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ERP Week 2

Standardized Client Assessments(list 22)

TermDefinition
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
Created by: adrouillard
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