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Health Promotion Final Review


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Aspirin for Primary Prevention of Cardiovascular Events
A Rating
Discuss chemoprevention with adults who are at increased risk for chd. Address the potential benefits and harms of therapy.
Bacteriuria, Screening for Asymptomatic
D rating
Men and non-pregnant women
Cervical Cancer, Screening
D rating
Women > 65 for cerival ca if they had adequate recent screening with normal pap smears and are not otherwise at high risk for cervical cancer.
Chamydial Infection, Screening
A rating
Routinely, all sexually active women </= 25
And other asymptomatic women at increased risk for infection
Colorectal Cancer, Screening
A rating
Men and Women >/= 50
Hepatitis B Virus infection, Screening
A rating
Pregnant women at their first prenatal visit
High Blood Pressure, Screening
A rating
Adults >/= 18
Lipid Disorders in Adults, Screening
C rating
Younger adults (men 20-35 and women 20-45) in the absence of known risk factors for CHD.
Rh (D) Incompatibility, Screening
B rating
Repeated Rh (D) Ab testing for all unsensitized Rh (D)-women at 24-28 weeks'gestation, unless biological father is known to be Rh (D)-.
Syphilis Infection, Screening
D rating
Asymptomatic persons who are not at increased risk
Tobacco Use and Tobacco-Caused Disease, Counseling to Prevent
A rating
All adults and provide cessation intervention for those who use.
All pregnant women and provide augmented pregnancy-tailored counseling for those that smoke.
Alcohol Misuse, Screening and Behavioral Counseling
B rating
To reduce in all adults including pregnant women
Breast Cancer, Chemoprevention
D rating
Routine use of tamoxifen or raloxifene for the primary prevention of breast cancer in women at low or average risk of breast cancer
Breast Cancer, Screening
B rating
Mammography, with or without CBE, every 1-2 years for women >/= 40
Breastfeeding, Behavioral Interventions to Promote
B rating
Structured education and behavioral counseling
Chlamydial Infection, Screening
C rating
Asymptomatic low-risk women in the general popualtion.
Asymptomatic low-risk pregnant women >/= 26
Dental Caries in Preschool Children, Prevention
B rating
Primary care clinicians should prescribe oral flouride supplementaion at recommended doses to preschool children > 6 months of age whose primary source of water is deficient in fluoride.
Depression, Screening
B rating
Adults in clinical practices that have systems in place to assure accurate Dx, effective tx, and f/u
DM in adults, Screening for Type 2
B rating
Adults with HTN and hyperlipidemia
Diet, Behavioral Counseling in Primary Care to Promote Health
B rating
Intensive behavioral dietary counseling for adult patients with hyerlipidemia and other known risk factors for cardiovascular and diet-related chronic disease.
Intensive counseling delivered by primary care clinicians or by referral to other specialists, such as nutritionist or dietitians.
Obesity in Adults, Screening
B rating
All adult patients. Offer intensive counseling and behavioral interventions to promote sustained weight loss for obese adults.
Osteoporosis in Postmenopausal Women, Screening
B rating
Routinely, women >/= 65. Begin at age 60 for women at increased risk for osteoporotic fractures.
Visual Impairment in children < 5 y/o, Screening
B rating
To detect amblyopia, strabismus, and defects in visual acuity
Bacterial Vaginosis in Pregnancy, Screening
D rating
Average-risk asymptomatic pregnant women
Bladder Cancer, Screening
D rating
Coronary Heart Disease, Screening
D rating
Routine screening w/ resting ECG, ETT, EBCT scanning for coronary calcium for either the presence of severe CAD or the prediction of CHD events in adults at low risk for CHD events.
Hepatitis B Infection, Screening
D rating
The general asymptomatic population for chronic hep B infection.
Hepatitis C in Adults, Screening
D rating
Asymptomatic adults who are not at increased risk (general popualtion) for infection.
Hormone Therapy for Prevention of Chronic Conditions in Postmenopausal Women
D rating
Routine use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women.
Routine use of unopposed estrogen for the prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
Idiopathic Scoliosis in Adolescents, Screening
D rating
asymptomatic adults
Ovarian Cancer, Screening
D rating
Routine screening
Pancreatic Cancer, Screening
D rating
Asymptomatic adults using abdominal palpation, ultrasonography, or serologic markers.
Routine Vitamin Supplementation to Prevent Cancer & Cardiovascular disease
D rating
Use of beta-carotene supplements, either alone or in combo, for the prevention of cancer or CVD.
Testicular Cancer, Screening
D rating
Asymptomatic adolescent and adult males.

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