Preventive Care Services

Preventive Care Services Preventive care services can help prevent and lower your risk for certain health conditions. They may help your doctor find and treat some health conditions early, when standard treatments are more likely to work. What are preventive services? One example is a flu vaccine. Receiving this vaccine once a year can help lower your risk of the flu. Another example is a blood pressure screening. Over time, this screening may help your doctor diagnose or treat high blood pressure. The preventive services that can help you stay healthier throughout your life include: Health screenings Vaccinations Routine check-ups Education Counseling Making healthy lifestyle choices such as getting the preventive care you need on a regular basis can be vital to your health and well-being. You can use this worksheet to: Understand the most common preventive services that are recommended for your age and gender. Talk with your doctor about what preventive services are right for you. Keep track of which services you have received and when you are next due. Standard Recommendations by Age and Gender Here are some of the most common preventive services recommended for individuals who are healthy, based on age and gender. To see the services recommended for you, first find the tool for your gender, then find your age group. The table for women is on pages 2 5. The table for men is on pages 6 7. Use the list of services recommended for your age and gender to talk with your doctor about which services are right for you. 2017 American Specialty Health Incorporated (ASH). All rights reserved. 1

Screenings and Vaccinations for Women Women under 21 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Diabetes: Every year if your blood pressure is greater than 130/85 if you have an increased risk of heart disease Human papillomavirus (HPV): 3 doses total between the ages of 19 and 21 chicken pox, measles/mumps/rubella, and/or meningitis, Hepatitis A, Hepatitis B, Women 21 24 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Pap smear: Every 3 years, or as recommended by your doctor Diabetes: Every year if your blood pressure is greater than 130/85 if you have an increased risk of heart disease Human papillomavirus (HPV): 3 doses total between the ages of 19 and 21; 3 doses total between the ages of 22 and 26 if you were not vaccinated between the ages of 19 and 21 chicken pox, measles/mumps/rubella, meningitis, Hepatitis A, Hepatitis B, Women 25 44 2017 American Specialty Health Incorporated (ASH). All rights reserved. 2

years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Pap smear: Every 3 years, or as recommended by your doctor Diabetes: Every year if your blood pressure is greater than 130/85 if you have an increased risk of heart disease Human papillomavirus (HPV): 3 doses total between the ages of 22 and 26 if you were not vaccinated between the ages of 19 and 21 chicken pox, measles/mumps/rubella, meningitis, Hepatitis A, Hepatitis B, Women 45 49 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Pap smear: Every 3 years, or as recommended by your doctor Diabetes: Every year if your blood pressure is greater than 130/85 and/or Cholesterol panel: Initial screening, then as recommended by your doctor chicken pox, measles/mumps/rubella, and/or meningitis, Hepatitis A, Hepatitis B, Women 50 54 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Pap smear: Every 3 years, or as recommended by your doctor 2017 American Specialty Health Incorporated (ASH). All rights reserved. 3

Diabetes: Every year if your blood pressure is greater than 130/85 and/or Mammogram: Every 2 years or as recommended by your doctor Colonoscopy or other colorectal cancer screening tests: Initial screening, then as recommended by your doctor chicken pox, measles/mumps/rubella, meningitis, Hepatitis A, Hepatitis B, Women 55 64 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Pap smear: Every 3 years, or as recommended by your doctor Diabetes: Every year if your blood pressure is greater than 130/85 and/or Mammogram: Every 2 years or as recommended by your doctor Colonoscopy or other colorectal cancer screening tests: As recommended by your doctor Daily aspirin therapy: Discuss with your doctor chicken pox, meningitis, Hepatitis A, Hepatitis B, Haemophilus influenzae type b (Hib), and shingles (after age 60) Women 65 years and over: Blood pressure: Every year if your blood pressure is 120 139/80 90 2017 American Specialty Health Incorporated (ASH). All rights reserved. 4

Diabetes: Every year if your blood pressure is greater than 130/85 and/or Mammogram: Every 1 2 years or as recommended by your doctor up to age 75 Colonoscopy or other colorectal cancer screening tests: As recommended by your doctor up to age 75 Daily aspirin therapy: Discuss with your doctor Osteoporosis screening: Every year Pneumococcal vaccine: There are two types of pneumococcal vaccine: PCV13 and PPSV23; check with your doctor about what is right for you chicken pox, meningitis, Hepatitis A, Hepatitis B, Haemophilus influenzae type b (Hib), and shingles 2017 American Specialty Health Incorporated (ASH). All rights reserved. 5

