Lecture 3- Health Promotion/Preventative Medicine Flashcards
Why do geriatric prevention/health maintenance?
- Improves disability free life expectancy
- Increases function- (ADLs and IADLs)
- Improves Health Quality of Life
Why is disease prevention important from a financial standpoint?
- we miss 55 billion dollars worth of prevention opportunities, while instead doing 210 billion dollars worth of unnecessary services… we could be so much more efficient
What does the U.S. Preventative Services Task Force (USPSTF) do?
- Determines whether or not evidence supports providing a clinical preventive service
- Rated as A,B,C,D, and I
How do interpret USPSTF ratings
- anything rated A and B- should discuss those services with eligible patients and offer them
- C- clinician may provide this service to selected patients
- Discourage anything with a D rating
- I rating means that the evidence of that service’s effectiveness is lacking and of poor quality.
The Screening tests that have an A and B rating (large list)
- Abdominal Aortic Aneurysm Screening
- Alcohol Misuse counseling
- Aspirin to prevent cardiovascular disease
- Blood pressure screening
- BONE MASS MEASUREMENT
- Cardiovascular screening
- Depression screening
- Colorectal cancer screening
- Diabetes screening
- Flu shot
- Fall prevention
- Healthy Diet Counseling
- Healthy diet counseling
- Glaucoma Test
- Hepatitis B Shot
- HIV Screening
- MAMMOGRAM
- Medical nutrition therapy services
- obesity screening and counseling
- PAP AND PELVIC EXAM
- pneumococcal shot
- smoking cessation counseling
- STD Counseling
Cancer screenings- It is recommended to screen for what cancers?
- Gynecologic cancers - breast and cervical
- Osteoporosis - bone mass measurement
- prostate cancer
- colon cancer
Chance of developing breast cancer at age 50 and age 80
age 50- 1 in 50
age 80- 1 in 8
more than _____ of breast cancer deaths occur among women over the age of 65
HALF
What percentage of all cancers are preventable?
40%!
USPSTF recommendations for mammogram
- Biennial screening mammography for women aged 50-74
- Grade B recommendation
- hard to know the effectiveness of this in women over 75- this is rated I
What is teaching breast self-examination (BSE) rated?
D
What is a clinical breast exam in women over 40 rated
I
What is the use of digital mammography or MRI instead of film mammography for screening for breast cancer rated?
I
Breast cancer screening guidelines from the ACS- American Cancer Society
- Start mammograms at age 45
- for women over 55, should do biennial screening, with the option for yearly
- Annual screening mammography should be offered to patients between 4- and 44
- Clinical breast exam not recommended as a screening approach for breast cancer
HPV is found in _______ of all cervical cancers (young and old)
93%