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Healthcare for the community by people who care

Recommendations, Tests, and Immunizations

NEW Carter Clinic Winter Recommendations

  1. Flu – Stay Home, Don’t Go Out Unless Unavoidable, Keep Contact to a Minimum, Wash Hands with Warm Soapy Water, and Use Hand Sanitizer Frequently
  2. Flu Shot – Never Too Late to Get One
  3. Allergies – Remember to Take Medication – Recommend NON-Drowsy Medication
  4. Common Cold – Remember to Wash Hands and Sanitize for Spread Prevention
  5. Coughing – Remember to Wear Masks in Public for Spread Prevention
  6. Stay Active and be Aware of Weight Management for Healthy Living and Disease Prevention
  7. Increase Fluid Intake – Need to Drink ½ Body Weight in Ounces of Water Daily – Need Electrolytes
  8. Need Evaluation if Experiencing Appetite and/or Fluid Intake Changes
  9. Wound Care Consideration – Wash and Clean the Area After Bleeding Subsides but before Final Dressing
  10. Pneumonia Immunizations for Patients OVER 65
  11. Monitor Hypertension – Check 1-2 Times per Month While Sitting with Feet Flat, and Bring Your Log to Each Appointment
  12. Be Conscientious of Salt and Sugar Intake Through the Holiday Season

NEW Elderly Considerations with Impending Winter Weather

  1. Weatherproof your Home, Car, and Chimney, Evaluate Safety of Electric Space Heaters, and Check-up Heating Systems
  2. Install a Smoke Detector and a Battery-Operated Carbon Monoxide Detector – Verify Batteries are Still Working
  3. Fall Prevention with Ice, Slick Surfaces, Rugs, and Uneven Surfaces
  4. Use Caution when Changing Positions, Walking, Traveling, and in Areas with Poor Lighting
  5. Heat Your Home Safely, Light Your Home Safely, Use Generators and Appliances Safely, Conserve Heat
  6. Keep a Water Supply, Eat Well-Balanced Meals, and Evaluate Fluid and Food Intake
  7. Keep Pets and Animals in Mind During Cold Weather
  8. PLAN AHEAD: Find phone numbers for your Physician, Pediatrician, Pharmacist, and Veterinarian
  9. EMERGENCY CONTACT: Keep Neighbors, Family Members, or Person in Mind and Aware of Your Needs
  10. Other Numbers to Include: Poison Control Center (800)222-1222, Animal Poison Control (888)426-4435, Disaster Distress Helpline (800) 985-5990, or text “TalkWithUs” to 66746

Carter Clinic Diabetic Recommendations

  1. A1c – every 3 months
  2. Urine Micro – annually
  3. Dialated eye exam annually
  4. Diabetic foot exam annually
  5. ACE or AARB medication
  6. ASA
  7. If taking Metformin – annual B12 level
  8. If Taking Invokana, Jardiance, and Farxiga: – CMP every 3 months
  9. 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

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

Carter Clinic Recommendations:

  1. BMI – Each visit for BMI over 25 (dietary recommendations)
  2. Mammogram – annually for women aged over 40 years
  3. Cervical Cancer Screening – annually for women that have not had hysterectomy OR every 5 years for women that have had partial hysterectomy OR every 10 years for total hysterectomy
  4. Colon Cancer Screen/Cologuard – every 3 years
  5. Annual Labs – Preventative Care: CBC, CMP, TSH, T4, Urinalysis, Hepatic Function, Lipid, Direct LDL & CK
  6. EKG – baseline for new patient OR anytime practitioner feels is necessary
  7. PSA – annually for men age 50 and above
  8. UDT (Urine Drug Test) – required for a minimum of every 6 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 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)