Screenings and Vaccinations for Men Men 18 35 years: Men 35 44 years: Men 45 49 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Diabetes: Every year if your blood pressure is greater than 130/85 if you are 19 or older Human papillomavirus (HPV): 3 doses total between the ages of 19 and 21 measles/mumps/rubella, chicken pox, meningitis, Hepatitis A, Hepatitis B, Blood pressure: Every year if your blood pressure is 120 139/80 90 Diabetes: Every year if your blood pressure is greater than 130/85 measles/mumps/rubella, chicken pox, meningitis, Hepatitis A, Hepatitis B, Blood pressure: Every year if your blood pressure is 120 139/80 90 Diabetes: Every year if your blood pressure is greater than 130/85 and/or Daily aspirin therapy: Discuss with your doctor 2017 American Specialty Health Incorporated (ASH). All rights reserved. 6

measles/mumps/rubella, chicken pox, meningitis, Hepatitis A, Hepatitis B, Men 50 75 years: Blood pressure: Every year if your blood pressure is 120 139/80 90 Diabetes: Every year if your blood pressure is greater than 130/85 and/or Daily aspirin therapy: Discuss with your doctor Colonoscopy or other colorectal cancer screening tests: Initial screening and as recommended by your doctor Pneumococcal vaccine: There are two types of pneumococcal vaccine: PCV13 and PPSV23; check with your doctor about what is right for you measles/mumps/rubella (up to age 55), chicken pox, meningitis, Hepatitis A, Hepatitis B, and shingles (after age 60) 2017 American Specialty Health Incorporated (ASH). All rights reserved. 7

Your Unique Preventive Health Needs Preventive health needs can vary from person to person. Many factors will determine the type of preventive care that you need. These can include your age, gender, job, health habits, current health status, family health history, and other risk factors you may have for certain health conditions. You may need more or less preventive services than listed in the table above. Talk with your doctor about the preventive care services that are right for you. He or she may recommend other tests, vaccines, and time frames for you. Your doctor can work with you to create a custom preventive care schedule that fits your needs and helps optimize your health. Keeping Track of your Screenings and Vaccinations It s a good idea to keep track of the screenings and vaccinations your doctor recommends. You can do so using the chart on the next page. List the name of each screening or vaccination you have had or you need. Include the date you received the screening or vaccine. Write down your results and note any follow-up tests you may need. Below is an example of how you can use this chart. On the following page is a blank chart that you can print out or save. Sample Screenings Personal Information Name: Jane Doe Screening Date Received Blood Pressure Age: 30 years old Results Doctor s Feedback Follow-up Needed Date of Follow-up 09/2016 09/2014 102/60 Doctor said my blood pressure is in a healthy range Sample Vaccinations Personal Information Name: Jane Doe Age: 30 years old Vaccine Date Received Notes Further Doses Needed Date of Follow-up Flu 10/2014 Annual flu shot 10/2015 2017 American Specialty Health Incorporated (ASH). All rights reserved. 8

My Screenings Personal Information Name: Screening Date Received Age: Results Doctor s Feedback Follow-up Needed Date of Follow-up My Vaccinations Personal Information Name: Age: Vaccine Date Received Notes Further Doses Needed Date of Follow-up This information is not intended to take the place of regular medical care or advice. Please check with your doctor before using this information or beginning any self-care program. Credits Primary Author: Nora Byrne 2017 American Specialty Health Incorporated (ASH). All rights reserved. 9

Last Clinical Reviewer: Leilani Fraley, RN Last Review and Approval: Leilani Fraley, RN, 04/19/2017 References Agency for Healthcare Research and Quality. (2014). Men: Stay healthy at any age. Retrieved from https://archive.ahrq.gov/patients-consumers/patientinvolvement/healthy-men/healthy-men.html Agency for Healthcare Research and Quality. (2014). Women: Stay healthy at any age 2014 update. Retrieved from https://archive.ahrq.gov/patientsconsumers/prevention/lifestyle/healthy-women.html American Heart Association (2016). Heart-health screenings. Retrieved from http://www.heart.org/heartorg/conditions/heart-health- Screenings_UCM_428687_Article.jsp MedlinePlus. (2017). Health screening. Retrieved from https://medlineplus.gov/healthscreening.html United States Preventive Services Task Force. (2014). Guide to clinical preventive services, 2014. Retrieved from https://www.ahrq.gov/professionals/cliniciansproviders/guidelines-recommendations/guide/index.html United States Preventive Services Task Force. (2017). Published recommendations. Retrieved from https://www.uspreventiveservicestaskforce.org/browserec/index/browserecommendations 2017 American Specialty Health Incorporated (ASH). All rights reserved. 10