Univera Community Health - Preventive Health Guidelines



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Univera Community Health Newsletter Download Winter 2008 Issue Past Issues Download Fall 2007 Issue Download Spring 2007 Issue Download Winter 2007 Issue Available in English and Spanish. Member Facts Could you be taking too much Tylenol?		Preventive Health Guidelines Birth – 18 months 2 – 6 years 7 – 12 years 13– 18 years Adults 19 – 39 years Adults 40 – 49 years For women For men and women Adults 50-64 years For men Discuss prostate screening with your doctor For women For both men and women Univera Community Health is a strong supporter of preventive health services. We also recommend an active lifestyle, weight management and tobacco free homes. These are the recommendations for the average person in good health. Please talk with your doctor. Depending on your health and family history, your doctor may advise you to have more frequent examinations and/or additional tests. Birth – 18 months Well-child visits needed at 2–4 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, and 18 months Lead blood test by 12 months TB screening starting at 9 months based on need DTaP (diphtheria-tetanus-acellular pertussis) at 2 months, 4 months, 6 months, and between 15 to 18 months Rota (rotavirus) at 2 months, 4 months, and 6 months Polio vaccine at 2 months, 4 months, and between 6 to 18 months Hib (haemophilus influenza type b vaccine) at 2 months, 4 months, 6 months, and between 12 and 15 months Hepatitis B vaccine at birth to 2 months, 1 to 4 months and 6–18 months Influenza yearly starting at 6 months Hep A (hepatitis A) at 12-23 months, then within 6 months after first shot MMR (measles, mumps, rubella vaccine) at 12–15 months VZV (varicella zoster virus vaccine for chicken pox) at 12–18 months Prevnar (pneumococcal conjugate) at 2 months, 4 months, 6 months, and between 12 and 15 months Anemia screen starting at age 6 months. 2 to 6 years Yearly well-child visit is needed every year Lead blood screen at 2 years TB screening based on need Urine screen every year starting at 3 years DTaP (diphtheria-tetanusacellular pertussis); the 5th dose between 4 and 6 years MMR (measles, mumps, rubella vaccine); the second dose between 4 and 6 years VZV (varicella zoster virus vaccine for chicken pox); should be done if not given before Polio vaccine at 4-6years Influenza yearly up to 59 months, then annually Blood pressure taken every year starting at 3 years Vision test between 3 and 4 years Body Mass Index (BMI) taken at age 2 and up Anemia screen every year 7 to 12 years Well-child visit is needed every 1 to 2 years, from ages 7 through 9, and every year from ages 10 through 12 TB screening based on need MMR (measles, mumps, rubella vaccine); the second dose by age 11 or 12, if not given before VZV (varicella zoster virus vaccine for chicken pox); if not given before, and there is no history of the disease Td (tetanus/diphtheria) every 10 years from age 11 Hepatitis B vaccine; 3-dose series, if not given before HPV (human papillomavirus) vaccine series for girls at 11-12 years Blood pressure taken every year Body Mass Index (BMI) taken every year MCV4 (meningovoccal vaccine) at between the 11 and 12 years old visit Anemia screen every year based on need 13 – 18 years Well-teen visit is needed every year Parents should review their child’s immunization record with his/her doctor TB screening based on need Td (tetanus/diphtheria) booster every 10 years Hepatitis B vaccine, is needed if not given before Yearly influenza vaccine (flu shot) as needed Doctors should counsel regarding STD, HIV, and Hepatitis testing and offer confidential testing for those adolescents determined to be high risk based on exposure Pap test every year is suggested for sexually active females Parents should discuss sexual health issues with their kids HIV screening starting at age 13 Chlamydia screening for sexually active females HPV (human papillomavirus) vaccine series for girls aged 13 – 18 years if not already vaccinated Blood pressure taken every year Body Mass Index (BMI) taken every year Anemia screen every year as needed MCV4 (meningococcal vaccine) for students entering high school, or 15 year olds and college freshmen who will be living in dorms Adults 19 – 39 years Check-up is needed every 5 years Blood pressure screen is needed at least every 2 years Pap test should be done every year, after three consecutive normal pap test, the test can be done every 3 years Review immunization record with your doctor Td (tetanus/diphtheria) booster every 10 years TB screening based on need Yearly influenza vaccine (flu shot) as needed Rubella titer for females once during childbearing years Doctors should screen for tobacco use and provide interventions for those who use tobacco products Doctors should screen for alcohol misuse and provide counseling regarding risky or harmful consumption Folate 0.4 mg supplement for women during childbearing years Calcium supplement for women as indicated by your doctor Cholesterol screening every 5 years beginning at age 20 Body Mass Index (BMI) taken Screen for HIV Doctors should screen for depression Discuss advance directives with your family and your doctor * Adults 40 – 49 years: For women Pap test should be done every year, after 3 consecutive normal pap tests, the test can be done every 3 years Mammogram is needed every 1 to 2 years Folate 0.4 mg supplement for women during childbearing years Calcium supplement for women as indicated by your doctor Adults 40 – 49 years: For men and women Check-up is needed every 3 years Blood pressure screen is needed at least every 2 years Review immunization record with your doctor Td (tetanus/diphtheria) booster every 10 years Yearly influenza vaccine (flu shot) as needed Body Mass Index (BMI) should be taken TB screening based on need Doctors should screen for tobacco use and provide interventions for those who use tobacco products Doctors should screen for alcohol misuse and provide counseling regarding risky or harmful consumption Doctors should screen for depression Screen for HIV Discuss advance directives with your family and your doctor * Adults 50-64 years: For men Discuss prostate cancer screening with your doctor Adults 50-64 years: For women Pap test should be done every year, after 3 consecutive normal pap tests, the test can be done every 3 years Mammogram is needed every 1 to 2 years. Adults 50-64 years: For both men and women Check-up is needed every 2 years for adults ages 50-59 and every 1 to 2 years beginning at age 60. Blood pressure screen at least every 2 years Body Mass Index (BMI) should be taken TB screening based on need Doctors should screen for tobacco use and provide interventions for those who use tobacco products Doctors should screen for alcohol misuse and provide counseling regarding risky or harmful consumption Doctors should screen for depression Cholesterol screen every 5 years Colon cancer screening is needed Td (tetanus/diphtheria) booster every 10 years Yearly influenza vaccine (flu shot) is suggested Review immunization record with your doctor Screen for HIV Discuss advance directives with your family and your doctor * Advance Directives are your choices for health care if you are seriously ill and unable to talk to your doctor
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