Preventive Health Recommendations
For Screening or Counseling
65 + years
Assessment
Frequency of Health
Screening Exams
Abdominal Aortic
Aneurysm
Breast Cancer
Screening
Cervical Cancer
Screening
Colorectal Screening
Diabetes-Type 2
Hypertension
Lipid Disorder
Screening
Osteoporosis Screening
Annually
One-time screening for abdominal aortic aneurysm
ultrasound in men ages 65-75 who have ever smoked.
Screening Mammography with clinical breast exam
every 1-2 years for women age 40 and older
May discontinue regular testing after age 65 in women
who have had adequate recent screenings in which test
results have been normal and who are otherwise not at
risk.
Routine screening. Your physician will discuss potential
screening options including colonoscopy, flexible
sigmoidoscopy, and the combination of home FOBT and
flexible sigmoidoscopy.
Routine screening at time of annual exam
Periodic Screening
Routine Screening
Routine screening for women age 65 and older
Routine screening for men 70 and older
Counseling and screening routine for other
STD Screening
asymptomatic males and females at increased risk for
(Chlamydia, HIV,
infection
Syphilis Other)
Booster every 10 years
Tetanus
All adults at increased risk, 2 doses: 2nd dose 6-18
Hepatitis A
months after 1st dose – per physician
All adults with medical, behavioral, occupational or
Hepatitis B
other high risk indications
All patients at increased risk for complications or
Influenza
transmission to high risk persons annually in fall/winter
Based on vaccine history
MMR
All patients ≥ 65 years; 2nd dose if initial vaccination was
Pneumococcal
≥ 5 years previously
Susceptible persons at risk for exposure or transmission
Varicella
All patients
Advanced Directives
Cardiovascular Disease Based on risk factors discuss aspirin chemoprevention,
including potential benefits and harms
Prevention
Counseling regarding regular dental care
Dental Health
Routine screening; provide counseling when needed
Depression Screening
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Preventive Health Recommendations
For Screening or Counseling
65 + years
Diet and Exercise
Injury
Prevention/Patient
Safety
Memory Issues
Obesity
Prostate Cancer
Screening
Sexual Behavior
Spousal/Partner/Elder
Abuse
Substance Use and
Substance Abuse
Tuberculosis Screening
Vision Screening
Provide counseling; limit fat and cholesterol, maintain
caloric balance, balanced diet
Adequate calcium intake for women
Regular physical activity
Screen and provide counseling
Measures to reduce risk of falling
Screen and provide counseling
Patients with BMI>25 formulate exercise program; refer
to nutrition counseling
Discuss PSA testing
Sexually Transmitted Disease: All adults advised of risk
factors and counseled about effective measures to
prevent infection
Screen and provide counseling
Regular screening and counseling for tobacco use,
alcohol misuse and illicit drug use.
Counseling and screening for all persons at increased
risk of developing tuberculosis
Refer high risk individuals for evaluation
Preventive Health Recommendations for Screening or Counseling based on the published Preventive
Health Recommendations for 2005 developed by the American Academy of Pediatrics, Centers for
Disease Control and Prevention and U.S. Preventive Services Task Force.
* Indicates not part of AAP,CDC, USPSTF, recommendations.
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