Cancer Screening / Follow-up Table of Contents

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  Family history of breast/genital/colon-rectal cancers
  
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  LMP or date of menopause
  
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  Contraceptive method if childbearing age
  
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  Documentation of HRT or ERT if menopausal
  
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  Date of last Pap/mammogram and results
  
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  Previous abnormal Pap, diagnostics, treatments
  
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  Previous breast problems, diagnostics, treatments
  
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  Assessment for breast/cervical cancer risk factors
  

Required

Required

Form)

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  Documentation of general appearance and mental status
  
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  Height/Weight/BMI
  
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  Blood pressure
  
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  Clinical breast examination (Using MammaCare® Technique)
  
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  Pelvic examination that includes visualization of the vulva, vagina, cervix/vaginal cuff and thorough bimanual including adnexae
  
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  Rectal exam (age 50 and as indicated for others)
  
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  Other as needed
  

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  Fecal occult blood testing (ages 50 and older)
  
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    3 kits given with instructions
    
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    If positive, refer to M.D.
    

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  Hemoglobin
  

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  STD testing
  

- ACH-40 (“Improving Health for Women”) – CSEM given/counseled and patient verbalized understanding

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  Monthly BSE/Annual CBE
  
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  Pap/Mammogram rescreening recommendations
  
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  Regular exercise
  
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  Adequate diet (low fat, high fiber, 5 fruits/vegetables daily)
  
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  Osteoporosis/prevention and bone density testing
  
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  Risks/Benefits of HRT if menopausal
  
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  Contraception if needed
  
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  Smoking risks/cessation and referral
  
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  Immunization needs/update
  
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  STD risk counseling if indicated
  
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  Ovarian Cancer Screening at age 50 (age 25 if family history) (Locations: UKMC; Hardin, Mason, Floyd, McCracken, and Pulaski County Health Centers) call 1-800-766-8279 for appt.