Adult Health Maintenece Flashcards
BP should be assessed in
For all adult men and women (age 18 & older)
Frequency – Every 1-2 years
Clinicians should offer or refer patients with a
body mass index (BMI) of 30 kg/m2 or higher
intensive, multicomponent behavioral
intervention
total
and HDL-cholesterol measured
> 35 years
for men; >45 years for women)
lipid disorders if they are at
increased risk for CHD
men aged 20 to 35 and women
aged 20 to 45
Screen for diabetes
35
Criteria for testing for diabetes or prediabetes in asymptomatic adults according t
Testing should be considered in adults with overweight or obesity (BMI ≥ 25 kg/m or =23 kg/m? in Asian Americans) who have one or more of the following risk factors:
• First-degree relative with diabetes
• High-risk race/ethnicity (e.g., African American, Latino, Native American, Asian American, Pacific Islander)
• History of CVD
• Hypertension (=140/90 mmHg or on therapy for hypertension)
• HDL cholesterol level <35 mg/dL (0.90 mmol/L) and/or a triglyceride level > 250 mg/dL
(2.82 mmol/L)
• Women with polycystic ovary syndrome
• Physical inactivity
• Other clinical conditions associated with insulin resistance (e.g., severe obesity. acanthosis nigricans)
2. Patients with prediabetes (A1C 25.7% [39 mmol/moll, IGT, or IFG) should be tested yearly.
3. Women who were diagnosed with GDM should have lifelong testing at least every 3 years.
4. For all other patients, testing should begin at age 35 years.
5. If results are normal, testing should be repeated at a minimum of 3-year intervals, with consideration of more frequent testing depending on initial results and risk status.
6. People with HIV
Guidelines recommend calculating global
CHD risk every Guidelines recommend calculating global
CHD risk every ——
People?
5 years for all adults over age
40 years or those with 2 or more risk factors,
in order to consid
The USPSTF (US preventive service task force)
recommends low-dose aspirin
prevention of cardiovascular disease (CVD) in adults
aged 50 to 59 years who have a 10% or greater 10-
year CVD risk, are not at increased risk for bleeding
The American Cancer Society recommends that
women of average risk undergo screening
mammography every year, beginning at
40 y
The USPSTF and the American Academy of
Family Physicians (AAFP) recommend that
women of average risk undergo biennial
screening mammography at the age o
50-74
The USPSTF recommends screening for cervical
cancer in sexually active women ages 21 to 65 years
cytology (Papanicolaou smear) every 3 years
How to lengthen the screening interval for cervical cancer in a sexually active woman
combination
of cytology and HPV testing every 5 years.
Pap smear intruments
Pap smear testing
Colorectal cancer screening
Fecal occult blood testing (annually),
• Sigmoidoscopy (every 5 years)
• Colonoscopy (every 10 years)
Beginning at age 45 years and
continuing until age 75 years.
Which is recommended for long screening CT or x-ray
Ct
Lung cancer screening Lung cancer screening
annual screening
for lung cancer with low- dose CT in adults
ages 50 to 80 years who have a 20 pack-year
smoking history and currently smoke or have
quit within the past 15 years.
Plain chest x-ray is not recommen
The calcium intake for adult women
1000-1200 mg
Physical activity of adult health maintenance
Low to moderate
Daily
30 minutes or more can be split into 3 ten-minute activity is walking using stairs and instead of elevators
Moderate to severe
3 to 5 times per week 20 to 30 minutes as football swimming
Domestic violence screening
All women of a child beating age
Screening for obesity
At each visit
25 to 30 overweight
30 or more obese
Screening for hypertension
At every visit and at least once every two years
Screening for diabetes, all similar to asymptomatic adults
At 35 years old
In prostate cancer, PSA
Is not recommended in US PSCTF
But American Cancer association society recommends
