Tuesday, October 16, 2012

Clinical Preventive Services for Normal-Risk Adults


  • Tetanus-Diptheria (Td): every 10 Years, 18 years and older.
  • Varicella (VZV): Susceptible only two doses, 18 years and older.
  • Measles, Mumps, Rubella (MMR): Women of childbearing age-One dose, 18-50 years.
  • Pneumococcal: One dose, 65 years and older.
  • Influenza: Yearly, 50 years and older.
  • Chemoprevention

    Discuss aspirin to prevent cardiovascular events:
  • Men: Periodically, 40 years and older.
  • Women: Periodically, 50 years and older.
  • Discuss breast cancer chemoprevention with women at high risk.
  • Counseling Calcium Intake: Women, periodically 18 years and older.
  • Folic Acid: Women of childbearing age, 18-50 years. Tobacco cessation, drug and alcohol use, STDs and HIV, nutrition and physical activity, sun exposure, oral health, injury prevention and poly-pharmacy: Periodically, >18 years. Upper age limits should be individualized for each patient.
  • Weight

  • Normal body mass index (weight (kg)/height (sq. meters) for Indian Americans is <23
  • Waist circumference <90 cm or 36 inches (men); <80 cm or 32 inches (women)
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