Prevention Guidelines for Men 65+

Here are the screening tests and immunizations that most men 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

Abdominal aortic aneurysm

Men ages 65 to 75 who have ever smoked

One-time screening by ultrasonography

Alcohol misuse

All adults

At routine exams

Blood pressure

All adults

Every two years if your blood pressure reading is less than 120/80 mm Hg*

Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg*

Colorectal cancer

All adults ages 50 and older

Check with your health care provider

Depression

All adults with access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

At routine exams

Diabetes mellitus, type 2

Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg

At routine exams

HIV

Anyone at increased risk for infection

At routine exams

Lipid disorders

All adults

At least every five years

Obesity

All adults

At routine exams

Syphilis

Anyone at increased risk for infection

At routine exams

Tuberculosis

Anyone at increased risk for infection

Check with your health care provider

Counseling

Who needs it

How often

Aspirin for primary prevention of cardiovascular events

Men ages 45 to 79 when potential benefits from a decrease in myocardial infarctions outweigh the harm or risks from an increase in gastrointestinal hemorrhage

When diagnosed with risk for cardiovascular/heart disease

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

All adults

Every visit

Immunization

Who needs it

How often

Tetanus/diphtheria/

pertussis (Td/Tdap) booster

All adults

Every 10 years

Measles, mumps, rubella (MMR)

All adults ages 65 and older who lack prior infection or documented vaccinations**

One dose

Chickenpox (varicella)

All adults ages 65 and older who lack prior infection or documented vaccinations**

Two doses; second dose should be given four to eight weeks after the first dose

Flu (seasonal)

All adults

Yearly during flu season

Hepatitis A

People at risk**

Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months

Hepatitis B

People at risk**

Three doses; the second dose should be given one to two months after the first dose and the third dose given six months after the first dose

Meningococcal

People at risk**

One or more doses

Pneumococcal (polysaccharide)

All adults

One dose

Zoster

All men ages 65 and older

One dose

* Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

** Exceptions may exist; talk with your health care provider

Screening guidelines from the U.S. Preventive Services Task Force

Immunization schedule from the CDC


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