Difference between revisions of "Symptoms"

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Patient [[Symptoms]] are factors that can decisively affect patient well-being and patient recovery.
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Patient reported [[symptoms]] are factors that can decisively affect patient well-being and patient recovery. The [[symptoms]] are reported by the patient during the [[Well-Being Assessment|Patient Well-Being Assessment]] or updated regularly through [[Well-Being Status|well-being status]].
  
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==[[Health Determinants|Health]]==
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==[[Pain or Discomfort]]==
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These are the [[Health Determinants|Health]] [[Determinants]] that are that can decisively affect [[Patient Well-Being|patient well-being]] and [[Patient Recovery|patient recovery]].
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===General===
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===[[Physical Conditions]]===
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* Muscles  cramps or spasms (painful)
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[[Physical Conditions]] are elements of the [[determinants]] of [[Patient Well-Being]] and [[Patient Recovery]]. Medicare has developed a model to categorize the [[Physical Conditions]] 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).
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* Tenderness to touch
 +
* Swelling
 +
* Bruising or discoloration
 +
* Stiffness or decreased movement
 +
* Body aches
 +
* Itching or burning
 +
===Head area===
 +
* Sore throat
 +
* Headache
 +
* Enlarged or swollen glands
 +
* Ear ache
 +
* Mouth, teeth or gums
 +
===Stomach Area===
 +
* stomach ache
 +
* Menstrual cramps
 +
* Bloating or fullness
 +
* Pressure or fullness
 +
* Gas
 +
 
 +
===Chest Area===
 +
* Chest Pain
 +
* Feeling heart pound or race
 +
* Heart palpitations
 +
* Indigestion
 +
* Heart burn
 +
* Shortness of breath
 +
* Lung congestion
 +
 
 +
===Other===
 +
* Joints
 +
* Back
 +
* Arms or legs
 +
* Muscles other
 +
* Other
 +
 
 +
===Sleep & Fatigue===
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* Night sweats
 +
* Trouble sleeping
 +
* Sleepy all the time
 +
* Unusual Fatigue
 +
 
 +
==[[Visual Symptoms]]==
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* Skin ulcer
 +
* Skin rash
 +
* Lump or bulge
 +
* Bleeding or wound
 +
* Drainage or pus
 +
* Vaginal discharge
 +
* Visible deformity
 +
 
 +
 
 +
==[[Cold and Flu-like]]==
 +
* Fever
 +
* Head ache
 +
* Aches and pains
 +
* Fatigue and weakness
 +
* Extreme exhaustion
 +
* Stuffy nose
 +
* Sneezing
 +
* High temperature or fever (warm to touch)
 +
* Cough - productive
 +
* Cough - dry
 +
* Congested lungs
 +
 
 +
==[[Abnormal Activities]]==
 +
* Numbness or tingling
 +
* Dizziness
 +
* Cough
 +
* Fainting spells
 +
* Nausea or vomiting
 +
* Nasal Congestion
 +
* Abnormal bowel movements (Change in bowel habits, Diarrhea, constipation, loose bowels)
 +
* Abnormal urination (frequent urge to urinate, cloudy urine with strong order, pain during urination, frequent bladder infections)
 +
* Weight - unusual weigh gain or loss
 +
* Hair loss - unexpected
 +
 
