Geriatrics Health Screening - Exam 1 Flashcards
What are the USPSTF recommendations for physical activity in the geriatric population? Give with and without CVD.
w/o CVD ->C
The USPSTF recommends individualized care plans with patients without cardiovascular disease when deciding whether to send to behavioral counseling for diet and lifestyle modifications
with CVD -> B
The USPSTF recommends offering or referring adults with cardiovascular disease risk factors to behavioral counseling interventions to promote a healthy diet and physical activity.
What are the USPSTF recommendations for tobacco use in the geriatric population?
Grade A
The USPSTF recommends asking ALL adults about smoking and to promote cessation. They recommend offering behavioral therapy and FDA approved pharmacotherapy to patients who use tobacco.
What are the USPSTF recommendations for alcohol use in the geriatric population?
Grade B
The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.
What are the USPSTF recommendations for ASA use in the geriatric population?
Grade D
The USPSTF recommends AGAINST initiating low-dose aspirin as primary prevention in cardiovascular disease in adults 60 years or older.
What are the CDC recommendations for immunizations in the geriatric population? Which ones specifically?
RECOMMENDED!!
COVID-19, influenza (IIV4 or RIV4), pneumococcal, Zoster and Tdap vaccinations are recommended for adults aged 65 and older
shared decision making for RSV
What are the USPSTF recommendations for colorectal screening in the geriatric population? Give age ranges
Grade A
The USPSTF recommends screening for colorectal cancer in all adults aged 50 to 75 years.
Grade C
The USPSTF recommends that clinicians selectively offer screening for colorectal cancer in adults aged 76 to 85 years. Evidence indicates that the net benefit of screening all persons in this age group is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the patient’s overall health, prior screening history, and preferences.
What are the USPSTF recommendations for breast cancer screening in the geriatric population? Give age ranges
Grade B
The USPSTF recommends that all women get screened for breast cancer every other year, starting at age 40 and continuing through age 74.
Grade I
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women 75 years or older.
What are the USPSTF recommendations for cervical cancer screening in the geriatric population?
Grade D
The USPSTF recommends against screening for cervical cancer in women older than 65 years who have had adequate prior screening and are not otherwise at high risk for cervical cancer.
What are the USPSTF recommendations for prostate cancer screening in the geriatric population? Give age ranges
Grade C
For men aged 55 to 69 years, the decision to undergo periodic prostate-specific antigen (PSA)-based screening for prostate cancer should be an individual one.
Grade D
The USPSTF recommends against PSA-based screening for prostate cancer in men 70 years and older.
What are the USPSTF recommendations for blood pressure screenings in the geriatric population?
Grade A
The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment.
What are the USPSTF recommendations for lipid screening in the geriatric population?
Grade A
The USPSTF strongly recommends screening men aged 35 and older for lipid disorders.
Grade A
The USPSTF recommends screening women aged 45 years and older for lipid disorders if they are at increased risk of coronary heart disease.
What are the USPSTF recommendations for osteoporosis in the geriatric population? Give both men and women
Grade B
The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
Grade I
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for osteoporosis to prevent osteoporotic fractures in men
What are the USPSTF recommendations for AAA in the geriatric population? (this one has 4 different recommendations)
Grade B: The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
Grade C: The USPSTF recommends that clinicians selectively offer screening for AAA with ultrasonography in men aged 65 to 75 years who have never smoked rather than routinely screening all men in this group.
Grade D: The USPSTF recommends against routine screening for AAA with ultrasonography in women who have never smoked and have no family history of AAA.
Grade I: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AAA with ultrasonography in women aged 65 to 75 years who have ever smoked or have a family history of AAA.
