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Category: Clinical Evaluation

Functional History

Functional History

The rehabilitation evaluation of chronic disease often shows lost function. Through the functional history, the physician characterizes the disabilities that have resulted from disease and identifies remaining capabilities. The functional history is considered part of the history of the present illness by some physicians and a separate segment of the patient interview by others. The examiner must know not only the functional status associated with the present illness but also the level of function at one or more times before…

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Patient History

Patient History

Tiếng Việt >> Ordinarily, the patient history is obtained in an interview of the patient by the physician. If communication disorders and cognitive deficits are encountered during the rehabilitation evaluation, additional collaborative information must be obtained from significant others accompanying the patient. The spouse and family members are valuable resources. The physician also may find it necessary to interview other caregivers, such as paid attendants, public health nurses, and home health agency aides.  The major components of the history are…

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Overview of Clinical Evaluation

Overview of Clinical Evaluation

Tiếng Việt >> As with other branches of medicine, the cornerstone of rehabilitation medicine is a meticulous and germane patient evaluation. Therapeutic intervention must be based on proper patient assessment. The disability cannot be isolated from preexisting and concurrent medical problems. Although the rehabilitation evaluation encompasses all elements of the general medical history and physical examination, its scope is more comprehensive; thus, the rehabilitation evaluation provides a broader perspective.  Evaluation of Function  Medical diagnosis concentrates on the historical clues and…

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