|
|
|
Ages 13-18
Schedule
Every 1-3 years.
One visit is required for immunizations. Because of lack of data
and differing patient risk profiles, the scheduling of additional
visits and the frequency of the individual preventive services listed
are left to clinical discretion (except as indicated). The preventive
services are listed below.
DISCLAIMER:
Coverage of preventive services varies under PPO and indemnity plans.
Members covered under these policies need to refer to their Certificate
of Coverage or contact a customer service representative for information
regarding covered services.
Screening
History:
- Dietary
intake
- Physical
activity
- Tobacco/alcohol/drug
use
- Sexual practices
Physical
Exam:
- Height and
weight
- Blood pressure
High Risk
Groups:
- Complete
skin exam [HR1]
- Clinical
testicular exam [HR2]
Laboratory/Diagnostic
Procedures:
High Risk
Groups:
- Rubella
antibodies [HR3]
- VDRL/RPR
[HR4]
- Chlamydia
testing [HR5]
- Gonorrhea
culture [HR6]
- Counseling
and testing for HIV [HR7]
- Nonfasting
total blood cholesterol-once age 13-18 [HR17]
- Tuberculin
skin test (PPD) [HR8]
- Hearing
[HR9]
- Papanicolaou
smear [HR10]-every 1-3 years
Immunizations
and/or Chemoprophylaxis
- Tetanus-diphtheria
(Td) booster-once between ages 11 and 16
- Hepatitis
B vaccine-if not previously immunized
High Risk
Groups:
- Fluoride
supplements [HR15]
- Influenza
vaccine [HR16]
Patient and/or
Parent Counseling
Diet and
Exercise:
- Fat (especially
saturated fat), cholesterol, sodium, iron and calcium for females.
- Caloric
balance
- Selection
of exercise program
Substance
Use:
- Tobacco:
cessation/ primary prevention
Alcohol
and Other Drugs:
- Cessation/primary
prevention.
- Driving/other
dangerous activities while under the influence.
- Treatment
for abuse.
High Risk
Groups:
- Sharing/using
unsterilized needles and syringes [HR12]
Sexual Practices:
Injury Prevention:
- Safety belts
- Safety helmets
- Violent
behavior-especially for males
- Firearms
safety-especially for males
- Smoke detector
Dental Health:
- Regular
tooth brushing, flossing, dental visits
Other Primary
Preventive Measures:
High Risk
Groups:
- Discussion
of hemoglobin testing [HR13]
- Skin protection
from ultraviolet light [HR14]
Remain Alert
for:
- Depressive
symptoms
- Suicide
risk factors [HR11]
- Abnormal
bereavement
- Tooth decay,
malalignment, gingivitis
- Signs of
child abuse and neglect
Leading Causes
of Death
- Motor vehicle
injuries
- Homicide
- Suicide
- Unintentional
injuries (non-motor vehicle)
- Heart disease
Definitions
of High Risk Patients
These definitions
apply to the category of Ages 13-18 Years only.
TERM DEFINITION
- HR1:
Persons with increased recreational or occupational exposure to
sunlight, a family or personal history of skin cancer, or clinical
evidence of precursor lesions (e.g., dysplastic nevi, certain
congenital nevi).
- HR2:
Males with a history of cryptorchidism, orchiopexy, or testicular
atrophy.
- HR3:
Females of childbearing age lacking evidence of immunity.
- HR4:
PERSONS who engage in sex with multiple partners in areas in which
syphilis is prevalent, prostitutes, or contacts of persons with
active syphilis.
- HR5:
Persons who attend clinics for sexually transmitted diseases;
attend other high-risk health care facilities (e.g., adolescent
and family planning clinics); or have other risk factors for Chlamydia
infection (e.g., multiple sexual partners).
- HR6:
Persons with multiple sexual partners or a sexual partner with
multiple contacts, sexual contacts of persons with culture- proven
gonorrhea, or persons with a history of repeated episodes of gonorrhea.
- HR7:
Persons seeking treatment of sexually transmitted diseases; homosexual
and bisexual men; past or present intravenous (IV) drug users;
persons with a history of prostitution or multiple sexual partners;
women whose past or present sexual partners were HIV-infected,
bisexual, or IV drug users; persons with long-term residence or
birth in an area with high prevalence of HIV infection; or persons
with a history of transfusion between 1978 and 1985.
- HR8:
Household members of persons with tuberculosis or others at risk
for close contact with the disease; recent immigrants or refugees
from countries in which tuberculosis is common (e.g., Asia, Africa,
Central and South America, Pacific Islands); migrant workers;
residents of homeless shelters; or persons with certain underlying
medical disorders.
- HR9:
Persons exposed regularly to excessive noise in recreational or
other settings.
- HR10:
Females who are sexually active or (if the sexual history
is thought to be unreliable) aged 18 or older.
- HR11:
Recent divorce, separation, unemployment, depression, alcohol
or other drug abuse, serious medical illnesses, living alone,
or recent bereavement.
- HR12:
Intravenous drug users.
- HR13:
Persons of Caribbean, Latin American, Asian, Mediterranean, or
African descent.
- HR14:
Persons with a family of skin cancer, larger number of moles,
light skin/hair/eye color.
- HR15:
Persons living in areas with inadequate water fluoridation (less
than 0.6 parts per million).
- HR16:
Residents of chronic care facilities or persons suffering from
chronic cardiopulmonary disorders, metabolic diseases (including
diabetes mellitus), hemoglobinopathies, immunosuppression, or
renal dysfunction.
- HR17:
Persons with a family history of premature arteriovascular disease
(prior to age 55).
  
|
|
