Recommendations, Tests, and Immunizations

New Carter Clinic Fall Recommendations

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  1
  Coronavirus & Flu – Keep Contact to a Minimum, Wash Hands with Warm, Soapy Water, Use Hand Sanitizer Frequently, Wear a Mask if You are Sick, and listen to the Advice of Medical Professionals, NOT Social Media
  
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  2
  Get Vaccine for COVID at the Earliest Availability
  
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  3
  Increase Fluid Intake need to Drink ½ Body Weight in Ounces of Water Daily need electrolytes.
  
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  4
  Be Aware of Skin Cancer: Skin Cancer is Almost an Epidemic Due to Time in the Sun and Tanning Beds, Which can be Very Deadly.
  
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  5
  HIGH Allergy Alert
  
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  6
  HIGH Pollen, Poison Ivy, and Grass Alert
  
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  7
  Immunizations
  
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  8
  Stay Current with Vision Exam, Hearing Testing, and School Physical
  
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  9
  Allergies: Remember to Take Medication-Recommend NON-Drowsy Medication
  
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  10
  Alcohol Screening: Be Aware, Reach Out, and Contact Your Doctor for More Information
  
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  11
  Alert for Bullying – Physical and Emotional
  
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  12
  Alert for Personality Changes Consistent with Substance Abuse
  
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  13
  Alert for Depression: Be Aware, Don’t Feel Alone, Reach Out, and Contact Your Doctor
  
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  14
  Common Cold: Remember to Wash Hands and Sanitize for Spread Prevention
  
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  15
  Coughing: Remember to Wear Masks in Public for Spread Prevention
  
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  16
  Stay Active and be Aware of Weight Management for Healthy Living and Disease Prevention
  
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  17
  Need Evaluation if Experiencing Appetite and/or Fluid Intake Changes
  
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  18
  Wound Care Consideration: Wash and Clean the Area After the Bleeding Subsides, but Before the Final Dressing
  
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  19
  Monitor hypertension: Check 1-2 times per month while sitting with the fleet flat, and bring your log to each appointment.
  

Elderly Considerations in the COVID-19 Situation

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  1
  Continue to Practice Social Distancing wash hands; do not touch the Face (i.e. nose, eyes, and mouth)
  
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  2
  If gloves change after being worn in Public to Stop the Spread of germs, contact with the Virus will Spread from
  
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  3
  Dirty Gloves to Clean Surfaces
  
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  4
  Keep a Water Supply, Eat Well-Balanced Meals, and Evaluate Fluid and Food Intake
  
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  5
  If You Feel Sick – Call for Aid Before You Get Medical Care
  
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  6
  Be Aware of stress and reach out to Friends and/or family.
  
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  7
  PLAN AHEAD: Find phone numbers for your Physician, Pediatrician, Pharmacist, and Veterinarian
  
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  8
  EMERGENCY CONTACT: Keep Neighbors, Family Members, or Persons in Mind and Aware of Your Needs
  
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  9
  Other Numbers to Include: Poison Control Center (800)222-1222, Animal Poison Control (888)426-4435, Disaster
  
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  10
  Distress Helpline (800) 985-5990, or text “TalkWithUs” to 66746
  

Carter Clinic Diabetic Recommendations

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  1
  A1c – every three months
  
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  2
  Urine Micro – annually
  
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  3
  Dilated eye exam annually
  
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  4
  Diabetic foot exam annually
  
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  5
  ACE or ARB medication
  
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  6
  ASA
  
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  7
  If taking Metformin – annual B12 level
  
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  8
  If Taking Invokana, Jardiance, and Farxiga: CMP every three months
  
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  9
  It is not mandatory to stick your finger. Now, there is a patch that will monitor your blood sugar continually, as often as you like OR as needed.
  

12 Foot Care Tips for Diabetics

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  1
  Treat your diabetes first
  
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  2
  Check your feet daily
  
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  3
  Ask your provider about special shoes
  
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  4
  Wash your feet thoroughly every day
  
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  5
  Keep your feet soft and smooth
  
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  6
  Gently remove corns and calluses; OR, better yet, ask your doctor
  
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  7
  Keep your toenails trimmed at all times
  
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  8
  Avoid walking barefoot
  
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  9
  Protect your feet from hotter and colder temperatures
  
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  10
  Regularly promote blood flow to your feet
  
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  11
  Exercise and eat right
  
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  12
  Get advice from your doctor
  

Carter Clinic Recommendations

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  1
  BMI: Each visit for BMI over 25 (dietary recommendations)
  
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  2
  Mammogram: annually for women aged over 40 years
  
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  3
  Cervical Cancer Screening: annually for women who have not had a hysterectomy, every five years for women who have had a partial hysterectomy, OR every ten years for a total hysterectomy
  
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  4
  Colon Cancer Screen/Cologuard – every three years
  
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  5
  Annual Labs: Preventative Care: CBC, CMP, TSH, T4, Urinalysis, Hepatic Function, Lipid, Direct LDL & CK
  
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  6
  EKG: baseline for new patients OR anytime the practitioner feels is necessary
  
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  7
  PSA: annually for men age 50 and above
  
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  8
  UDT (Urine Drug Test): required for a minimum of every six months for controlled drugs and may be more frequent if indicated
  

Medicare Recommendations

• Statin Therapy for the Prevention and Treatment of Cardiovascular Disease-also Recommended for Diabetic Patients
• Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
• Hypertension: Improvement in Blood Pressure
• Controlling High Blood Pressure
• Documentation of Current Medications in the Medical Record
• Preventive Care and Screening: Screening for Depression
• Tobacco Use and Help with Quitting
• Colorectal Cancer Screening
• Diabetes: Medical Attention for Nephropathy
• Pneumococcal Vaccination Status for Older Adults
• Falls: Screening for Future Fall Risk
• Monitoring the use of High-Risk Medications in the Elderly
• Ischemic Vascular Disease (IVD): Use of Aspirin or Another Anti-platelet
• Breast Cancer Screening
• Cervical Cancer Screening
• Dementia: Cognitive Assessment
• Monitoring Diabetes: A1c
• Closing the Referral Loop: Must Receive Specialist Report

CDC Immunization Recommendations:

• Influenza inactivated (IIV) or Influenza recombinant (RIV) OR
• Influenza live attenuated (LAIV)
• Tetanus, diphtheria, pertussis (Tdap or Td)
• Measles, mumps, rubella (MMR)
• Varicella (VAR)
• Zoster recombinant (RZV) (preferred) OR
• Zoster Live (ZVL)
• Human papillomavirus (HPV) – Female and Males
• Pneumococcal conjugate (PCV13)
• Pneumococcal polysaccharide (PPSV23)
• Hepatitis A (HepA)
• Hepatitis B (HepB)
• Meningococcal A, C, W, Y (MenACWY)
• Meningococcal B (MenB)
• Haemophilus influenzae type b (Hib)