Preventive Care Measures for Individuals aged Ranging 21 and 65 Years

PreventiveCare Measures for Individuals aged Ranging 21 and 65 Years

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PreventiveCare Measures for Individuals aged Ranging 21 and 65 Years

Thecharts below are recommended for male and female aged 21-65 years ofage. Consequently, the charts should be taken as a guideline whenhandling patients who are of average risks in the general public(Michael et al., 2010). However, the charts should not be used tosupplant the clinical judgment or the patients’ needs. Rather, theguidelines will be used to improve the quality-practice that isintended to benefit the clinical descriptions such as health andtreatment plans that benefit the patients and the medicalpractitioners (McGlynnet al., 2003).Taking appropriate measures for preventive care are important becauseit lessens future health issues. Below are the charts that arerecommended in the current paper:

  1. Immunization recommendation for adults aged 21-65 years

Vaccine

Gender

Age

Description

9vHPV or 2vHPV

Female

21-26

For routine vaccination of females aged between 21 and 26 years. The female should be given to those who were not previously vaccinated or to female who have not completed the recommended three dose series.

9vHPV or 4HPV

Male

21 years

-Should be vaccinated if not previously vaccinated or have not completed their 3-dose series

9vHPV or 4HPV

Male

21-30

-Given to men who having sex with men and who’s immune is compromised.

-Should also be given to men who are HIV positive and not vaccinated previously.

Hepatitis A and B

Male and Female

21-26

27-49

50-59

60-65

-Hepatitis tests are crucial for adults

-The healthcare provider should determine the dosage required.

  1. Well person recommendation

Recommendation

Gender

Age

Description

Periodic health evaluation

(preventive screening, counseling, medical history checkups, immunizations, physical examination )

Both male and female

21

22-29

30-39

40-49

50-65

Annually

1-3 years depending on the risk involved

1-3 years depending of the risk factors involved

Every 1-3 years depending on severity of health condition

Annually

  1. Cancer screening recommendation

Recommended screening

Gender

Age

Description

Breast cancer

Female

21-39

-Perform clinical breast examination at every evaluation health

-Counsel the patients on the limitation and benefits of self examination.

– Mammography can be recommended for patients on high risk. The risk should be based on factors such as family history, premenopausal breast cancer, genetic issues, and history of ovarian cancer.

40-49

-Carry out regular breast examination and discourage of self-examination

– Mammography can be done annually after discussing its risks and benefits

-Examinations should be based on the risks factors and/or discussion done on how to conduct the screening based on the discretion of the patient or the clinician

50-65

-Carry out regular breast examination and discourage of self-examination

-Conduct mammography every 2 years or frequently based on the discretion of patient/clinician. It should be based on patient’s risk factors

Cervical cancer

Female

21-29

-Start cytology (pap tests) at 21 years or even earlier

-Perform cytology after every 3 years up to age 29

30-65

-The screening should combine both HPV and pap test after every five years

-Pap test should be can be omitted if a woman showed hysterectomy at age 60-65 and there is no negative results.

-Consider all the risk factors such as HPV infection, family history, or history of cervical tumor.

Colon Cancer

Male and female

21-49

-not common

-consider patients who are at high risk

50-65

-Colonoscopy should be done at age 50 after subsequently after 10 years

-FOBT can be done annually and sigmoidoscopy after every five years.

-Screening or colonoscopy should be done early enough or frequently depending on the risk factors and discretion between the patients and the clinician.

Prostate cancer

male

21-50

-Carry out routine screening and discussion are important for patients at high risks

– Men at high risk should be given frequent screening and prostate cancer education from age 40 and above depending on the severity of the risk (Adhikari et al., 2010)

– Family history (father and brothers) should be considered when diagnosing prostate cancer.

  1. Other preventive services

Recommended test

Gender

Age

Description

Eye sight test

Both male and female

21-39

-Examination is recommended by the physician

40-65

-Examination should be done 1-3 years. Above age 60 sight examination should be done 1-2 years

-Patients with diabetes should be examined frequently

Hearing test

Both male and female

21-65

-Always ask the patients about their hearing impairment every medical visit. Explain to them availability of treatment plan available

Hypertension

Both male and female

21-65

-Check patient’s blood pressure at all the medical encounters

-Carry out BP tests and screening for hypertensive patients after every two years

Type 2 diabetes

Bothe male and female

21-65

-Screen the patients after 3 years at age 45

-For overweight individuals screen at as young as 25 years and more frequently

-Consider family history

-If the test results are positive recommend screening after 6 months or one year.

-Determine any memory change

Reference

Adhikari,N. K., Fowler, R. A., Bhagwanjee, S., &amp Rubenfeld, G. D. (2010).Critical care and the global burden of critical illness in adults.TheLancet,376(9749),1339-1346.

Michael,Y. L., Whitlock, E. P., Lin, J. S., Fu, R., O`Connor, E. A., &ampGold, R. (2010). Primary care–relevant interventions to preventfalling in older adults: a systematic evidence review for the USPreventive Services Task Force. Annalsof internal medicine,153(12),815-825.

McGlynn,E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro,A., &amp Kerr, E. A. (2003). The quality of health care delivered toadults in the United States. NewEngland journal of medicine,348(26),2635-2645.