Adult Preventive Healthcare Guidelines

PREVENTIVE HEALTHCARE GUIDELINES

Abdominal Aortic Aneurysm  

  • A one-time screening via abdominal ultrasound is recommended for men ages 65-75 who have smoked at least 100 cigarettes in their lifetime.

Adult Immunization  

  • Influenza vaccination is recommended annually.
  • Td (tetanus/diphtheria) or Tdap (tetanus, diphtheria and pertussis) booster should be done every 10 years.
    Ask your provider which vaccine is right for you.
  • Shingles vaccine (Zostavax) is recommended for women and men 60 years and older.
  • Pneumococcal vaccination should be done at age 65 if not done previously.
  • HPV vaccine is recommended for women ages 18-26 and men ages 18-21 (if not completed when younger).
  • Ask your provider about other recommendations that might be applicable to you.

Blood Pressure
If you do not have a history of high blood pressure, your blood pressure should be checked, at a minimum, every two years.

Breast Cancer Screening
Women 50-74 years should have a screening mammography every two years.

Cervical Cancer Screening
All women ages 21 through 29 should have a Pap smear every three years. Women ages 30 through 64 should have a Pap smear with HPV screening every five years.

Cholesterol and Lipid Screening
A lipid profile (total cholesterol, HDL, and LDL,) should be performed every five years for all men ages 35-75. Men ages 20-35 and women ages 20-75 with risk factors for coronary artery disease including hypertension, diabetes, obesity (BMI >30), personal or family history of coronary heart disease, and tobacco use also need screening.

Colon Cancer Screening
A colon cancer screening program should start at age 50 and continue through age 75.

Osteoporosis Screening

Osteoporosis affects millions of older adults causing their bones to become fragile and more likely to break. Women 65 years and older or younger women with increased fracture risk should be screened for osteoporosis utilizing DEXA Scan (a bone mass density test).

Tobacco Cessation
Quitting smoking and/or chewing is recommended for all people who use tobacco products. 


DISEASE MANAGEMENT GUIDELINES
 

Cardiovascular Disease

  • An annual blood pressure check
  • Maintain a blood pressure of less than 140/90
  • An annual blood test to check your LDL (low density lipoprotein or “bad” cholesterol)
  • Maintain LDL (low density lipoprotein or “bad” cholesterol) level at less than 100 mg/dl

Chronic Obstructive Pulmonary Disease

  • An annual physical exam with a blood pressure check
  • You may also need lung function testing (spirometry). 

Diabetes Mellitus Type II

  • A blood test to check your HgbA1C at least every six months
  • Maintain an HgbA1c level of less than 7.0 percent
  • An annual lipid blood test to include HDL (high density lipoprotein), LDL (low density lipoprotein) and triglycerides
  • Maintain LDL (low density lipoprotein or “bad” cholesterol) level at less than 100 mg/dl
  • An annual urine exam to check for protein (and thus kidney function)
  • An annual dilated eye exam for blood vessel changes related to diabetes
  • An annual blood pressure check
  • Maintain a blood pressure of less than 130/80
  • An annual foot exam by your provider
  • Hepatitis B vaccine for women and men 19-59 years of age (if not already completed).
  • Diabetes self-management education every 2 years.  

High Blood Pressure

  • An annual physical exam with a blood pressure check
  • Maintain a blood pressure of less than 140/90
  • A blood test to check your blood cholesterol level if you have other risk factors such as a family history of heart disease

 

 

 

 

 

 

 

The Everett Clinic offers many preventive health care services and guidelines.

Care Guidelines

These guidelines are intended to assist you in understanding the preventive healthcare that is appropriate for you, and the recommended frequency.  These guidelines are not a substitute for a more in-depth discussion with your primary care provider who can tailor them for your personal medical situation.

Contact Us

To get connected with a primary care physician call our Customer Services department at: 425-258-3900.