In this Section
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.
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Screening
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Who needs it
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How often
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Abdominal aortic aneurysm
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Men ages 65 to 75 who have ever smoked
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One-time screening by ultrasonography
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Alcohol misuse
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All adults
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At routine exams
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Blood pressure
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All adults
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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*
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Colorectal cancer
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All adults ages 50 and older
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Check with your health care provider
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Depression
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All adults with access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up
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At routine exams
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Diabetes mellitus, type 2
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Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg
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At routine exams
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HIV
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Anyone at increased risk for infection
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At routine exams
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Lipid disorders
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All adults
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At least every five years
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Obesity
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All adults
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At routine exams
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Syphilis
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Anyone at increased risk for infection
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At routine exams
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Tuberculosis
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Anyone at increased risk for infection
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Check with your health care provider
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Counseling
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Who needs it
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How often
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Aspirin for primary prevention of cardiovascular events
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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
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When diagnosed with risk for cardiovascular/
heart disease
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Diet, behavioral counseling
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Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
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When diagnosed
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Tobacco use and tobacco-related disease
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All adults
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Every visit
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Immunization
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Who needs it
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How often
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Tetanus/diphtheria/
pertussis (Td/Tdap) booster
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All adults
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Every 10 years
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Measles, mumps, rubella (MMR)
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All adults ages 65 and older who lack prior infection or documented vaccinations**
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One dose
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Chickenpox (varicella)
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All adults ages 65 and older who lack prior infection or documented vaccinations**
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Two doses; second dose should be given 4 to 8 weeks after the first dose
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Flu (seasonal)
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All adults
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Yearly during flu season
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Hepatitis A
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People at risk**
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Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months
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Hepatitis B
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People at risk**
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Three doses; the second dose should be given 1 to 2 months after the first dose and the third dose given 6 months after the first dose
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Meningococcal
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People at risk**
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One or more doses
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Pneumococcal (polysaccharide)
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All adults
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One dose
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Zoster
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All men ages 65 and older
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One dose
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* 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 Centers for Disease Control and Prevention (CDC)
Online Medical Reviewer: Chang, Alice Y. MD
Online Medical Reviewer: Oken, Emily MD
Online Medical Reviewer: Pierce-Smith, Daphne RN, MSN, CCRC, FNP
Last Review Date: 1/25/2010
© 2000-2011 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.