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NURSI 1230 Preventive health screening sheet

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This is a comprehensive and detailed sheet on;Preventive health screening.

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Aantal pagina's
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Geschreven in
2021/2022
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U.S. Preventive Health Care Task Force Recommendations

Directions: Identify current recommendations for screening for the following conditions/population
groups

Condition Recommendation Comments

Cervical Cancer ● women aged 21 to 29 ➔ aged 21 to 65 years old
years—screen for risk for cervical cancer
cervical cancer every 3 because of exposure to
years with cytology high-risk HPV through
alone. sexual intercourse;
● women aged 30 to 65 should be screened.
years—screen for ➔ HIV infection,
cervical cancer every 3 compromised immune
years with cytology system, previous
alone, every 5 years treatment of
with high-risk human precancerous lesions or
papillomavirus testing cervical cancer.
alone, or every 5 years ➔ Women should receive
with cotesting. follow-up.
● women aged below 21 ➔ High-grade cervical
and above 65; women lesions may be treated
who have had with excisional and
hysterectomy—do not ablative therapies.
screen for cervical ➔ Early-stage cervical
cancer. cancer treated with
surgery (hysterectomy)
or chemotherapy.
Prostate Cancer ● men aged 55 to ➔ risk factors for prostate
69—screened for cancer: older age,
prostate cancer should African americans,
be an individual one. family hx of prostate
● men aged 70 and cancer.
older—do not screen ➔ measuring PSA protein
for prostate cancer in the blood.
➔ elevated PSA= caused
by prostate cancer, BPH
or prostatitis.
➔ positive PSA test result-
may undergo
transrectal ultrasound-
guided core-needle
biopsy of prostate to
diagnose prostate
cancer.

, ➔ Tx for localized prostate
cancer- radical
prostatectomy,
radiation therapy, active
surveillance
Ovarian Cancer ● Asymptomatic women ➔ Ovarian cancer is later
without a known diagnosed because of
high-risk hereditary vague symptoms.
cancer syndrome—do Patients don’t realize it
not screen for ovarian or easily ignore it.
cancer in asymptomatic ➔ Ovarian cancer risk
women. factors: family hx of
● risk for BRCA1 and ovarian or breast
BRCA2 mutation be cancer.
referred for genetic ➔ symptoms include: abd
counseling or genetic cramping or pressure,
testing if indicated. bloating, constipation,
urinary symptoms,
fatigue, back pain.
➔ Early detection is
difficult bc symptoms
may be present in both
health women and
late-stage ovarian
cancer.
➔ Transvaginal ultrasound
and serum cancer
antigen 125- commonly
used to evaluate
women with signs and
symptoms of ovarian
cancer.
➔ Pelvic examination-
commonly performed
to evaluate women with
lower abd symptoms.
Colorectal Cancer ● age 50 to 75 ➔ Screening for adults
years—screen all aged 45 to 75:
adults ages 50 to 75 high-sensitivity guaiac
years for colorectal fecal occult blood test,
cancer (grade A). fecal immunochemical
● age 45 to 49—screen test every year, stool
all adults aged 45 to DNA-FIT every 1 to 3
49 years for years, CT colonography
colorectal cancer every 5 years, Flexible
(grade B). sigmoidoscopy every 5
years, Flexible

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