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Screening Elements
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Frequency
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Evidence based CLINICAL STRATEGY / NOTES
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Female
12 – 19
|
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LIFE STYLES/BEHAVIOURAL
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|
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Weight
|
Every 2 years
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Every 12 months and Periodically, 18 years and older for risk group (diabetes and CVD etc)
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(S) Smoking
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Every 12 months
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Every 6 months for risk group, mental illness, chemical dependency
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(N) Nutrition
|
Every 2 years
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Every 6 months for overweight, obese, high CV AR (>15%), family history CVD <60 years, type 2 diabetes
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(A) Alcohol – early detection of problem drinking
|
Every 3 years
Opportunistically
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Every 12 months for high BP, liver disease, major organ damage, pre/pregnancy, history of mental health problem, drug taking
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(P) Physical activity
|
Every 12 months
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Every visit teenage girls, chronic disease or CVD
|
|
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IMMUNIZATION
|
Refer to Protocol
|
|
|
|
Tetanus-Diptheria (Td)
|
Refer to Protocol
|
Every 10 Years, 18 years and older
|
Refer to Protocol
|
|
Varicella (VZV)
|
Refer to Protocol
|
Susceptible only —Two doses at 18 years and older
|
Refer to Protocol
|
|
Measles, Mumps, Rubella
|
Refer to Protocol
|
Women of childbearing age — One dose (18-50 years)
|
Refer to Protocol
|
|
Rubella
|
|
Childbearing age at their first clinical encounter
|
|
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Hepatitis B
|
|
For high risk group
|
|
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COMMUNICABLE DISEASES / SEXUALLY TRANSMITTED INFECTIONS (STIs)
|
|
|
Chlamydia
|
Opportunistically
|
18-25 yrs for sexually active women. Every 1 yr for those at high risk
|
|
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Syphilis Infection (VDRL)
|
Opportunistically
|
Persons at increased risk for syphilis and all pregnant women
|
|
|
Pulmonary Tuberculosis
|
|
Tuberculin skin testing is recommended for asymptomatic high-risk persons, students (universities demands)
|
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PREVENTIVE VASCULAR DISEASES
|
|
|
|
Blood pressure
|
Every 2 years
|
Every 2 years for persons with SBP and DBP below 130 mm Hg and 85 mm Hg. Every 12 months with lifestyle risk factors. Every 6 months for high risk and opportunistically otherwise.
|
|
|
Hemoglobin / Hematocrit
|
Opportunistically
|
Pregnant women
|
|
|
Type 2 diabetes
|
Every 3 years
|
Every 12 months with IGT/IFG, and Periodically adults with hypertension or hyperlipidemia. From 10 yrs if at risk and obese.
|
|
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PSYCHOSOCIAL/MENTAL
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|
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|
Depression / Stress
|
Opportunistically
|
At every encounter – every 2 years with high risk
|
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CANCER
|
|
|
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Skin cancer
|
Every 12 months
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From 13 years for those at high risk
|
|
|
Cervical cancer
(Pap Smear)
|
Every 1-3 years
|
Repeat at 1 to 3 Years, 18 - 70 years. Or after 3 yrs of marriage, yearly for 3 consecutive years, if negative every 3 years.
|
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CHEMOPREVENTION
|
|
|
|
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Calcium
|
|
Women, Periodically, 18 years and older
|
|
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Vitamin D
|
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Women, Periodically, 18 years and older
|
|
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Folic Acid
|
|
Women of childbearing age, 18-50 years
|
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OTHER TESTS
|
|
|
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ABO Grouping and Rh (D)
Incompatibility
|
|
Perform Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy. Repeated Rh (D) antibody testing for all unsensitized Rh (D) negative women at 24 and 28 weeks’ gestation, unless the biological father is known to be Rh (D) negative.
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Stool exam R&M
|
Every 1 year
|
Food handlers
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