CHAP ER 8 CLinical Preventive Services (united States Preventive Services Task Force) 223 Table 18-4 Recommended Preventive Health Care Screening Services--cont'd Recommendation Grade Date in Effect Rh incompatibility screening: first Rh(d) blood typing and antibody testing for all pregnant women during A February 2004 Rh incompatibility screening: 24-29 first visit for pregnancy-related car February 2004 weeks gestatio active adolescents and in adults at increased risk for STIs. Syphilis screening: nonpregnant reen nonpregnant women/persons at increased risk for sy philis A July 2004 infection Syphilis screening: pregnant Screen all pregnant women for syphilis infection. May 2009 Ask all nonpregnant women/adults about tobacco use, and provid A April 2009 tobacco cessation interventions for those who use tobacco sk all pregnant women about tobacco use, and provide augmente A April 2009 cuity screening: children Screening to detect amblyopia, strabismus, and defects in visual January 2011 acuity in children age 3-5 years. edfromU.s.PreventiveServicesTAskForceAandBRecommendationsMarch2012.http://www,uspreventiveservicestaskforce. In 2009 the recommendations on screening have substantially changed, particularly in regard to women ages 40 to 50 and over 75(see Table 18-5 Recommended Screening Tests for Women Screening 39 Ages 40-49 Ages 50-64 Age 65 and olde At least every 2 years if normal At least every 2 years if At least every 2 years if normal BP 120/80mmHg) (<12080mmHg) 0/80and139/89 ween Once if BP between Once a year if BP between Discuss treatment with 20/80and139/89 120/80and139/8 Discuss treatment wit scuss treatment 40/90 or higher. physician or nurse if BP 140/90 or higher. BP 140/90 or higher. P 140/90 or high Discuse if you think you with ph At least once at age 65 or about repeat testing. Breast cancer Discuss with physician or Starting at age 50, Age 75 and older, ask physician or nurse if At least every 3 years if 221, or At least every 3 years At least every 3 years Ask physician or nurse if ening: Pap at least 3 Chlamydia test early through age 24 if If sexually active and at If sexually active and at If sexually active and at ncreased risk Age 225 if at increased risk, pregnant, or not pregna Regularly if at increased risk for heart disease Ask physician or nurse Ask physician or nurse how low often you need “需 Datafromhttp://www.womenshealth.gov/publications/our-publications/scrcening-tests-for-women.pdf interventions. Some counseling topics that may a smoking) have an impact on many different diseases. It lence, are missing because of lack of evidence; other issues, difficulties involved with effective counseling unded or the bearing on health, such as firearm safety and partner vio- might also reflect which prevention research is such as healthy-diet counseling, are restricted to high-risk In practice, it might be easier to follow a listing of services groups. This imbalance of recommended services may by age and gender(Tables 18-5 and 18-6). For screening reflect that a few healthy lifestyle choices(diet, exercise, not children, see Websites list at end of chapter