 +
 
 +
==[[Mental Health]]==
 +
 
 +
==[[General/Other]]==
 +
 
 +
==[[Functional Limitations]]==
 +
 
 +
===Hearing===
 +
* Difficulty Hearing in some environments
 +
* Absence of useful hearing
 +
===Walking===
 +
* Some difficulty without devices
 +
* Some difficulty with devices
 +
* Requires wheel chair or devices
 +
===Sleeping===
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* Trouble falling asleep
 +
* Trouble staying asleep
 +
===Understanding (by care giver)===
 +
* Misses part of message
 +
* Limited understanding
 +
* Unable to understand
 +
===Communication (by care giver)===
 +
* Some Difficulty expressing needs and ideas
 +
* Frequent difficulty expressing needs and ideas
 +
* Very difficult to understand
 +
===Vision===
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* Large objects and print only
 +
* Object identification questionable
 +
===Standing===
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* Need device assistance
 +
* Unable with device assistance
 +
===Grip===
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* Limited 
 +
* Absent
 +
===Breathing===
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* Severe shortness of breath at rest
 +
* Mild shortness of breath at rest
 +
* Shortness of breath with minimal exertion
 +
* Shortness of breath with moderate exertion
 +
* SOB when climbing stairs
 +
* Uses ventilator
 +
===Mobility Endurance===
 +
* Walk or wheel chair 50 feet
 +
* Can't do it
 +
* Only with rest
 +
===Sitting Endurance===
 +
* Tolerate sitting for 15 minutes
 +
* Can't do it
 +
* Only with support
 +
===Primary Mobility Mode===
 +
* Cane/crutch
 +
* Walker
 +
* Orthotics/prosthetics
 +
* Wheelchair/scooter full time
 +
* Wheelchair/scooter part time
 +
* No movement from bed
 +
 
 +
==Activities of Daily Living - Limitation==
 +
* Bathing and showering
 +
* Shower/bathe requires transfer
 +
* Wash face, hands, chest, arms
 +
* Dressing (Upper body, Lower body, put on/take off socks and shoes)
 +
* Self-feeding (not including chewing or swallowing)
 +
* Movement from one place to another to perform activities
 +
* Personal hygiene and grooming
 +
* Toilet hygiene
 +
* Toilet transfer - safely on an off
 +
===Mobility===
 +
* Lying to sitting on side of bed
 +
* Sit to stand
 +
* Chair/Bed to wheelchair
 +
* Sit to lying flat on bed
 +
* Roll left and right
 +
* Bend and pick up objects
 +
===Transportation Mobility===
 +
* Unable to car transfer
 +
* Wheel chair lift only
 +
 +
==Instrumental Activities of Daily Living (IADLS)- Limitation==
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* Telephone (Answer phone, place calls
 +
* Take medications as prescribed (oral, inhalants/mists, injectable)
 +
* Make light meal
 +
* Wipe down surface
 +
* Light shopping
 +
* Laundry
 +
* Use public transportation
 +
* Mange money and pay bills
 +
* Use computer
 +
* Use a smart phone
 +
===Instrumental Activities of Daily Living (IADLS)- Other===
 +
* Care of others (Family members)
 +
* Care of pets
 +
* Child rearing
 +
* Maintain social relationships
 +
* Community Mobility
 +
* Maintain Financial Management
 +
* Maintain Health Management
 +
* Maintain Home Management
 +
* Meal preparation and cleanup
 +
* Maintain Religious Observances
 +
* Maintain safety procedures and emergency responses
 +
* Shopping

Latest revision as of 06:07, 27 May 2015

Patient reported symptoms are factors that can decisively affect patient well-being and patient recovery. The symptoms are reported by the patient during the Patient Well-Being Assessment or updated regularly through well-being status.

Pain or Discomfort

General

  • Muscles cramps or spasms (painful)
  • Tenderness to touch
  • Swelling
  • Bruising or discoloration
  • Stiffness or decreased movement
  • Body aches
  • Itching or burning

Head area

  • Sore throat
  • Headache
  • Enlarged or swollen glands
  • Ear ache
  • Mouth, teeth or gums

Stomach Area

  • stomach ache
  • Menstrual cramps
  • Bloating or fullness
  • Pressure or fullness
  • Gas

Chest Area

  • Chest Pain
  • Feeling heart pound or race
  • Heart palpitations
  • Indigestion
  • Heart burn
  • Shortness of breath
  • Lung congestion

