Page 32 - Master Blueprint 2018 - 2019
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CLINICAL                1       COMMUNITY HEALTH AND PATIENT
          PRESENTATION
                                          PRESENTATIONS RELATED TO WELLNESS




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


                                                                                      age-appropriate physicals for wellness (eg, newborn), travel, school, sports
                                                                                      participation, and employment (eg, ergonomics)  • anticipatory guidance (eg,
                                                                                      toilet training, feeding, dental care, safety) • cancer screening • cardiovascular
                                                                                      risk assessment (eg, lipids, blood pressure, endocarditis prophylaxis) •
                                                                                      coordination/transition of care • death-related issues (eg, right to die, medical
                                                                                      futility, advanced directives) • diet and nutrition counseling (eg, diabetes, obesity
                                                                                      prevention) • environmental public health risks • environmental screening •
                                                                                      genetic screening • heavy-metal poisoning and environmental toxins screening
             1.1 END-OF-LIFE/PALLIATIVE CARE                                          (eg, lead, secondhand smoke) • medication safety (eg, polypharmacy) •
                                                                                      outbreaks/epidemics/pandemics  (eg, infection control, bioterrorism) • pre- and
             1.2 PATIENT SAFETY
                                                                                      postoperative/procedure counseling • pre- and post-screening test counseling •
             1.3 PUBLIC HEALTH
                                                                                      preconception and prenatal counseling • safety concerns – prevention,
             1.4 RISK ASSESSMENT                                                      protection, and reporting of child, sexual, or elder abuse,; intimate partner

             1.5 HEALTH PROMOTION AND DISEASE PREVENTION                              violence; sexual assault; gun safety or violation; motor vehicle operation safety or
                                                                                      violation; fall prevention; use of protective devices (eg, helmets, seatbelts,
             1.6 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                RELATED TO COMMUNITY HEALTH AND WELLNESS                              infant/child seats) • sexually transmitted infection prevention • smoking
                                                                                      cessation • substance abuse prevention and screening • sudden unexpected
                                                                                      death of infancy including sudden infant death syndrome • vaccinations •
                                                                                      wellness – mental, physical and spiritual (eg, stress management, diet and
                                                                                      exercise programs, sleep hygiene, counseling)

                                                                                      Laboratory tests and diagnostic imaging studies related to screening for
                                                                                      disease or abuse






        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 1     PAGE 31
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