Preventive Health Guidelines
| Adult Preventive Health Guidelines |
| Adolescent Preventive Health Guidelines |
| Pediatric Preventive Health Guidelines |
| Adult Preventive Health Guidelines | |
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Blood Pressure & Weight |
Periodically at the time of visit. Minimize fats and salt in your diet. Eat foods high in fiber and complex carbohydrates (fruits, vegetables & whole grains.) Exercise regularly. DO NOT SMOKE. |
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Cholesterol |
Screen males at age 35, females at age 45; every five years thereafter. Have your cholesterol checked every 5 years. If it is elevated, discuss diet, exercise and other measures with your doctor as well as a follow-up plan. Cholesterol screening for seniors (65 and older) is not recommended. |
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Colon Cancer Screening
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Beginning at age 50: rectal exam/occult blood (stool) and/or flexible sigmoidoscopy. Start colon cancer screening at age 50. Rectal exam and fecal occult blood (stool) every 1-2 years and/or flexible sigmoidoscopic exam every 5 years. Consider colonoscopy where history of polyps or strong family history of colon cancer (parents or siblings at a young age.) |
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Prostate Cancer Screening
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Beginning at age 50 Yearly digital rectal exam. Periodic PSI for high risk individuals. |
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Pap Smear
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Every 1-3 years Depending on the results of your prior Pap tests and other risk factors, a Pap test may be needed every 1-3 years (after a hysterectomy, yearly pelvic exam without Pap smear is recommended.) May discontinue regular testing after age 65 in women who have had regular previous screening with consistently normal test results. |
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Clinical Breast Exam
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Physician breast exam yearly. Self breast exam should be done on a monthly basis. |
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Mammogram
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Yearly for ages 50 –75* * For patients between the ages of 40 and 49, periodic mammograms as per a consultation between physician and the patient. In high-risk patients with a personal history of breast cancer or a significant family history (mother, sister or daughter with breast cancer before age 50) yearly mammography starting at age 35. |
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EKG
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Once over the age of 60. Baseline tracing may be helpful. Not recommended as part of routine screening in individuals without symptoms. |
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Chest X-Ray |
Not useful for routine screening, even in smokers. |
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Cardiac Stress Test (Treadmill) |
Not indicated for routine screening in asymptomatic, low-risk patients. |
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Pneumonia (Pneumovax) Vaccine |
High risk patients and those 65 and over should have one dose of the pneumovax vaccine to help prevent pneumococcal pneumonia. |
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Tetanus-Diphtheria (TD) Vaccine |
TD Booster should be obtained every 10 years |
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Influenza Vaccine |
Annually for high risk patients and those 65 and older. |
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Patient Education Topics to Discuss With Your Physician
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| Adolescent Preventive Health Guidelines | |
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Height, Weight, |
Regularly throughout infancy and childhood. |
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Head Circumference |
Periodically through 24 months of age |
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Physical Examination |
Periodically throughout infancy and childhood: 2,4,6,9,12,15, 18, 24 months. 3,4, and 5 years & every two years thereafter. |
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Vision and Hearing Screening |
Hearing screening for infants before age of 3 months. Once in pre-school age: clinical discretion for high risk children. |
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Screening for |
First week of life. |
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Blood Pressure |
Periodically beginning at age 3 years. |
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Lead Testing |
Between the ages of 1 and 5 years at clinical discretion for children with high risk of exposure |
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TB Screening |
Once before the age of 15 months and once in pre-school age ( or more frequently, depending on prevalence of TB in the community. |
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Blood Count |
Once between the ages of 9 months and 2 years. |
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Diptheria, Tetanus, Pertussis (DPT) |
2,4,6, 12-18 months, 4-6 years. |
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Inactivated Polio Vaccine (IPV) |
2 and 4 months, 1 year, 4-6 years. |
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Hemophilus (HIB) |
2,4,(6), 12-15 months (3-4 doses depending on vaccine used. |
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Hepatitis B |
3 doses birth – 2 months, 2-4 months, 6-18 months. |
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Measles, Mumps, Rubella (MMR) |
12-15 months, 4-6 years. |
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Varicella |
Children between the ages of 12 –24 months who have not been vaccinated previously and lack a reliable history of chicken pox should be offered vaccination. |
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Patient Education
Topics to Discuss with Accident Prevention
Substance Abuse
Nutrition & Exercise
Counseling
Dental Health
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| Pediatric Preventive Health Guidelines | |
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Height, Weight, Growth & Development |
Regularly throughout infancy and childhood. |
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Head Circumference |
Periodically through 24 months of age |
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Physical Examination |
Periodically throughout infancy and childhood: 2,4,6,9,12,15, 18, 24 months. 3,4, and 5 years & every two years thereafter. |
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Vision and Hearing Screening |
Hearing screening for infants before age of 3 months. Once in pre-school age: clinical discretion for high risk children. |
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Screening for Congenital Diseases |
First week of life. |
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Blood Pressure |
Periodically beginning at age 3 years. |
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Lead Testing |
Between the ages of 1 and 5 years at clinical discretion for children with high risk of exposure |
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TB Screening |
Once before the age of 15 months and once in pre-school age ( or more frequently, depending on prevalence of TB in the community. |
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Blood Count |
Once between the ages of 9 months and 2 years. |
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Diptheria, Tetanus, Pertussis (DPT) |
2,4,6, 12-18 months, 4-6 years. |
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Inactivated Polio Vaccine (IPV) |
2 and 4 months, 1 year, 4-6 years. |
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Hemophilus (HIB) |
2,4,(6), 12-15 months (3-4 doses depending on vaccine used. |
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Hepatitis B |
3 doses birth – 2 months, 2-4 months, 6-18 months. |
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Measles, Mumps Rubella (MMR) |
12-15 months, 4-6 years. |
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Varicella |
Children between the ages of 12 –24 months who have not been vaccinated previously and lack a reliable history of chicken pox should be offered vaccination. |
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Patient Education Topics to Discuss With Your Child’s Physician Accident Prevention
Substance Abuse
Nutrition & Exercise
Counseling
Dental Health
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