Periyodik Sağlık Muayenesi

Akdeniz, Melahat; Aşik, Zeynep; Yaman, Hakan
January 2010
GeroFam;Jan2010, Vol. 1 Issue 1, p69
Academic Journal
Periodic health examinations consist of a collection of procedures involving both primary and secondary prevention, aiming to determine the risk of disease and the early detection of asymptomatic disorders, and is an important component of primary care in the context of promoting health and preventing diseases. Its purpose is the timely detection of modifiable risk factors and treatable diseases, thus reducing mortality and morbidity through necessary precautions. It involves age and gender-appropriate, evidence-based preventive healthcare services. The Canadian Task Force on Preventive Health Care (CTFPHC), founded in 1976, recommends that instead of annual check-ups, examination and testing during medical visits should follow age-specific and evidence-based prevention guidelines. The United States Preventive Services Task Force (USPSTF) was formed in 1984, and has published recommendations for the careful and unbiased evaluation of scientific data obtained through screening, counseling and preventive services, and for interventions to be performed during periodic health exams. USPTSF recommendations are evidence-based. The updated recommendations issued in 2009 form the basis of periodic health examinations. The objective of the PHE is to maintain and improve the health of the patient and of the family. It consists of interventions for primary, secondary and tertiary prevention, counseling and health education specific to age, gender, and health risks. The foundation of PHE is a comprehensive patient history. The individual's diseases and health risks are determined. The second phase, physical examination, starts with the evaluation of vital functions and blood pressure. Following a thorough physical examination, screening tests are performed according to the individual's age and gender. Counseling covers risky behaviors and preventive measures, appropriate immunization, health education and chemoprophylaxis as needed. The PHE is concluded with scheduling for follow-up and documentation of completed interventions. Family physicians perform preventive healthcare services during periodic health examinations. Registry cards specific to health risks, citing necessary tests and recommended screening and timing for any health risk (e.g., familial hypercholesterolemia), may be helpful in carrying out preventive services.


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