Health Goals – Example

  1. Take blood pressure medication consistently
  2. Get new doctors
  3. Exercise 3 times a week
  4. Lose 10 lbs.
  5. Get a massage once a month

 

Health

Exercise

Strength:_________________________________________________

Balance:_________________________________________________

Aerobic:_________________________________________________

Flexibility:________________________________________________

Coordination:______________________________________________

Sports:___________________________________________________

Every day living:____________________________________________

Weight:__________________________________________________

Nutrition:_________________________________________________

Investigating/seeking treatment for health issues/conditions

________________________________________________________

________________________________________________________

Sleep/rest:_______________________________________________

Mental rejuvenation:________________________________________

Medications:______________________________________________

Alternative medicine:________________________________________

Physical therapy/chiropractic:_________________________________

Massage:_________________________________________________

Stress reduction:___________________________________________

Being your own health advocate with your doctor:_________________

Changing Behaviors:_______________________________________

 


Health Screenings

 Screenings  Age 20-39   Age 40-49 Age 50+
 Physical exam Every 3 years Every 2 years Every year
 Blood pressure Every year Every year Every year
 TB skin test Every 5 years Every 5 years Every 5 years
 Blood tests and  urinalysis Every 3 years Every 2 years Every year
 EKG First exam age  30 Every 4 years Every 3 years
 Cholesterol Men: every 5  years starting  age 35 Men: every 5  years; Women:  every 5 years  starting age 45 Every 5 years
 Rectal Exam  Every year Every year Every year
 Colon cancer:
Sigmoidoscopy
and/or 		 Check with your  doctor for  recommended  screening  schedule Check with your  doctor for  recommended  screening  schedule Check with your  doctor for  recommended  screening schedule
 Bone health N/A N/A Men: discuss with  doctor; Women;  postmenopausal
 Sexually  transmitted  diseases Discuss with  doctor Discuss with  doctor Discuss with doctor

 

 

 Immunizations    Age 20-39Age 40-49Age 50+
 Tetanus Booster   Every 10 years Every 10 years Every 10 years
 Measles, mumps, rubella   1 dose for women  of child bearing  years 1 dose for women of  child bearing years N/A
 Influenza  Every year Every year Every year
 Women   Only Age 20-39 Age 40-49 Age 50+
 Breast Health:
 Clinical exam
 Mammogram
 Self-exam   		 Every year
 N/A
 Monthly		 Every year
 Every 1-2 years
 Monthly		 Every year
 Every year
 Monthly
 Reproductive Health (Pap  test)  Every 1-3 years Every 1-3 years Every 1-3 years
 Estrogen  N/A  N/A  Discuss with doctor
 Men Only  Age 20-39 Age 40-49  Age 50+
 PSA Blood Test    N/A Every year for  African-American  men or men with  family history of  prostate cancer Every year

 

Health Goals

  Goal Year

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