Clinical Factors

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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.

Allergies & Adverse Drug Reactions

Behavioral Health

  • Addictions
  • Behavioral Disorders (depression, anxiety disorders, schizophrenia, bipolar etc.)
  • Substance Abuse

Comorbidities

  • Alzheimer's disease
  • Arthritis
  • Asthma
  • Cancer
  • COPD
  • Diabetes
  • Congestive Heart Failure
  • High Blood Pressure
  • High Cholesterol
  • Obesity
  • Osteoporosis
  • Stroke

CMS-HCC Risk Adjustments

Designations

  • Long Term Institutional Status (LTI Status)

Genome (DNA)

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

Microbiome

  • Proteome, viruses

Pain

Physiological Metrics

  • Blood glucose level
  • Blood pressure
  • Cholesterol level (HDL, LDL, etc)
  • Heart rate

Problem lists

  • Chest Pain
  • Shortness of Breath
  • Abdominal pain
  • Headache
  • Fever
  • upper respiratory tract infection
  • sprains
  • fractures
  • wounds
  • asthma
  • Rash of skin infection

Wounds

Functional Conditions

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.

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