Other

  • Joints
  • Back
  • Arms or legs
  • Muscles other
  • Other

Sleep & Fatigue

  • Night sweats
  • Trouble sleeping
  • Sleepy all the time
  • Unusual Fatigue

Visual Symptoms

  • Skin ulcer
  • Skin rash
  • Lump or bulge
  • Bleeding or wound
  • Drainage or pus
  • Vaginal discharge
  • Visible deformity


Cold and Flu-like

  • Fever
  • Head ache
  • Aches and pains
  • Fatigue and weakness
  • Extreme exhaustion
  • Stuffy nose
  • Sneezing
  • High temperature or fever (warm to touch)
  • Cough - productive
  • Cough - dry
  • Congested lungs

Abnormal Activities

  • Numbness or tingling
  • Dizziness
  • Cough
  • Fainting spells
  • Nausea or vomiting
  • Nasal Congestion
  • Abnormal bowel movements (Change in bowel habits, Diarrhea, constipation, loose bowels)
  • Abnormal urination (frequent urge to urinate, cloudy urine with strong order, pain during urination, frequent bladder infections)
  • Weight - unusual weigh gain or loss
  • Hair loss - unexpected


Mental Health

General/Other

Functional Limitations

Hearing

  • Difficulty Hearing in some environments
  • Absence of useful hearing

Walking

  • Some difficulty without devices
  • Some difficulty with devices
  • Requires wheel chair or devices

Sleeping

  • Trouble falling asleep
  • Trouble staying asleep

Understanding (by care giver)

  • Misses part of message
  • Limited understanding
  • Unable to understand

Communication (by care giver)

  • Some Difficulty expressing needs and ideas
  • Frequent difficulty expressing needs and ideas
  • Very difficult to understand

Vision

  • Large objects and print only
  • Object identification questionable

Standing

  • Need device assistance
  • Unable with device assistance

Grip

  • Limited
  • Absent

Breathing

  • Severe shortness of breath at rest
  • Mild shortness of breath at rest
  • Shortness of breath with minimal exertion
  • Shortness of breath with moderate exertion
  • SOB when climbing stairs
  • Uses ventilator

Mobility Endurance

  • Walk or wheel chair 50 feet
  • Can't do it
  • Only with rest

Sitting Endurance

  • Tolerate sitting for 15 minutes
  • Can't do it
  • Only with support

Primary Mobility Mode

  • Cane/crutch
  • Walker
  • Orthotics/prosthetics
  • Wheelchair/scooter full time
  • Wheelchair/scooter part time
  • No movement from bed

Activities of Daily Living - Limitation

  • Bathing and showering
  • Shower/bathe requires transfer
  • Wash face, hands, chest, arms
  • Dressing (Upper body, Lower body, put on/take off socks and shoes)
  • Self-feeding (not including chewing or swallowing)
  • Movement from one place to another to perform activities
  • Personal hygiene and grooming
  • Toilet hygiene
  • Toilet transfer - safely on an off

Mobility

  • Lying to sitting on side of bed
  • Sit to stand
  • Chair/Bed to wheelchair
  • Sit to lying flat on bed
  • Roll left and right
  • Bend and pick up objects

Transportation Mobility

  • Unable to car transfer
  • Wheel chair lift only

Instrumental Activities of Daily Living (IADLS)- Limitation

  • Telephone (Answer phone, place calls
  • Take medications as prescribed (oral, inhalants/mists, injectable)
  • Make light meal
  • Wipe down surface
  • Light shopping
  • Laundry
  • Use public transportation
  • Mange money and pay bills
  • Use computer
  • Use a smart phone

Instrumental Activities of Daily Living (IADLS)- Other

  • Care of others (Family members)
  • Care of pets
  • Child rearing
  • Maintain social relationships
  • Community Mobility
  • Maintain Financial Management
  • Maintain Health Management
  • Maintain Home Management
  • Meal preparation and cleanup
  • Maintain Religious Observances
  • Maintain safety procedures and emergency responses
  • Shopping
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