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Medical Author:

M Ruby Alvi, MD, CCFP, MHSc

Medical Editor:

Marian Gambrell, MD

Medical Editor:

Francisco Talavera, PharmD, PhD

Medical Editor:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Preventive Services by Age

Preventive services for ages 19-39

• Schedule of visits
  • Males - Every 5 years
  • Females - Every 3-5 years
• Screening
  • A thorough individual risk assessment
  • Height and weight
  • Blood pressure
  • Clinical breast examination (every 3 years starting at age 20)
  • Blood cholesterol levels
  • Pap smear (at least every 3 years after 3 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 child-bearing 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 5 years
  • Females - Every 3-5 years
• Screening
  • Individual risk assessment
  • Height and weight
  • Clinical breast exam yearly
  • Blood cholesterol
  • Pap smear (up to every 3 years after 3 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 1-2 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, Lyme disease vaccine
• Preventive medication
  • Daily aspirin in people with risk factors for or established heart disease