| Health Care Guidelines |
When |
| Physical exam |
One visit every 24 months; annually if desired
|
Clinical screenings
|
When |
| Depression screening |
During physical exam |
| Tobacco use |
During each visit |
| Alcohol/drug misuse |
During each visit |
| Height, weight, BMI and blood pressure |
During physical exam; nutrition and physical activity counseling for those identified as high risk |
| Lipoprotein screening |
For all adults, obtain a fasting lipoprotein profile (total cholesterol, LDL, HDL and triglyceride) once every five years. |
| Diabetes screening |
Screening once every three years (e.g. fasting plasma glucose test)
|
Tuberculin skin test (PPD)
|
For those identified as high risk |
| Hemoglobin and hematocrit |
Once every two years |
| Mammogram (women) |
Annually |
| Cervical cancer screening (women) |
Every two to three years.
Suggest stopping at age 70 if three or more normal Pap tests in a row, no abnormal Pap test in previous 10 years and not at high risk. |
Chlamydia screening and gonorrhea screening (STIs)
|
All sexually active women to be screened for STIs |
HIV screening
|
Annually if you are at high risk
|
| Colorectal cancer screening |
One of the following screening options:
- Fecal occult blood test annually
- Flexible sigmoidoscopy every five years
- Fecal occult blood test annually and flexible sigmoidoscopy every five years
- Colonoscopy every ten years
Consider stopping screening at age 75. Use individual consideration between ages 75-85. Screening is not recommended for individuals older than age 85.
|
Osteoporosis risk factor assessment (women)
|
Routine beginning at age 65
(does not include bone density test)
|
| Abdominal aortic aneurysm screening (men) |
Between ages 65 and 75 who have ever smoked, a one-time screening for abdominal aortic aneurysm. |
| Immunizations |
When |
Td/Tdap
Tetanus, diphtheria and pertussis |
Every 10 years (Give one dose of Tdap if pertussis booster was not received previously.)
|
HepA
Hepatitis A |
For high risk groups |
HepB
Hepatitis B |
For high risk groups |
Var
Varicella (chickenpox) |
Two-dose series at least four weeks apart if no history of varicella or previous vaccination.
|
Flu
Influenza |
Annually |
Pneumoccal
Pneumonia |
Once after age 65 |
Zoster
Shingles |
One dose at age 60 and older |
| Meningococcal |
If high risk |
| MMR |
If high risk |
