Preventative Care Guide

Preventative Health Consultation Plan

Age

Phase of life

Health risks

Check-ups

Check list

12-25

– Transition from

adolescence to

maturity with maximum physical, mental and emotional resources and, in the 20’s full capacity for healthy marriage, parenthood and social relationships

– Occupational

– Interpersonal relationships

– HIV/AIDS, smoking, alcohol, drugs, driving, sexual problems, venereal disease

-Cardiovascular disease

* Cholesterol, blood sugar and general check-up – once in this period

*Homocysteine level from 20 yrs-every 2 yrs

* Blood pressure – every 2 years

* Vaccination schedule/tetanus booster – every 10 years

* Dental check-ups – 6 monthly

* PAP and breast cancer check (if sexually active)- annually x 3, then every 3 years

* Skin exam – annually

* HIV (if sexually active/at risk) -6 monthly

25-40

– The most productive years for most people

– Prolongation of period of maximum energy

-Chronic diseases start to appear. Prevention is important

– Obesity, dimi-nished exercise

– Smoking, alcohol,

-HIV/AIDS

-Emotional problems related to lifestyle

-Prostate

-Cardiovascular disease

* Cholesterol, blood sugar and general check-up – once in this period

* Homocysteine level every 2 yrs

* Blood pressure – every 2 years

*Vaccination schedule/tetanus booster – every 10 years

* Dental check – 6 monthly

* Pap smear and breast check – annually x 3, then every 3 years

* Skin exam – annually

40-60

– Physical capacity and mental and social activity start diminishing

– Adjustment to menopause and “andropause” in men

– Chronic and major diseases need early detection

– Cardiovascular disease, hypertension

– Obesity, inactivity

– Stress

– Smoking, alcohol

– Osteoporosis

-Prostate

* Cholesterol, blood sugar and general check-up – every five years

* Homocysteine level from 20 every 2 yrs

* Blood pressure – every 2 years

*Treadmill stress test from 50 yrs annually

*Cancer screening – every 2 years

* Colon cancer (stool test)- annually

* Vaccination schedule/tetanus booster – every 10 years

*Dental check – 6 monthly

* PAP – every 3 years

*Skin exam – annually

* Breast check and mammogram – annually

*Bone density – at least once

* Thyroid dysfunction – every 2 years

* Skin exam – annually

* PSA (prostate) check yearly from 40-50 yrs

*Digital rectal exam from 50yrs – prostate

60-70

– Decreasing physical, mental and social activity

– Prepare for minimising handicapping effects of chronic disease

– Problems of changing lifestyle, nutrition, absence of family, reduction of income, decreased physical activity

-Prostate

-Cardiovascular disease

* Cholesterol, Homocysteine level and general check-up – every 2 years

* Treadmill stress test annually

* Cancer screening – every 2 years

* Colon cancer (stool test) – annually

* Blood pressure – every 2 years

* Vaccination schedule/tetanus booster – every 10 years

* Dental check – every 6 months

* PAP – every 3 years

* Breast check and mammogram – annually

* Bone density – every 2 years

Prostate-digital rectal exam annually

70 +

– Reduction in tissue responsiveness and loss of organ integrity

– Prolongation of active independent life

– Minimise chronic disease

– Poor nutrition

– Failing activity

– Inadequate living arrangements

– Accidents

-Coronary artery disease

* Thyroid dysfunction – every 2 years

* Skin exam – annually

* Cholesterol, Homocysteine level and general check-up – annually

* Cancer screening

– annually

* Blood pressure – annually

* Vaccination schedule/tetanus booster – every 10 years

* Dental check – 6 monthly

* PAP – annually

* Breast check and mammogram – annually

* Bone density – every 2 years

* Thyroid dysfunction – every 2 years

* Skin exam – annually

Prostate-digital rectal exam annually

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