Take a proactive approach to your health to live a longer, healthier life. Many people depend on you—like family and friends—to be an active part of their lives. By staying healthy, you can be there to support those close to you. Our job is not only to treat you when you are sick, but also work with you to keep you feeling great.

Health Maintenance Guidelines:

• Childhood Immunizations
• Women 18 and Older
• Men 18 and Older

Recommended Childhood Vaccination and Screening Schedule

Birth                Hepatitis B
2 Months        Pediarix, Hib, Prevnar, RotaTeq
4 Months        Pediarix, Hib, Prevnar, RotaTeq 
6 Months        Pediarix, Prevnar, RotaTeq
12 Months      MMRV, Prevnar, Hepatitis A     Labs-Hemoglobin, Lead
15 Months      Hib
18 Months      DTaP, Hepatitis A 
24 Months      Labs - Hemoglobin, Lead-optional
4-6 Years        DTaP, IPV, MMRV      Labs-Vision Test, UA
11-18 Years    Tdap, Menactra or Menomune, Varicella dose #2 
11-26 Years    Gardasil-3 doses over 6 month period
                                       Dose 1
                                       Dose 2- 2 months after 1st dose
                                       Dose 3- 6 months after 1st dose
                                   
 
DTaP: Diphtheria, Tetanus, Acellular Pertussis-less than age 7
Havrix: Hepatitis A
Hepatitis B: Hepatitis B
Hib: Haemophilus Influenza b
IPV: Polio (injectable)
Menactra: MCV4-Meningitis conjugate vaccine ages 11-55 (lasts 10 years)
Menomune: MPSV4-Meningitis polysaccharide vaccine ages 2-80 years (lasts 3 years)
MMR: Measles, Mumps, Rubella
MMRV: Measles, Mumps, Rubella, Varicella
Pediarix: Diphtheria, Tetanus, Acellular Pertussis, Hepatitis B, Polio
Prevnar: Pneumococcal Conjugate Vaccine (PCV)
RotaTeq: Rotavirus Vaccine (oral)
TD: Tetanus, Diphtheria (Pediatric)-less than age 7
TD: Tetanus, Diphtheria- 7 years of age or older
Tdap: Boostrix-ages 10-18 years (use only as one time dose)
Varicella: Chickenpox Vaccine-if over age 13, 2 dosed 1 month apart

NOVEMBER 2006: The above guidelines are the current recommendations of Monroe Clinic's pediatrics department based on information supplied from the American Academy of Pediatrics, Immunization Action Coalition and the State of Wisconsin. There are variations in the number of suggested doses by brand names and the age of the child. This schedule has been developed in cooperation with the Green County Health Department. 

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Health Maintenance Guidelines for Adult Women, 18 Years and Older

Procedure Frequency

Complete Physical Exam: Every 1-2 years
Height and Weight:  Weight every visit, height every year
Blood Pressure: Every visit
Lipid Panel/Cholesterol: Every 5 years if 20 or older
Breast Exam: Self exam monthly and by health care clinician every year
Mammogram: Every 1-2 years starting at age 40
Pap Smear and Pelvic Exam: All sexually active females and women 18-65 years of age should have this performed every 1-3 years.
Bone Density: Within 1 year of menopause.
Stool for Blood AND Sigmoidoscopy AND Colonoscopy: Annually starting at age 50. Every 5 years starting at age 50. Every 10 years starting at age 50.

Immunizations

Vaccine Frequency

dT Booster (Diptheria/Tetanus): Every 10 years
Flu Vaccine: Yearly starting at age 65
Pneumococcal Vaccine: Every 10 years starting at age 65

*Note: All recommendations assume an adult female at average risk. If you have a family history or other increased risk, screenings should commence at an earlier age or occur more frequently. Even though these are recommended screenings, not all insurance companies may cover them. Please review your benefits policy for details.

