There is good evidence that care given during routine office
visits can help keep you healthy. The following is a summary
of the minimum preventive screening guidelines that
Dean Health Plan recommends for healthy adults who have
no symptoms or are at low risk for disease:
Alcohol misuse. All adults and adolescents should be
screened at least annually for alcohol misuse.
Blood pressure. All adults should have their blood pressure
checked at least once every one to two years.
Chlamydia trachomatis cervical infection. All sexually
active women younger than age 25 should be tested.
Colorectal cancer. Men and women ages 50 and older
should be screened periodically.
Depression. Adults should be screened periodically for
depression with appropriate treatment or referral for those
diagnosed with depression.
Influenza vaccination. Men and women older than age
65 should have an annual influenza vaccination.
Lipid disorders. Men ages 35 and older and women
ages 45 and older should have their total and HDL, or
“good,” cholesterol checked at least once, then periodically
as appropriate.
Mammography. Women ages 40 and older should have
a mammogram every one to two years with or without a
clinical breast exam.
Osteoporosis. Women ages 65 and older should be
screened for osteoporosis.
Pap test. All sexually active women with a cervix should
have a Pap test at least every one to three years. Pap tests
may be discontinued after age 65 if documented previous
screening is normal (minimum of three normal Pap tests
in the previous 10 years).
Pneumococcal vaccination. Men and women older than
age 65 should have one pneumococcal vaccination.
Seat belt use. All adults should use seat belts and cycle
helmets.
Tetanus-diphtheria (Td). Men and women should have
a Td booster vaccination every 10 years.
Tobacco cessation. All men and women who use
tobacco should quit.
Other care may also be appropriate. Talk with your doctor
about the preventive care that’s right for you.