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Prevention Guidelines

Karen Miller | 1/16/2014, 6 a.m.

The incidence of chronic diseases, such as cancer, heart disease and diabetes increases with age. Several screening tests are available to detect many of these conditions, which can lead to early medical intervention. Due to the Affordable Care Act and changes in Medicare, certain screenings are offered at no cost to patients.

The guidelines below for people 60 and older are suggestions only. Those already diagnosed with a particular illness may require more frequent monitoring. Also, most of the screenings are initiated at an earlier age. Your provider can establish protocol personalized to your risk and health status.

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Prevention Guidelines

Cardiovascular
Male Female Screening Frequency
X X Blood pressure* Yearly
X X Cholesterol* Every three to five years
X X Diabetes (glucose)* Every one to three years
X Abdominal aortic aneurysm Once for men at age 65 who have ever smoked
Cancer
Male Female Screening Frequency
X Cervical (pap smear) Every three years until age 65; discontinue if regular screenings produced normal results
X Breast (mammogram)1 Every one to two years
X Prostate (PSA) Yearly
X X Colorectal Every year – fecal occult blood test
Every five years – sigmoidoscopy and fecal occult fecal test
Every 10 years – colonoscopy
X X Skin Yearly
X X Head and neck Yearly
Mental Health
Male Female Screening Frequency
X X Depression At routine exam
X X Alcohol and tobacco use At routine exam
Other
Male Female Screening Frequency
X X Obesity (BMI) Yearly
X X Osteoporosis As needed;
initial exam for females at 65,
males at 70
X X Vision Every two years;
check for glaucoma
X X Dental Yearly
X X Risk of falls At routine exam
X X Medications review At routine exam

* Those with a blood pressure exceeding 120/80 or those with diabetes, heart disease or kidney problems may require more frequent monitoring.

1 Women with a history of breast cancer in the family may require additional tests and more frequent testing.

Source: MedlinePlus

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