To get the best experience while viewing this site, it is recommended that you upgrade to a modern browser version of Chrome or Firefox.

You may do so by clicking on one of these icons:


southern new mexico surgery center
 
  •  

  •  
    Health Library Explorer
    A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A-Z Listings Contact Us
    Prevention Guidelines

    Prevention Guidelines for Women 65+

    Here are the screening tests and immunizations that most women at age 65 and older need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.

    Screening

    Who needs it

    How often

    Type 2 diabetes or prediabetes

    All adults beginning 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

    Every two years if your blood pressure reading is less than 120/80 mm Hg1

    Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg1

    Breast cancer

    All women2

    Yearly mammogram and clinical breast exam2

    Cervical cancer

    According to the American Cancer Society (ACS), women older than 65 who have had regular screening with normal results should not be screened for cervical cancer. Once screening is stopped, it should not be started again.

    Discuss with your healthcare provider3

    Chlamydia

    Women at increased risk for infection

    At routine exams if at risk

    Colorectal cancer

    All adults ages 50 and older

    The ACS recommends:

    For tests that find polyps and cancer:

    • Flexible sigmoidoscopy every 5 years4, or

    • Colonoscopy every 10 years, or

    • Double-contrast barium enema every 5 years4, or

    • CT colonography (virtual colonoscopy) every 5 years4

    For tests that primarily find cancer:

    • Yearly fecal occult blood test5, or

    • Yearly fecal immunochemical test every year5, or

    • Stool DNA test, every 3 years5

    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 doctor about which test is best for you.

    Some people should be screened using a different schedule because of their personal history or family history. Talk with your doctor about your history and what colorectal cancer screening schedule is best for you.

    Depression

    All adults who have access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

    At routine exams

    Gonorrhea

    Sexually active women who are at increased risk for infection

    At routine exams if at risk

    HIV

    Anyone at increased risk for infection

    At routine exams if at risk

    Hepatitis C

    Anyone at increased risk; 1 time for those born between 1945 and 1965

    At routine exams

    High cholesterol and triglycerides

    All women ages 20 and older at increased risk for coronary artery disease

    At least every 5 years, or more frequently if recommended by your healthcare provider6

    Lung cancer

    Adults age 55 to 80 who have smoked

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

    Obesity

    All adults

    At routine exams

    Osteoporosis, postmenopausal

    All women ages 65 and older7

    Bone density test at age 65, then follow-up as recommended by healthcare provider7

    Syphilis

    Anyone at increased risk for infection

    At routine exams if at risk

    Tuberculosis

    Anyone at increased risk for infection

    Check with your healthcare provider

    Vision

    All adults8

    Every 1 to 2 years; if you have a chronic disease, check with your healthcare provider for exam frequency

    Counseling

    Who needs it

    How often

    Aspirin for prevention of cardiovascular problems

    Women ages 55 to 79 when the potential benefits from reducing ischemic strokes outweigh the potential harm from an increase in gastrointestinal hemorrhage

    Discuss with your healthcare provider

    Diet and exercise

    Adults who are overweight or obese

    When diagnosed and at routine exams

    Fall prevention (exercise, vitamin D supplements)

    All women in this age group

    At routine exams

    Sexually transmitted diseases prevention

    All women at increased risk

    At routine exams

    Tobacco use and tobacco-related disease

    All adults

    Every exam

    Immunization

    Who needs it

    How often

    Tetanus/diphtheria/
    pertussis (Td/Tdap) booster

    All adults

    Td: Every 10 years

    Tdap is recommended if you are in contact with a child 12 months or younger. Either Td or Tdap can be used if you have no contact with infants.

    Chickenpox (varicella)

    All adults age 65 and older who have no previous infection or documented vaccinations*

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

    Flu (seasonal)

    All adults

    Yearly, when the vaccine becomes available in the community

    Hepatitis A vaccine

    People at risk9

    Two doses given 6 months apart

    Hepatitis B vaccine

    People at risk10

    Three 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)

    Haemophilus influenzae Type B (HIB)

    Women at increased risk for infection, talk with your healthcare provider

    1 to 3 doses

    Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

    All adults age 65 and older

    1 dose of each vaccine

    Zoster

    All women ages 60 and older

    One dose

    1Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

    2American Cancer Society

    3The American Congress of Obstetricians and Gynecologists currently recommends that women ages 30 and older get a Pap test once every three years and that women with certain risk factors (or with increased risk) may need more frequent screening. It's reasonable to discontinue screening after three or more consecutive negative Pap tests and no abnormal results within the last 10 years once a woman turns 65 or 70.

    4If the test is positive, a colonoscopy should be done

    5The multiple stool take-home test should be used. One test done by the doctor in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

    6Recommendation from ACOG

    7Recommendation by the USPSTF

    8Recommendation from the American Academy of Ophthalmology

    9For complete list, see the CDC website

    10For complete list, see the CDC website

    *Exceptions may exist; discuss with your healthcare provider

    Other guidelines from the USPSTF

    Immunization schedule from the CDC

    Online Medical Reviewer: Cunningham, Louise, RN
    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: 11/5/2015
    © 2000-2017 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.
    horizontal line

    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

    Disclaimer