Find clinic locations for Fort HealthCare and affiliated clinics and services in Jefferson County, Wisconsin.
Find services offered by Fort HealthCare and affiliated clinics in Jefferson County, Wisconsin.
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We coordinate community education and health-related events and screenings for the Fort HealthCare service area.
Here are the screening tests and immunizations that most women at age 65 and older need. Although you and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.
Screening
Who needs it
How often
Alcohol misuse
All adults
At routine exams
Blood pressure
Every two years if your blood pressure reading is less than 120/80 mm Hg1
Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg1
Breast cancer
All women2
Yearly mammogram and clinical breast exam2
Cervical cancer
According to the American Cancer Society (ACS), women older than 65 who have had regular screening with normal results should not be screened for cervical cancer. Once screening is stopped, it should not be started again.
Discuss with your health care provider3
Chlamydia
Women at increased risk for infection
At routine exams if at risk
Colorectal cancer
All adults ages 50 and older
The ACS recommends:
For tests that find polyps and cancer:
Flexible sigmoidoscopy every 5 years4, or
Colonoscopy every 10 years, or
Double-contract barium enema every 5 years4, or
CT colonography (virtual colonoscopy) every 5 years4
For tests that primarily find cancer:
Yearly fecal occult blood test5, or
Yearly fecal immunochemical test every year5, or
Stool DNA test, interval uncertain5
The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk with your doctor about which test is best for you.
Some people should be screened using a different schedule because of their personal history or family history. Talk with your doctor about your history and what colorectal cancer screening schedule is best for you.
Depression
All adults who have access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up
Diabetes mellitus, type 2
Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg
At least every 3 years
Gonorrhea
Sexually active women who are at increased risk for infection
HIV
Anyone at increased risk for infection
Lipid disorders
All women ages 20 and older at increased risk for coronary artery disease
At least every 5 years, or more frequently if recommended by your health care provider6
Obesity
Osteoporosis, postmenopausal
All women ages 65 and older7
Bone density test at age 65, then follow-up as recommended by health care provider7
Syphilis
Tuberculosis
Check with your health care provider
Vision
All adults8
Every 1 to 2 years; if you have a chronic disease, check with your health care provider for exam frequency
Counseling
Aspirin for prevention of cardiovascular problems
Women ages 55 to 79 when the potential benefits from reducing ischemic strokes outweigh the potential harm from an increase in gastrointestinal hemorrhage
Discuss with your health care provider
Diet, behavioral counseling
Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
When diagnosed
Tobacco use and tobacco-related disease
Every visit
Immunization
Tetanus/diphtheria/pertussis (Td/Tdap) booster
Td: Every 10 years
Tdap is recommended if you are in contact with a child 12 months or younger. Either Td or Tdap can be used if you have no contact with infants.
Measles, mumps, rubella (MMR)
All adults age 65 and older who have no previous infection or documented vaccinations*
One dose
Chickenpox (varicella)
Two doses; second dose should be given at least 4 weeks after the first dose
Flu (seasonal)
Yearly during flu season
Hepatitis A vaccine
People at risk9
Two doses given 6 months apart
Hepatitis B vaccine
People at risk10
Three doses; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)
Pneumococcal (polysaccharide)
Zoster
All women ages 60 and older
1Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure
2Recommendation from the ACS. The ACS recommends yearly screening for all women ages 40 and older. Women should talk with their doctors about their personal risk factors before making a decision about when to start getting mammograms or how often they should get them. The ACS also recommends annual clinical breast exams (CBEs) for women ages 40 and older. Women should talk with their doctors about their personal risk factors and make a decision about whether they should have a CBE.
3The American Congress of Obstetricians and Gynecologists currently recommends that women ages 30 and older get a Pap test once every three years and that women with certain risk factors (or with increased risk) may need more frequent screening. It's reasonable to discontinue screening after three or more consecutive negative Pap tests and no abnormal results within the last 10 years once a woman turns 65 or 70.
4If the test is positive, a colonoscopy should be done
5The multiple stool take-home test should be used. One test done by the doctor in the office is not adequate for testing. A colonoscopy should be done if the test is positive.
6Recommendation from ACOG
7Recommendation by the USPSTF
8Recommendation from the American Academy of Ophthalmology
9For complete list, see the CDC website
10For complete list, see the CDC website
*Exceptions may exist; discuss with your health care provider
Other guidelines from the USPSTF
Immunization schedule from the CDC