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    Prevention Guidelines

    Prevention Guidelines for Women 50–64

    Here are the screening tests and immunizations that most women ages 50 to 64 need. A screening test is done to find possible health problems or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to lower the risk of disease, or to find it early enough to treat it most effectively. Screening tests are not diagnostic. But they are used to find out if more testing is needed. Health counseling is vital, too. You and your healthcare provider may decide that a different schedule is best for you. But this plan can guide your discussion.

    Screening

    Who needs it

    How often

    Type 2 diabetes or prediabetes

    All adults starting at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

    At least every 3 years

    Alcohol misuse

    All adults

    At routine exams

    Blood pressure

    All adults

    Yearly checkup if your blood pressure is normal.

     

    Normal blood pressure is less than 120/80 mmHg.1

     

    If your blood pressure reading is higher than normal, follow the advice of your healthcare provider.

     

     

    All women2

    Yearly mammogram should be done until age 54. At age 55, switch to mammograms every other year. Or you may choose to continue yearly mammograms.2

    Cervical cancer

    All women, except those who have had a hysterectomy with removal of the cervix for reasons not related to cervical cancer and have no history of cervical cancer or serious precancer

    Pap test every 3 years or Pap test with human papillomavirus (HPV) test every 5 years

    Chlamydia

    Women at a higher risk for infection

    At routine exams

    Colorectal cancer

    All adults starting at age 50

    According to the American Cancer Society (ACS):

    For tests that find polyps and cancer:

    • Flexible sigmoidoscopy every 5 years,3 or

    • Colonoscopy every 10 years, or

    • Double-contrast barium enema every 5 years3

    For tests that primarily find cancer:

    • Yearly fecal occult blood test,4 or

    • Yearly fecal immunochemical test every year,4 or

    • Stool DNA test, every 3 years4

    The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk with your healthcare provider about which test is best for you.

    Depression

    All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

    At routine exams

    Gonorrhea

    Sexually active women at a higher risk for infection

    At routine exams if at risk

    Hepatitis C

    Adults at a higher risk; 1 time for those born between 1945 and 1965

    At routine exams if at risk

    HIV

    All women

    At routine exams if at risk

    High cholesterol and triglycerides

    All women ages 45 and older at a higher risk for coronary artery disease

    At least every 5 years

    Obesity

    All adults

    At routine exams

    Lung cancer

    Adults age 55 to 80 who have smoked

    Yearly screening in smokers with 30-pack per year history of smoking or who quits within 15 years

    Osteoporosis, postmenopausal women

    Women at age 60 who are at a higher risk for fractures caused by osteoporosis

    Check with your health care provider

    Syphilis

    Adults at a higher risk for infection

    At routine exams if at risk

    Tuberculosis

    Adults at a higher risk for infection

    Check with your healthcare provider.

    Vision

    All adults5

    Check with your healthcare provider for exam frequency.

    Counseling

    Who needs it

    How often

    Aspirin for prevention of cardiovascular problems

    At-risk adults

    Recommended for women ages 55 to 79 years when the potential benefit of reducing strokes outweighs the potential harm of an increase in gastrointestinal bleeding

    When risk is identified; talk with your healthcare provider before starting

    Breast cancer, chemoprevention

    Women at high risk

    When risk is identified

    BRCA mutation testing for breast and ovarian cancer susceptibility

    Women with a higher risk

    When risk is identified

    Diet and exercise

    Women who are overweight or obese

    When diagnosed

    Sexually transmitted disease prevention

    Adults at a higher risk for infection

    At routine exams

    Tobacco use and tobacco-related disease

    All adults

    Every exam

    Immunization

    Who needs it

    How often

    Haemophilus influenzae B type

    At risk adults

    1 to 3 doses

    Tetanus/diphtheria/
    pertussis (Td/Tdap) booster)

    All adults

    One-time Tdap booster, then Td every 10 years

    Measles, mumps, rubella (MMR)

    Adults in this age group through their late 50s who have no previous infection or documented vaccinations6

    1 to 2 doses

    Chickenpox (varicella)

    Adults ages 50 to 64 who have no previous infection or documented vaccinations6

    2 doses; the second dose should be given at least 4 weeks after the first dose.

    Flu vaccine (seasonal)

    All adults

    Yearly, when the vaccine becomes available in the community

    Hepatitis A vaccine

    People at risk7

    2 doses given at least 6 months apart

    Hepatitis B vaccine

    High risk adults

    3 doses; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)

    Meningococcal

    People at risk6

    1 or more doses

    Pneumococcal (PCV13)

    Pneumococcal (PPSV23)

    People at risk7

    PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

    PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

    Zoster

    All women ages 60 and older6

    1 dose

    1. American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines

    2. American Cancer Society

    3. If the test is positive, a colonoscopy should be done.

    4. The multiple stool take-home test should be used. One test done by the healthcare provider in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

    5. Recommendation from the American Academy of Ophthalmology

    6. Exceptions may exist. Please check with your healthcare provider.

    7. For complete list, see the CDC website.

    Other guidelines from the USPSTF

    Immunization schedule from the CDC

    Online Medical Reviewer: Adler, Liora C, MD
    Online Medical Reviewer: Cunningham, Louise, RN
    Online Medical Reviewer: Freeborn, Donna, PhD, CNM, FNP
    Online Medical Reviewer: Godsey, Cynthia, MSN, APRN, MSHE, FNP-BC
    Online Medical Reviewer: Stump-Sutliff, Kim, RN, MSN, AOCNS
    Online Medical Reviewer: Turley, Ray, BSN, MSN
    Date Last Reviewed: 6/1/2018
    © 2000-2018 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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