Wellness Clinic

Salam Clinic & Health care services offer adult preventative services, as per international guidelines.

EXAMINATION & COUNSELING	Clinical Indicator	Ages 19-29	Ages 30-39	Ages 40-49	Ages 50-64	Ages 65+
	Physical Exam and Counseling	Every three years	Every three years	Annually	Annually	Annually
	Blood Pressure	At each visit. At least once every two years if blood pressure is less than 120/80 mmHg and yearly if blood pressure is 120-139/80-90 mm Hg.
	Clinical Breast Exam (CBE)	Every three years	Every three years	Annually	Annually	Annually
	Screen/Counsel for Tobacco, Alcohol and Substance Abuse	Each visit as appropriate

SCREENING	Obesity Screening	Height and weight/body mass index (BMI) at each visit.
	Blood Cholesterol (full fasting lipid profile)	Every five years	Every five years	Every five years	Every five years	Every five years
	Diabetes screening	For those with a sustained blood pressure greater than 135/80 or with hypertension or hyperlipidemia or High risk for Diabetes
	Hepatitis B & C Screening	Offer 1-time screening for infection to adults
	HIV screening	All adults up to age 65. Screen older adults if at high risk.
	Thyroid function (TSH)	TSH every 5 years for women >50
	ECG	Periodically > 40 years
	Fecal Occult Blood				Annually	Annually
	Sigmoidoscopy				Every five years	Every five years
	Colonoscopy				Every ten years	Every ten years
	Mammography			Annually	Annually	Annually

	Osteoporosis screening	Women 65 and older. Younger women who are at high risk.
	Prostate Cancer Screening			Men 40-49 years – Discuss benefits vs. harms in high/very high risk men.	Men ages 50-69 – Discussion of benefits vs. harms of screening in average risk men. Not recommended in average risk men under age 50 and over age 69 years, or in men with a life expectancy of less than 10-15 years
	Lung cancer screening				Annual screening for adults ages 55 to 80 who have a 30-pack a year smoking history and currently smoke or quit smoking within the past 15 years
	Abdominal Aortic Aneurysm Screening					One ultrasound screening for men aged 65 to 75 who have ever smoked.

ADULT IMUNIZATIONS
VACCINE	RECOMMENDATION
Flu (influenza)	1 dose every year
Pneumonia (Pneumococcal)	1 dose for those 65 and older. Those at high risk or with a history of asthma or smoking should have 1 dose between ages 19 and 64 with a booster 5 years later
Hepatitis B	3 doses for those at high risk
Shingles (herpes zoster)	1 dose for those 60 and older
Meningitis (meningococcal)	1 dose for ages 19 – 24 if no history of vaccination. Can be given after age 40 if at high risk.

Drugs/Medication (Preventive)
PRESCRIPTION	RECOMMENDATION
Low–dose aspirin therapy	For men ages 45 – 79 and women ages 55 – 79 and others with risk factors.
Tobacco cessation products	Nicotine replacement or tobacco cessation products for up to 3 months. Coverage is continued for an additional 3 months if you have successfully quit smoking (a maximum of 6 months per calendar year).
Vitamin D supplement	Vitamin D2 or Vitamin D3 (with or without calcium) containing 1,000 IU or less for adults age 65 and older who are at increased risk for falls

For queries or communication related to adult preventative guidelines, kindly call 03224684368 or email info@salamclinic.com.pk