Approach to health maintenance and counseling Flashcards
_______ _______ ________ allows the patient to have the best outcomes by providing patients the most effective care based on the evidence that is available
Evidence based medicine
List some of the preventative services
- Screening
- Immunizations
- General health guidance
- Counseling to reduce risk
A _______ _______ is an intervention to prevent a disease including vaccines and diet counseling
primary prevention
A _______ ________ is a screening test for a disease early while patient may still be asymptomatic or before onset of
disease including BP checks, labs, and mammograms
secondary prevention
A _____ _______ is a clinical intervention that prevent progression or disease or reduce complication (treatment of patient condition) including HTN medication, chemotherapy, and diet counseling
Tertiary prevention
How does the USPSTF recommend assigning ratings of service?
On a grade based scale... A-offer this service B-offer C-offer depending on the patient D-discourage this I -clinical considerations
What are well visits used for?
Used to appropriately treat current medical conditions and also to provide appropriate preventive care in an to effort to decrease health deterioration in the future
What is the clinical rule of thumb in regards to check ups for patients who are 49 and younger? (adults)
every 3 years if there are NO chronic medical problems
What is the clinical rule of thumb in regards to check ups for patients who are 50+ without any chronic medical problems?
Yearly
How often should diabetic patients come to get their A1C checked?
every 3 months
How often should a patient with HTN be monitored for their BP?
Every 3-6 months
What is the general rule for colon cancer screening?
Males and females 50-75
What is the screening for lung cancer?
Low dose lung CT for ages 55 to 74 yr w/ at least year 30 pack years of smoking
What is the general rule for a cervical cancer screen?
21-65 pap smear
What is the general rule for a breast cancer screen?
Mammogram age 50 to 65 yo (varies, can start as early as 40 yo based on the organization recommending but this based on USPSTF)
