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PREVENTATIVE HEALTH GUIDELINES FOR HEALTHY ADULTS -- 2006

The Guide to Clinical Preventative Services, Recommendations of the U.S. Preventative Services Task Force for Disease Control and Prevention (U.S. Centers for Disease Control (CDC)).

RECOMMENDED SCREENINGS FOR MALE AND FEMALE ADULTS -- 20 TO 39 YEARS OLD

1. ROUTINE PHYSICAL EXAM: Complete initial in-depth examination by physician -- INCLUDING a TB (Tuberculosis) skin test; Prostate Examination for Men; Breast Examination for Women; updates of any immunizations you need (make sure you have had your Meningitis, Tetanus, Hepatitis A and Hepattitis B immunizations and update any others as necessary; and have a full CBC (regular blood test) PLUS testing of Total Cholesterol and HDL Cholesterol; and checking your Blood Pressure and Body Temperature. Future exams will be determined by your physician.
2. HEARING TEST: Once a year (if you have a Cochlear Implant, then a remapping by your CI Audiologist once a year, PLUS a hearing test on the nonimplanted ear).
3. VISION TEST: Once a year.
4. HIV/AIDS AND SEXUALLY TRANSMITTED DISEASE (StD) TESTING: As necessary, especially if sexually active.
5. FOR WOMEN -- PAP SMEAR AND PELVIC EXAMINATION each year until there are two normal ("negative") tests in a row, and then every 3 years thereafter.
6. FOR WOMEN -- CHLAMYDIA SCREENING -- regularly for women under age 25, and then as decided by the physician for women older than age 25.
7. FOR WOMEN -- FOLIC ACID BLOOD TEST: For all women of childbearing age.
8. FOR WOMEN -- CALCIUM SUPPLEMENTS: As recommended by the doctor.
9. FOR PREGNANT WOMEN -- PREGNANCY VITAMINS AND REGULAR CHECKUPS during and after pregnancy.

RECOMMENDED SCREENINGS FOR MALE AND FEMALE ADULTS -- 40 TO 64 YEARS OLD

1. ROUTINE PHYSICAL EXAMINATION: Every year (see above). Total Cholesterol and HDL Cholesterol Blood Tests: Men, every 5 years after age 35, and Women, every 5 years after age 45.
2. HEARING TEST: Once a year (if you have a Cochlear Implant, then a remapping by your CI Audiologist once a year, PLUS a hearing test on the nonimplanted ear).
3. VISION TEST: Once a year.
4. HIV/AIDS AND SEXUALLY TRANSMITTED DISEASE (StD) TESTING: As necessary, especially if sexually active.
5. COLON AND RECTAL CANCER SCREENING -- STARTING AT AGE 50: This may include (1) Fecal occult blood test to see if there is blood in your feces -- every year; (2) Flexible Sigmoidoscopy to test your lower part of your colon for cancer -- every 5 years; and (3) Colonoscopy to test a larger part of your colon for cancer -- every 10 years.
6. FOR WOMEN: MAMMOGRAM (X-Ray of the breasts) every 1 to 2 years.
7. FOR WOMEN -- PAP SMEAR AND PELVIC EXAMINATION each year until there are two normal ("negative") tests in a row, and then every 3 years thereafter.
8. FOR WOMEN -- CHLAMYDIA SCREENING -- as decided by the physician for women older than age 25.
9. FOR WOMEN -- FOLIC ACID BLOOD TEST: For all women of childbearing age.
10. FOR WOMEN -- CALCIUM SUPPLEMENTS: As recommended by the doctor.
11. FOR PREGNANT WOMEN -- PREGNANCY VITAMINS AND REGULAR CHECKUPS during and after pregnancy.
12. FOR WOMEN -- PRE-MENOPAUSE, PERI-MENOPAUSE, AND POST-MENOPAUSE EXAMINATION AND TREATMENTS (INCLUDING HORMONE REPLACEMENT THERAPY): To be discussed with the physician.

RECOMMENDED SCREENINGS FOR MALE AND FEMALE ADULTS -- 65 YEARS OLD AND OLDER

1. ROUTINE PHYSICAL EXAMINATION: Every year (see above). Total Cholesterol and HDL Cholesterol Blood Tests every 5 years for both men and women.
2. HEARING TEST: Once a year (if you have a Cochlear Implant, then a remapping by your CI Audiologist once a year, PLUS a hearing test on the nonimplanted ear).
3. VISION TEST: Once a year.
4. HIV/AIDS AND SEXUALLY TRANSMITTED DISEASE (StD) TESTING: As necessary, especially if sexually active.
5. COLON AND RECTAL CANCER SCREENINGSA: (1) Fecal occult blood test to see if there is blood in your feces -- every year; (2) Flexible Sigmoidoscopy to test your lower part of your colon for cancer -- every 5 years; and (3) Colonoscopy to test a larger part of your colon for cancer -- every 10 years.
6. FOR WOMEN -- MAMMOGRAM (X-Ray of the breasts) every 1 to 2 years up to age 69; then after age 69 only if clinical signs of breast cancer are present.
7. FOR WOMEN -- PAP SMEAR AND PELVIC EXAMINATION: Every 3 years.
8. FOR WOMEN -- CHLAMYDIA SCREENING -- as decided by the physician.
9. FOR WOMEN -- CALCIUM SUPPLEMENTS: As recommended by the doctor.
10. FOR WOMEN -- POST-MENOPAUSE EXAMINATION AND TREATMENTS (INCLUDING HORMONE REPLACEMENT THERAPY): To be discussed with the physician.