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Screening Elements
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Frequency
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Evidence based CLINICAL STRATEGY / NOTES
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Male
60+
|
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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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|
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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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|
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IMMUNIZATION
|
Refer to Protocol
|
|
|
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Tetanus-Diptheria (Td)
|
Refer to Protocol
|
Every 10 Years, 18 years and older
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Refer to Protocol
|
|
Varicella (VZV)
|
Refer to Protocol
|
Susceptible only —Two doses at 18 years and older
|
Refer to Protocol
|
|
Pneumococcal
|
One dose
|
One dose, 65 years and older and for high risk group
|
|
|
Influenza
|
Every 1 year
|
Yearly, 50 years and older
|
|
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Hepatitis B
|
|
For high risk group
|
|
|
COMMUNICABLE DISEASES / SEXUALLY TRANSMITTED INFECTIONS (STIs)
|
|
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Pulmonary Tuberculosis
|
|
Tuberculin skin testing is recommended for asymptomatic high-risk persons, students (universities demands)
|
|
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PREVENTIVE VASCULAR DISEASES
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|
|
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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.
|
|
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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.
|
|
|
(Lipid profile)
- Total Cholesterol
- HDL
|
Every 5 years
|
Every 5 years for men 35 years and older & women 45 years & older. And for men aged 20 to 35 years & women aged 20 to 45 years if they have other risk factors for CVD. Every 1–2 years 45+ years with risk factors and family history premature CVD.
Every 12 months with increased CV risk & existing diagnoses
|
|
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PSYCHOSOCIAL/MENTAL
|
|
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Depression / Stress
|
Opportunistically
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At every encounter – every 2 years with high risk
|
|
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CANCER
|
|
|
|
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Skin cancer
|
Every 12 months
|
From 13 years for those at high risk
|
|
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Colorectal cancer
Occult blood
|
Every 1-2 years
|
Periodically, 50 years and older, Earlier for high risk
|
|
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Colorectal cancer
Flexible sigmoidoscopy
|
Every 5 - 10 years
|
Periodically, 50 years and older, Earlier for high risk
|
|
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CHEMOPREVENTION
|
|
|
|
|
Aspirin (CVS Risk Ass.)
|
|
Periodically – Men 40 yrs & older. Women 50 yrs & older
|
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Calcium
|
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Women, Periodically, 18 years and older
|
|
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Vitamin D
|
|
Women, Periodically, 18 years and older
|
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ELDERLY
|
|
|
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Visual Impairment
|
Every 5 years
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All people aged 50 – 64 years; every 5 yrs. Every year after 65
|
|
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Hearing Impairment
|
Every 12 months
|
Recommendations against screening, except for those exposed to excessive occupational noise levels. Every 12 months 65+ years
|
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Falls risk
|
Every 12 months
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Every 6 months with history of 1 or more falls or multiple risk factors
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|
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Osteoporosis (BMD)
|
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Women, routinely, > 65 yrs or > 60 yrs at increased risk for fractures.
|
|
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Polypharmacy
|
Opportunistically
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With risk factors for medication related problems. Taking > five regular medications or taking > 12 doses per day, or significant changes in medication regimen during the past 3 months.
|
|
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OTHER TESTS
|
|
|
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Stool exam R&M
|
Every 1 year
|
Food handlers
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