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ERP Week 2
Standardized Client Assessments(list 22)
Term | Definition |
---|---|
Standardized Client Assessment:1 | Name |
Standardized Client Assessment:2 | DOB - Date of birth |
Standardized Client Assessment:3 | Gender |
Standardized Client Assessment:4 | Allergies |
Standardized Client Assessment:5 | Marital status |
Standardized Client Assessment:6 | CC - Chief complaint |
Standardized Client Assessment:7 | Height (HT) |
Standardized Client Assessment:8 | Weight (WT) |
Standardized Client Assessment:9 | Ambulation devices: Cane, walker, extremity braces, or wheelchair |
Standardized Client Assessment:10 | Sensory aids: Glasses, contact lenses, hearing aids (Uni/Bi-lateral) |
Standardized Client Assessment:11 | NVS - Neurological Vital Signs: Alert, aware, level of consciousness |
Standardized Client Assessment:12 | Current prescriptions, OTC, herbal, vitamins |
Standardized Client Assessment:13 | Breath sounds |
Standardized Client Assessment:14 | Breathing descriptions |
Standardized Client Assessment:15 | Circulation descriptions |
Standardized Client Assessment:16 | Gastrointestinal descriptions |
Standardized Client Assessment:17 | Genitourinary descriptions |
Standardized Client Assessment:18 | Integumentury descriptions |
Standardized Client Assessment:19 | Pain assesment |
Standardized Client Assessment:20 | Past surgeries |
Standardized Client Assessment:21 | Past illnesses |
Standardized Client Assessment:22 | Past family and social history |