Physical Activity

• Consult your doctor to help you find an exercise program to meet your needs and physical condition.
• Choose an activity you enjoy, which involves repetitive motion of your arms and legs, and builds muscle and cardiovascular endurance.

Nutrition

• Ensure adequate calcium intake to help reduce the risk of osteoporosis.
• Menopausal and postmenopausal women should talk with their regular clinician.
• Limit fat, cholesterol and added sugar in your diet.

Injury Prevention

• Wear a seatbelt when riding in a car.
• Have a plan of escape in case of a fire.
• Install smoke detectors and change batteries regularly.
• Ensure safe storage and/or removal of firearms.
• Wear a helmet when on a bicycle, motorcycle, dirt bike, ATV, or snowmobile.
• Substance and/or physical abuse
• Avoid drug and excessive alcohol use.
• Discuss with your health care provider how to stop the use of tobacco products.
• Report if you are being abused or injured in any way.
• If you are being abusive, seek the help of a professional.

Sexual Behavior

• To help avoid sexually transmitted diseases, avoid high-risk sexual behavior and use condoms.

Advanced Medical Directives

• If you don’t have something like this in place or would like to know more about this, contact your health care provider.

These guidelines were developed by Monroe Clinic medical staff and reflect nationally recognized current practice and guidelines. References include: The U.S. Preventative Task Force, National Cancer Institute, The Clinician’s Guide to Preventative Services, and others. Contact Monroe Clinic at 877-865-1462.

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Health Maintenance Guidelines for Adult Men, 18 Years and Older

Procedure Frequency

Complete Physical Exam: Every 2-5 years starting at age 40
Height and Weight:  Weight every visit, height every year
Blood Pressure: Every visit
Lipid Panel/Cholesterol: Every 5 years starting at age 20
PSA: If indicated by your health care clinician
Testicular Exam: Do self exam every month and have every 1-2 years with clinician
Prostate Exam: Every 1-2 years starting at age 50
Stool for Blood AND Sigmoidoscopy AND Colonoscopy:  Annually starting at age 50. Every 5 years starting at age 50. Every 10 years starting at age 50.

Immunizations

Vaccine Frequency

dT Booster (Diptheria/Tetanus): Every 10 years
Flu Vaccine: Yearly starting at age 65
Pneumococcal Vaccine: Every 10 years starting at age 65

*Note: All recommendations assume an adult male at average risk. If you have a family history or other increased risk, screenings should commence at an earlier age or occur more frequently. Even though these are recommended screenings, not all insurance companies may cover them. Please review your benefits policy for details.

Physical Activity

• Consult your doctor to help you find an exercise program to meet your needs and physical condition.
• Choose an activity you enjoy, which involves repetitive motion of your arms and legs, and builds muscular and cardiovascular endurance.

Nutrition

• Ensure adequate calcium intake to help reduce the risk of osteoporosis.
• Limit fat, cholesterol and added sugars in your diet.

Injury Prevention

• Wear a seatbelt when riding in a car.
• Have a plan of escape in case of a fire.
• Install smoke detectors and change batteries regularly.
• Ensure safe storage and/or removal of firearms.
• Wear a helmet when on a bicycle, motorcycle, dirt bike, ATV, or snowmobile.

Substance and/or Physical Abuse

• Avoid drug and excessive alcohol use.
• Discuss with your health care provider how to stop the use of tobacco products.
• Report if you are being abused or injured in any way.
• If you are being abusive, seek the help of a professional.

Sexual Behavior

• To help avoid sexually transmitted diseases, avoid high-risk sexual behavior and use condoms.

Advanced Medical Directives

• If you don’t have something like this in place or would like to know more about this, contact your health care provider.

These guidelines were developed by Monroe Clinic medical staff and reflect nationally recognized current practice and guidelines. References include: The U.S. Preventative Task Force, National Cancer Institute, The Clinician’s Guide to Preventative Services, and others. Contact Monroe Clinic at 877-865-1462.

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