Health Maintenance

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Introduction 3 More General Terms 4 Additional Terms 5 References

More Specific Terms

• health maintenance (preventive medicine) in the elderly
• health maintenance in nursing home patients
• screening

Introduction

• Recommended interventions for preventive care:

• screening

• blood pressure
• height & weight
• screening for alcohol abuse
• screening for tobacco abuse
• screening for depression (appropriate follow-up available)
• screening for diabetes mellitus type 2 (patients with hypertension)
• screening for dyslipidemia
• screening for colorectal cancer (age 50-75)
• screening for breast cancer (women > 40)
• screening for cervical cancer (women < 66)
• screening for Chlamydia trachomatis (sexually active women < 25 years; other high-risk women)
• HIV1 screening (voluntary) (age 13-64)
• screening for osteoporosis ( bone mineral density) women > 64; at risk women > 59
• screening for abdominal aortic aneurysm ( AAA) men 65-75

• screening not recommended ( USPSTF) [1]

• hemochromatosis
• coronary artery disease
• herpes simplex virus
• several common cancers (see screening for cancer)

• Counseling

• tobacco cessation
• alcohol abuse

• brief office behavioral counseling
• referral for speciality treatment

• diet & exercise

• behavioral dietary counseling for patients with dyslipidemia, cardiovascular risk factors, & other diet
• exercise 30 minutes per day most days of the week
• intensive counseling/ behavioral interventions for obese patients

More General Terms

• clinical procedure

Additional Terms

• health maintenance organization (HMO)

References

1. Medical Knowledge Self Assessment Program (MKSAP) 15, American College of Physicians, Philadelphia 2009
2. National Guideline Clearinghouse
   - Adult preventive health care: immunizations. University of Michigan Health System ngc-guideline: [1]
   - Summary of recommendations for clinical preventive services. American Academy of Family Physicians ngc-guideline: [2]
   - Adult preventive services (ages 18 - 49. (Michigan Quality Improvement Consortium) ngc-guideline: [3]
   - Adult preventive services (ages 50 - 65+). (Michigan Quality Improvement Consortium) ngc-guideline: [4]
   - Preventive services for children and adolescents. (Institute for Clinical Systems Improvement) ngc-guideline: [5]
   - Preventive services in adults. (Institute for Clinical Systems Improvement) ngc-guideline: [6]
   - Health maintenance in the long-term care setting. American Medical Directors Association ngc-guideline: [7]
   - Healthy eating, physical activity, and healthy weights guideline for public health in Ontario. Program in Evidence-based Care ngc-guideline: [8]
   - Healthy lifestyles. Institute for Clinical Systems Improvement ngc-guideline: [9]
   - Adult clinical preventive care. University of Michigan Health System ngc-guideline: [10]

health maintenance (preventive medicine)