A number of techniques can assist the physician with the growing number of recommended screening tests. An appropriately configured electronic health record can provide reminder systems that make it easier for physicians to track and meet guidelines. Some systems provide patients with secure access to their medical records, providing an additional means to enhance adherence to routine screening. Systems that provide nurses and other staff with standing orders are effective for smoking prevention and immunizations. The Agency for Healthcare Research and Quality and the Centers for Disease Control and Prevention have developed flow sheets as part of their "Put. | Chapter 004. Screening and Prevention of Disease Ky 5 A number of techniques can assist the physician with the growing number of recommended screening tests. An appropriately configured electronic health record can provide reminder systems that make it easier for physicians to track and meet guidelines. Some systems provide patients with secure access to their medical records providing an additional means to enhance adherence to routine screening. Systems that provide nurses and other staff with standing orders are effective for smoking prevention and immunizations. The Agency for Healthcare Research and Quality and the Centers for Disease Control and Prevention have developed flow sheets as part of their Put Prevention into Practice program http www. ahcpr. gov clinic . Age-specific recommendations for screening and counseling are summarized in Table 4-5. Table 4-5 Age-Specific Causes of Mortality and Corresponding Preventative Options Age Group Leading Causes of Age- Specific Mortality Screening Prevention Interventions to Consider for Each Specific Population 15- 24 1. Accident 2. Homicide 3. Suicide 4. Malignancy 5. Heart disease Counseling on routine seat belt use bicycle motorcycle ATV helmets 1 Counseling on diet and exercise 5 Discuss dangers of alcohol use while driving swimming boating 1 Ask about vaccination status tetanus diphtheria hepatitis B MMR rubella varicella meningitis HPV Ask about gun use and or gun possession 2 3 Assess for substance abuse history including alcohol 2 3 Screen for domestic violence 2 3 Screen for depression and or suicidal homicidal ideation 2 3 Pap smear for cervical cancer screening discuss STD prevention 4 Recommend skin breast and testicular self-exams 4 Recommend UV light avoidance and regular sun screen use 4 Measurement of blood pressure height weight and body mass index 5 Discuss health risks .
