/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/cpg/,/clinical/cckm-tools/content/cpg/preventive-health/,/clinical/cckm-tools/content/cpg/preventive-health/related/,

/clinical/cckm-tools/content/cpg/preventive-health/related/name-97728-en.cckm

20170234

page

100

UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Clinical Practice Guidelines,Preventive Health,Related

Preventive Health Care Grid (Adolescents)

Preventive Health Care Grid (Adolescents) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Preventive Health, Related


ADOLESCENTS
Table 1. Adolescent Preventive Health Care Summary
ADOLESCENTS 11 yr. 12 yr. 13 yr. 14 yr. 15 yr. 16 yr. 17 yr.
Alcohol
Screening should take place at least annually (UW Health Very low quality evidence, weak/conditional recommendation)
Adolescents should be screened using Part A of the CRAFFT (version 2.0). (UW Health Low quality evidence, strong recommendation) If positive screen, all 6 CRAFFT Part B questions
should be asked. The CAR question should be asked regardless of patient response to Part A.
Patients with less than two “yes” answers on the CRAFFT should receive a brief counseling intervention. (UW Health Low quality evidence, weak/conditional recommendation)
Chlamydia,
Gonorrhea
Screen sexually active females annually for chlamydia and gonorrhea (USPSTF Grade B)
Perform annual chlamydia and gonorrhea screening in MSM (UW Health High quality evidence, strong recommendation)
Depression Screen annually using the PHQ-2. (UW Health Very low quality evidence, strong recommendation)
If positive screen, complete further assessment using PHQ-A or PHQ-9. (UW Health Low quality evidence, strong recommendation)
Diabetes Test for type 2 diabetes at onset of puberty if at risk. (ADA Grade E) Repeat testing every 3 yrs. (ADA Grade C)
Hearing No current recommendations for routine screening.*
HIV
Universal opt-out HIV screening should be offered once by 16 to 18 yrs. of age.
(UW Health Very low quality evidence, strong recommendation)
High-risk youth should be tested annually for HIV. (UW Health Very low quality evidence, weak/conditional recommendation)
Hypertension Measure blood pressure annually (ICSI High quality evidence, strong recommendation)
Immunization Follow ACIP/CDC Schedule (UW Health High quality evidence, strong recommendation); Vaccine Refusal Form should be completed annually (UW Health Very low quality evidence, weak/conditional recommendation)
Intimate Partner
Violence
Screen females of childbearing age for intimate partner violence (USPSTF Grade B) using the HITS assessment
tool. (UW Health Moderate quality evidence, weak/conditional recommendation)
Screening may be considered annually. (UW Health Very low quality evidence, weak/conditional recommendation)
Lipids
Complete universal screen once
between 9-11 yrs. using non-fasting
total cholesterol and HDL. (NHLBI
Grade B, strongly recommended)
Complete universal screen once between 17-21 yrs. using non-
fasting total cholesterol and HDL
(NHLBI Grade B, strongly recommended)
Obesity Measure BMI annually. (ICSI High quality evidence, strong recommendation)
Sexual Activity Provide behavioral counseling if sexually active (USPSTF Grade B)
Skin Cancer Provide behavioral counseling about minimizing exposure to ultraviolet radiation if at risk. (USPSTF Grade B)
Tobacco Tobacco use status should be assessed and documented at every clinical encounter. (UW Health High quality evidence, strong recommendation)
In nonusers, assess secondhand smoke exposure at every clinical encounter. (UW Health Moderate quality evidence, strong recommendation)
Tuberculosis Perform annual risk assessment. Test if at risk. (UW Health Very low quality evidence, weak/conditional recommendation)
Vision Vision acuity screening tests and additional ophthalmic assessments should be completed once during the following age ranges to detect the presence of myopia:
10-12 yrs., 13-15 yrs., and 16-18 yrs. (UW Health Very low quality evidence, strong recommendation)
*Medicaid patients should be screened at age 12 yrs. and 16 yrs.
Reference: UW Health Preventive Health Care – Adult/Pediatric – Ambulatory Guideline
Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org


Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised:
 
02/2017CCKM@uwhealth.org