Difference between revisions of "Clinical Factors"
| Line 9: | Line 9: | ||
* Substance Abuse | * Substance Abuse | ||
| − | ===Comorbidities=== | + | ===Clinical Comorbidities=== |
Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. | Comorbidities are chronic disorders (or diseases) that need to be managed. Most comorbidities do not get cured. | ||
Comorbidities include behavioral or mental disorders. | Comorbidities include behavioral or mental disorders. | ||
| Line 69: | Line 69: | ||
* Upper respiratory tract infection | * Upper respiratory tract infection | ||
* Wounds | * Wounds | ||
| + | |||
| + | ==[[Mental Health Factors|Mental Health]]== | ||
| + | [[Mental Health Factors|Mental Health]] are elements of the [[Clinical Factors|clinical factors]] in [[Patient Recovery|patient recovery]]. | ||
| + | |||
| + | ===Mental Health Comorbidities=== | ||
| + | Mental Health comorbidities (or mental health disorders diseases) that need to be managed. Most comorbidities do not get cured. | ||
| + | |||
| + | ===Mental Impairments=== | ||
| + | * Cognitive Impairments (Delirium "confused state", Dementia), | ||
| + | * Developmental | ||
| + | ===Mental Health History=== | ||
| + | ===Mental Health 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 | ||
==[[Functional Conditions Factors|Functional Conditions]]== | ==[[Functional Conditions Factors|Functional Conditions]]== | ||
Revision as of 12:41, 12 June 2014
These are the Clinical Factors that are a component of the Patient Recovery Factors.
Clinical Conditions
Clinical Conditions are elements of the clinical factors in patient recovery. Medicare has developed a model to categorize the clinical conditions factors in order to risk 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
Behavioral Health
- Addictions
- Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.)
- Substance Abuse
Clinical 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)
Genomes
- Human Genome]
- Microbiome (and other resident bacteria)
- Proteome - set of proteins expressed by a genome, cell, tissue or organism at a given time, under defined conditions.
- Metabolites - are small molecules with metabolism functions of fuel, structure, signaling, stimulatory and inhibitory effects on enzymes and other catalytic activities
- Tumors - abnormal mass of tissue as a result of abnormal growth or division of cells
- Viruses - small infectious agent that replicates only inside the living cells of other organisms
Immunizations
- Flu
- Tetanus
Impairments
- Cognitive Impairments (Delirium "confused state", Dementia)
- Developmental Challenges (Autism)
- 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
Mental Health
Mental Health are elements of the clinical factors in patient recovery.
Mental Health Comorbidities
Mental Health comorbidities (or mental health disorders diseases) that need to be managed. Most comorbidities do not get cured.
Mental Impairments
- Cognitive Impairments (Delirium "confused state", Dementia),
- Developmental
Mental Health History
Mental Health 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
Functional Conditions
Functional Conditions are elements of the clinical factors in patient recovery.
Basic Physical
The ten variables addressed in the 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.
