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Preventive Screening and Immunizations Recommendations for Medicare Beneficiaries:
| SCREENING / IMMUNIZATION | FREQUENCY |
| Height, weight, vision and hearing | Every 1-2 years |
| Blood Pressure | Every 1-2 years |
| Pap Test | Discuss frequency with physician |
| Total cholesterol and HDL cholesterol test | Discuss frequency and testing options with your physician, but at least every 5 years. |
| Mammography screening with or without clinical breast examination for women age 40 and older | Every 1-2 years. Discuss with your physician after age 75. |
|
Colorectal cancer screening (age 50-80): Fecal Occult Blood Test (FOBT) Or Flexible Sigmoidoscopy Or Colonoscopy Or Double Contrast Barium Enema |
Annually Every 5 years Every 10 years Every 5 years |
| TB screening | High risk - to be performed based on risk |
| Variella (chicken pox) | High risk - 2 doses, 4-8 weeks apart |
| TD booster (tetanus, diptheria) | Once every 10 years |
| Pneumococcal (polysaccharide) | Once, booster may be required |
| Influenza | Annually, each fall season |
| Hepatitus A (for high risk individuals) | 2 doses - second dose 6 months after first |
| Hepatitus B (for high risk individuals) | At current visit, then at 1 and 6 months |
| Osteoporosis screening | Routinely |
| COUNSELING |
| Men should discuss the know risks and benefits of prostate cancer screening with their physician. |
| Women should discuss the risk factors for osteoporosis with physician. |
| Discuss risk factors for stroke and coronary artery disease for prevention with physician. |
| Assess cardiovascular disease risk and discuss aspirin therapy periodically to prevent CVD events. |
| Nutrition, Physical Activity, Injury Prevention, Drug and Alcohol Use, Sexually Transmitted Diseases, Medication Use, Hormone Replacement Therapy, Dental Health, Mental Health (Depression), Sun Exposure, Tobacco Cessation. |
REFERENCES:
The Guide to Clinical Preventive Services, 3rd Edition, U.S. Preventive Services Taskforce (2000-2002).
Centers for Disease Control and Prevention (2003, October) Notice to Readers: Revised Standards for Adult Immunization Practices and Child and Adolescent Immunization Practices, 2003. MMWR 52(40); 969-970 http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5240a8.htm
Centers for Disease Control and Prevention (2004, May). Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP) 53 (RR-6) MMWR Recommendations and Reports. http://www.cdc.gov/mmwrPDF/rr/rr5306.pdf
Institute for Clinical Systems Improvement. (2003, September) Health Care Guidelines: Preventive Services for Adults. http://www.icsi.org
American Cancer Society. . (2002, November). New Cervical Cancer Early
Detection Guidelines Released
http://www.cancer.org/docroot/NWS/content/NWS_1_1x_New_Cervical_Cancer
_Early_Detection_Guidelines_Released.asp
