View source for Clinical Factors

These are the [[Clinical Factors]] that are a component of the [[Patient Recovery Factors]].
==[[Clinical Conditions Factors|Clinical Conditions]]==
[[Clinical Conditions Factors|Clinical Conditions]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. Medicare has developed a model to categorize the [[Clinical Conditions Factors|clinical conditions factors]] in order to risk [http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Risk-Adjustors.html '''risk adjust'''] health insurers that are covering patients. The [[CMS-HCC Risk Adjustments]] model adjust for patient demographics (i.e., age, disabled) and disease (i.e., diabetes, congested heart failure).  

===Allergies & Adverse Drug Reactions===

===Comorbidities===
Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. 
Comorbidities include behavioral or mental disorders. 
* Alzheimer's disease
* Arthritis
* Asthma
* Cancer
* COPD
* Diabetes
* Congestive Heart Failure
* High Blood Pressure
* High Cholesterol
* Obesity
* Osteoporosis
* Stroke

===Demographics===
* Age
* Sex
* Disabled
* Long Term Institutional Status (LTI Designated Status) 

===Immunizations===
* Flu
* Tetanus
===Impairments===
* Physical Impairments (Use of limbs, arthritis, amputation, birth defects, Epilepsy) 
* Sensory Impairments (Blind or Visually Impaired, Deaf or Hard of Hearing, loss of taste and smell)
===Medical History===
* Adverse events
* Family Medical History
* Medical Conditions
* Surgeries

===Physiological Metrics===
* Blood glucose level
* Blood pressure
* Cholesterol level (HDL, LDL, etc)
* Heart rate
===Problem lists===
* Abdominal pain
* Acute asthma
* Chest Pain
* Fever
* Fractures
* Headache
* Pain (Chest Pain)
* Rash or skin infection
* Shortness of Breath
* Sprains
* Upper respiratory tract infection
* Wounds

==[[Functional Conditions Factors|Functional Conditions]]==
[[Functional Conditions Factors|Functional Conditions]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]].

===Basic Physical===
The ten variables addressed in the [http://en.wikipedia.org/wiki/Barthel_scale '''Barthel scale'''] are:
* presence or absence of fecal incontinence
* presence or absence of urinary incontinence
* help needed with grooming
* help needed with toilet use
* help needed with feeding
* help needed with transfers (e.g. from chair to bed)
* help needed with walking
* help needed with dressing
* help needed with climbing stairs
* help needed with bathing

===Basic Life Activities===
* Clean home or setting
* Drive
* Laundry
* Prepare food and/or cook
* Shopping (Food, Medicines, necessities, etc.)
* Use Public Transportation,

===Logistic Capabilities===
* Walk - able to walk, ride in car, ride bus or taxi
* Assisted Walking - walker, cane 
* Wheelchair - Travel via Wheelchair
* Equipment Requirements - Oxygen, heart device, etc.

===Supportive Devices=== 
* Pacemaker
* Artificial limb

===Work===
Physically able to go back to work or enough functional ability to find a new job

===Passion===
Physically able to go back to work or enough functional ability to find a new job
* Volunteer, watch grand kids soccer games, etc.
* Golf, weekly lunches with friends, etc.
===Mental===
Not prevented from working, pursuing passion and functional activities because of mental health challenges
* Fear, confidence in certain situations, etc. 
===Functional History===

==[[Genomic Factors|Genomic]]==
[[Genomic Factors|Genomic]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]].

===Human Genome===
[http://en.wikipedia.org/wiki/Human_genome '''Human Genome''']] - complete set of genetic information encoded as DNA sequences within the 23 chromosome pairs. It includes the genomes of [http://en.wikipedia.org/wiki/Tumor '''tumors'''], the abnormal mass of tissue from abnormal growth or division of cells. 

===Microbiome===
[http://en.wikipedia.org/wiki/Microbiome '''Microbiome'''] - the collective genomes of the microorganisms that share our body 
* Bacteria
* Viruses ([http://en.wikipedia.org/wiki/Human_virome '''virome''']) 
* [http://en.wikipedia.org/wiki/Eukaryote '''Other microbes with genomes''']. 

===Non-Genomic Profiles===
* [http://en.wikipedia.org/wiki/Metabolome '''Metabolome'''] - are small molecules with metabolism functions of fuel, structure, signaling, stimulatory and inhibitory effects on enzymes and other catalytic activities. 
* [http://en.wikipedia.org/wiki/Proteome '''Proteome'''] - set of proteins expressed by a genome, cell, tissue or organism at a given time, under defined conditions.  
* [http://en.wikipedia.org/wiki/Transcriptome '''Transcriptome'''] - set of all molecules use to create new cells with genomes.

==[[Mental Health Factors|Mental Health]]==
[[Mental Health Factors|Mental Health]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. 

===Comorbidities===
Mental Health comorbidities (or mental health disorders diseases) that need to be managed. Most comorbidities do not get cured.
===Disorders===
* Anxiety Disorder,
* Attention Deficit Hyperactivity Disorder (ADHD), 
* Autism, 
* Bipolar Disorder,
* Depression 
* Eating Disorder, 
* Obsessive Compulsive Disorder (OCD),
* Panic Disorders, 
* Post Traumatic Stress Disorder, 
* Schizophrenia
===History===
===Impairments===
* Cognitive Impairments (Delirium "confused state", Dementia), 
* Developmental