Health Maintenance Guidelines for Adults

1 Health Maintenance Guidelines for Adults Adult Screening Guidelines Please Note breast Cancer Screening Cholesterol Screening The following Guidelines apply to Mammography Lipid Panel, including LDL. healthy Adults in the general popula- For women ages 40 and over For all men and women starting at age tion. The right plan for your care may Frequency Annually 20, or earlier if Cardiac Risk Profile differ based on your medical history, reveals high risk Physician breast Exam family history, personal preferences For women ages 40 and over Frequency Every 5 years, or more and lifestyle, as well as your physi- frequently based on results and risk profile Frequency Annually cian's experience. breast Self-Exams (after instruction). For women ages 20 and over Colorectal Cancer Screening You and your physician should work For men and women ages 50 to 75 (in certain Frequency Monthly together to develop a specific preven- situations, it also may be advisable from ages 75 to 85).

2 Tive Health screening plan for you. cervical Cancer Screening Screening Colonoscopy Pap Smear/Human Papilloma Virus Frequency Every 10 years (preferred), Some tests and vaccinations may not (HPV) Testing OR. be covered by Medicare or by your For women ages 21 to 65, or starting 3 High Sensitivity Stool Occult Blood Testing Health insurance plan, so it's impor- years after the onset of sexual activity Frequency Annual Screening, OR. tant to check on your specific cover- Frequency Annual Pap test without HPV Flexible Sigmoidoscopy age before obtaining them. Frequency Every 5 years, with high test up to age 30; Pap test with HPV test every 3 years after age 30 sensitivity stool occult blood testing every 3 years (Screening Paps are not required after hysterectomy unless surgery was performed for cancer or precancerous Diabetes Screening disease) Fasting Plasma Glucose (preferred) or Random Plasma Glucose For men and women ages 45 and over Frequency Every 3 years continued To make an appointment at Cleveland Clinic's main campus or any neighborhood family Health center, please call For more healthy living information, visit us on the Web at Adult Screening Guidelines continued Hypertension Screening Prostate Cancer Screening Education and Blood Pressure Measurement Digital rectal exam (DRE) and prostate Counseling For all men and women, regardless of age specific antigen (PSA)

3 Test/discussion with physician Frequency Every 1-2 years For men 50 and over (starting at age 40. For all Adults for African-Americans). Osteoporosis Screening Frequency Annually Smoking Cessation DXA (bone-density testing). Alcohol and Drug Abuse Prevention For women ages 65 and over, or starting at Sexually Transmitted Disease Seat Belt Safety menopause if additional risk factors exist Screening Frequency Baseline testing, with Chlamydia testing Safe Sex Practices follow-up interval based on test results For sexually active females under age 25. Nutrition and Exercise or for those at risk (your physician can Firearm Safety advise you on your risk). Frequency Annually, with Pap test For women entering, during and after menopause Hormone Replacement Counseling Adult Immunization Guidelines Osteoporosis Prevention Human Papilloma Virus (HPV) Vaccine Diphtheria/Tetanus/Pertussis Vaccine (Gardasil for cervical Cancer) For men and women ages 19 to 64.

4 For all females between ages 11 and 26 Frequency One time in place of the Frequency One series of 3 vaccines Diphtheria/Tetanus Booster Influenza (Flu) Vaccine Diphtheria/Tetanus Vaccine For high-risk Adults of any age with For men and women up to age 65. diabetes or heart, lung, kidney or immune Frequency Every 10 years disease For men and women 65 or over Frequency Annually Frequency Single vaccination only For all Adults ages 50 and over Frequency Annually Varicella Zoster Vaccine (for Shingles). For any adult desiring immunization, For Adults ages 60 and older regardless of age Frequency Single vaccination;. Frequency Annually no revaccination required Pneumococcal Vaccine (for Pneumonia) Other vaccines that you may need: For Adults ages 65 and over who are Hepatitis A.

5 At average risk Hepatitis B. Frequency Initial vaccination; no Meningococcal (Meningitis). revaccination required For high-risk Adults of any age with diabetes, cancer, or heart, lung, or immune disease Frequency Initial vaccination, with single revaccination 5 years later To make an appointment at Cleveland Clinic's main campus or any neighborhood family Health center, please call For more healthy living information, visit us on the Web at