterol levels
    • Pap smear (at least every three years after three consecutive annual normal results)
    • In high-risk groups, sexually transmitted disease testing
  • Counseling and education
    • Limit dietary fat, general nutrition advice
    • Folic acid supplementation in women of childbearing age
    • Tobacco cessation
    • Advance directives
    • Drinking and driving
    • Safety belts
    • Contraception and safe sexual practice
    • Physical activity
  • Immunization
    • Tetanus-diphtheria booster every 10 years
    • Varicella vaccine (if you have a negative test and no history of chickenpox infection)
    • Rubella vaccine (if you have a negative test)
    • Hepatitis B vaccine (if not done previously)
    • Influenza vaccine (optional, depends on personal preference)
    • High-risk groups offered pneumococcal vaccine, influenza vaccine, and hepatitis A vaccine (Ask your doctor if you qualify for any of these.)

Preventive services for ages 40-64

  • Schedule of visits
    • Males: Every five years
    • Females: Every three to five years
  • Screening
    • Individual risk assessment
    • Height and weight
    • Clinical breast exam yearly
    • Blood cholesterol
    • Pap smear (up to every three years after three consecutive annual normal results)
    • Mammogram (optional 40-49, yearly 50-75)
    • Colon cancer screening
    • In high-risk groups, sexually transmitted disease testing and diabetes screening
  • Counseling and education
    • Limit dietary fat, good nutrition advice
    • Tobacco cessation
    • Advance directives
    • Drinking and driving
    • Safety belts
    • Postmenopausal hormone replacement therapy
    • Physical activity
  • Immunizations
    • Tetanus-diphtheria booster every 10 years
    • Influenza vaccine (optional)
    • In high-risk groups hepatitis A and B vaccines, pneumococcal vaccine, influenza vaccine, rubella vaccine, and Lyme disease vaccine may be recommended
  • Preventive medications
    • Daily aspirin for people with risk factors for or established heart disease

Preventive services for ages 65 and over

  • Schedule of visits
    • Every one to two years
  • Screening
    • Individual risk assessment
    • Review of medications
    • Height and weight
    • Blood pressure
    • Clinical breast examination
    • Blood cholesterol
    • Colon cancer screening
    • Pap smear (may be performed at the mutual consent of the woman and doctor after age 65)
    • Annual mammogram until age 75
    • Vision testing after age 74
    • Hearing testing after age 74
  • Counseling and education
    • Limit dietary fat, good nutrition advice
    • Drinking and driving
    • Safety belts
    • Postmenopausal hormone replacement therapy
    • Physical activity
  • Immunization
    • Tetanus-diphtheria booster every 10 years
    • Annual influenza vaccine
    • Pneumococcal vaccine
    • In high-risk groups, hepatitis A and B vaccines
  • Preventive medication
    • Daily aspirin in people with risk factors for or established heart disease
Medically Reviewed by a Doctor on 12/16/2014

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