preventive-care

name	preventive-care
description	Preventive health and screening management skill. Tracks recommended screenings and preventive services based on age, sex, risk factors, and regional guidelines (USPSTF, CDC, WHO). Provides personalized prevention schedules and health maintenance reminders. Triggers on: screening, prevention, checkup, annual exam, health maintenance, cancer screening, wellness exam, preventive care.
allowed-tools	["bash","glob","read"]
version	1.0.0

Preventive Care — Your Prevention Plan Manager

Evidence-based preventive health skill that ensures you stay up-to-date with recommended screenings, vaccinations, and preventive services tailored to your age, sex, and risk profile.

Guideline Sources

• USPSTF (US Preventive Services Task Force)
• CDC (Centers for Disease Control)
• ACIP (Advisory Committee on Immunization Practices)
• WHO (World Health Organization)
• NICE (UK National Institute for Health and Care Excellence)

Age-Based Screening Schedule

Adults 18-39

Screening	Frequency	Notes
Blood pressure	Every 3-5 years	Annually if risk factors
BMI	Annually	Weight counseling if elevated
Depression	As needed	When symptoms present
STI/HIV	Based on risk	Annually if sexually active with new partners
Dental	Every 6-12 months	—

Adults 40-49

Additional to above:

Screening	Frequency	Notes
Blood pressure	Annually	—
Cholesterol	Every 5 years	More often if risk factors
Diabetes	Every 3 years	Earlier/more often if risk
Mammogram (women)	Every 2 years	Start at 40-50 (region dependent)

Adults 50-64

Additional:

Screening	Frequency	Notes
Colorectal cancer	Several options	FIT annually, colonoscopy every 10 years, or others
Lung cancer (smokers)	Annually (LDCT)	If 20+ pack-years, currently smoke or quit <15 years
Prostate (men, discuss)	Shared decision	PSA testing pros/cons
Shingles vaccine	Once	2 doses (Shingrix)

Adults 65+

Additional:

Screening	Frequency	Notes
Bone density (women)	Once, then every 2 years	DEXA scan
Bone density (men)	As indicated	If risk factors
Abdominal aortic aneurysm (men)	Once	If ever smoked
Vision/hearing	Annually	—
Fall risk assessment	Annually	—
Pneumococcal vaccine	Once or twice	Based on vaccine type

Vaccination Schedule (Adults)

Universal Recommendations

Vaccine	Schedule	Indications
Influenza	Annually	All adults
COVID-19	Per current guidance	All adults
Tdap	Once, then Td every 10 years	All adults; Tdap once
HPV	2-3 doses if not completed	Through age 26; 27-45 discuss

Age/Risk-Based

Vaccine	Target Population
Hepatitis B	All adults 19-59; 60+ with risk
Hepatitis A	Travelers, risk groups
Pneumococcal	65+; younger with conditions
Shingles	50+ (2 doses Shingrix)
MMR	1-2 doses if not immune
Varicella	2 doses if not immune

Output Example

# Preventive Care Report — March 20, 2026

## 👤 Your Profile
- Age: 45 | Sex: Female
- Location: United States
- Risk Factors: Hypertension (controlled), Family history breast cancer

---

## ✅ Up to Date

### Screenings Current
| Screening | Last Done | Next Due | Status |
|-----------|-----------|----------|--------|
| Blood pressure | Mar 2026 | Jun 2026 | ✅ Current |
| Cholesterol | Jan 2026 | Jan 2031 | ✅ Current |
| Mammogram | Nov 2025 | Nov 2027 | ✅ Current |
| Cervical (Pap/HPV) | Aug 2024 | Aug 2027 | ✅ Current |
| Colorectal | Feb 2025 | Feb 2035 | ✅ Current |

### Vaccinations Current
| Vaccine | Last Dose | Next Due | Status |
|---------|-----------|----------|--------|
| Influenza | Oct 2025 | Oct 2026 | ✅ Current |
| COVID-19 | Sep 2025 | Per guidance | ✅ Current |
| Tdap | 2015 | 2025 (10-year) | ✅ Current |
| Shingrix | Dose 1: Mar 2026 | Dose 2: Jun 2026 | ⏳ In progress |

---

## ⚠️ Action Needed

### Overdue
❌ **Dental cleaning** — Due: Jan 2026
- Action: Schedule appointment
- Last done: Jul 2025

### Due Soon
⏳ **Shingrix Dose 2** — Due: Jun 2026
- Window: 2-6 months after dose 1
- Action: Schedule May-June

---

## 📋 Personalized Schedule

### This Year (2026)
| Month | Action |
|-------|--------|
| Mar | ✅ BP check (home) |
| Apr | Schedule dental |
| May | Skin self-exam |
| Jun | Shingrix dose 2 |
| Sep | Influenza vaccine |
| Nov | Annual wellness visit |

### Next Year (2027)
| When | Action |
|------|--------|
| Jan | Cholesterol check |
| Aug | Cervical screening (3-year) |
| Nov | Mammogram (2-year) |
| Dec | Review/update schedule |

---

## 🎯 Risk-Based Additions

Given your family history (breast cancer):
- ✅ Annual mammogram (already scheduled)
- Consider: Breast MRI for high-risk screening
- Discuss: Genetic counseling (BRCA) if not done
- Maintain: Healthy weight, limit alcohol, exercise

---

## 💡 Prevention Tips

### Daily
- 🥗 5+ servings fruits/vegetables
- 🚶 30 minutes physical activity
- 😴 7-8 hours sleep
- 🧘 Stress management

### Monthly
- Breast self-exam (after period)
- Skin self-exam
- Weight check

### Annually
- Comprehensive wellness visit
- Vision check
- Dental exam
- Vaccination review

---

## 🔗 Cross-References

| Skill | Relationship |
|-------|--------------|
| musculoskeletal-care | Bone density screening (DEXA), osteoporosis prevention |
| chronic-care | Disease-specific screening schedules |
| vaccination-tracker | Immunization tracking |
| family-health | Genetic risk-based screening |
| vital-monitor | Regular vitals monitoring |

---

**Next Review**: Annual wellness visit (November 2026)