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Preventive Health Carefor Women
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U.S. Womens HealthStatistics
Number of residents (all ages): 158.3million (2011)
15.8% of women age >18 currentl smo!e3"% of women age >20 are obese33% of women age >20 #a$e
#ertension
"8% of women age >&0 #ad amammogram in t#e ast 2 ears'5% of women age >18 #ad a smear in
ast 3 ears
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Leading Causes of Death
eart *isease
+ancer
,tro!e
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How Can I Lead a Healthy Lifestyle
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Staying Healthy
-alanced *ietroer /erciseet deuate ,lee on a egular -asis*ecrease4anage ,tress 6mmuni7ations (see! ad$ice from #ealt#
ro$ider)
,creening /ams (see! ad$ice from#ealt# ro$ider)
roac# ealt# olisticall (mind9bod9 sirit)
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DISCL!I"#$
ealt# screening and immuni7ationrecommendations ma $ar
deending on t#e source (+enter for*isease +ontrol9 merican +ancer,ociet9 National 6nstitute of ealt#9
our 6nsurance ro$ider9 etc.),eci;c #ealt# conditions or ris!
factors ma reuire earlier or morefreuent testing t#an discussed in
t#is module.
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I""U%I&!'I(%S
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Immuni)ations
earl in
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Immuni)ations
eningococcal $accine = for college students andmilitar recruits
AetanusBdi#t#eriaBertussis booster e$er 10 ears
= all agesneumococcal $accine = neumococcal conCugate$accine (+13)is recommended for all !ids oungert#an 5 and for adults wit# certain ris! factors.+#ildren 2 or older w#o are at #ig# ris! s#ould also
recei$e t#e neumococcal olsacc#aride $accine(,23). ll adults "5 and older D and t#ose 1? oru wit# ris! factors suc# as ast#ma9 +E*9 diabetesD s#ould recei$e t#e $accine.
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Immuni)ations
,23.eres Foster (,#ingles)$accine = A#e $accine for s#ingles
(Fosta$a/G) is recommended foreole "0 and u in order to re$ents#ingles.
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H#!L'H SC$##%I%*S
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+lood Pressure
et tested at least e$er 2 ears ifour blood ressure is normal (lower
t#an 120480).ou s#ould be tested once a ear if
ou #a$e blood ressure between120480 and 13?48?.
*iscuss treatment wit# our doctoror nurse if our blood ressure is1&04?0 or #ig#er.
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Height and Weight
our #eig#t and weig#t will bec#ec!ed at our annual wellness $isit
s! our ro$ider forrecommendations if our -6 (bodmass inde/) suggests t#at ou areo$erweig#t
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Cholesterol 'est
Homen o$er age && s#ould bec#ec!ed e$er 5 ears.
6f ou #a$e diabetes9 #eart disease9!idne roblems9 or certain ot#er#ealt# issues9 ou ma need toc#ec!ed more freuentl.
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*lucose 'est,Dia-etesScreening
le$ated blood sugar is oftenasmtomatic
+#ec! at least e$er 3 ears starting
in &0Isore freuent and earlier testing
would be aroriate for t#ose at
#ig#er ris! suc# as t#ose wit# afamil #istor9 obesit9 #ig# bloodressure9 or certain ot#er conditions
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Pa 'est
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Pelvic #/am and Pa'est
a ,mears s#ould be done once e$er 2 B 3 ears.el$ic e/ams ma be done more often to c#ec! for
ot#er disorders.
6f our a smears #a$e been normal t#ree timesin a row9 our #ealt# ro$ider ma tell ou t#at ouonl need a a smear once e$er 3 ears.
Homen w#o #a$e #ad a total #sterectom (uterusand cer$i/ remo$ed) ma ot not to #a$e a
smears.Homen w#o are se/uall acti$e s#ould be c#ec!ed
for c#lamdia infection. A#is can be done during ael$ic e/am.
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"ammogram
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"ammogram 0re1uency
Homen &0 or older s#ould #a$ea mammogram done e$er 1B2
ears9 deending on t#eir ris!factors9 in order to c#ec! for breastcancer.
+onsult our #ealt# ro$ider if ou#a$e a famil #istor.
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Clinical +reast #/am
20Is and 30Is at least e$er 3 ears&0Is and o$er9 e$er ear
-etween 10B15% of breast lums arenot $isible on standardmammogram.
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$is2 0actors for +reastCancer
-eing a woman+igarette ,mo!ing
EbesitNe$er #a$ing #ad a c#ildKamil #istort#nicit
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Patients with any of the following in theirersonal or family history may -e candidates for+$!CAnalysis3 testing4
-reast cancer diagnosed L age 50E$arian cancer at an ageAwo rimar breast cancersale breast cancerArile negati$e breast cancerancreas cancer wit# additional -E+
cancers#!ena7i Mew descent wit# additional -E+
cancer re$iousl identi;ed -+ gene mutation
in t#e famil
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(steoorosis Screening
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ll women w#o #a$e gone t#roug#menoause and #a$e fractures
s#ould #a$e a bone densit test(* scan).Homen under t#e age of "5 w#o
#a$e ris! factors for osteoorosis
s#ould be screened.
http://www.nlm.nih.gov/medlineplus/ency/article/007197.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/000360.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/000360.htmhttp://www.nlm.nih.gov/medlineplus/ency/article/007197.htm7/23/2019 preventivehealthcareforwomenppt-140414103649-phpapp02
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Colorectal Cancer Screening
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Colorectal Cancer Screening
-egins at age 50+olonosco e$er 10 ears until
late '0Islternati$e stud = Kle/ible,igmoidosco e$er 5 ears wit#annual fecal blood test
nnual fecal blood test alone
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$eferences
+enters for *isease +ontrol andre$ention
O.,. *eartment of ealt# anduman ,er$ices9 EPce of HomenIsealt#
National +ancer 6nstitute at t#eNational 6nstitutes of ealt#