1. Community Health and Patient Presentations Related to Wellness
Patient presentations span all relevant age categories, special populations, and varied clinical settings.
| 1.1 |
End-of-Life/Palliative Care |
| 1.2 |
Patient Safety |
| 1.3 |
Public Health |
| 1.4 |
Risk Assessment |
| 1.5 |
Health Promotion and Disease Prevention |
| 1.6 |
Laboratory Test Findings and Diagnostic Imaging Related to Community Health and Wellness |
The guide to clinical presentations in this category may include, but is not limited to, the following ways in which patients present for osteopathic medical care:
age-appropriate physicals for wellness (e.g., newborn), travel, school, sports participation, and employment (e.g., ergonomics) • anticipatory guidance (e.g., toilet training, feeding, dental care, safety) • cancer screening • cardiovascular risk assessment (e.g., lipids, blood pressure, endocarditis prophylaxis) • coordination/transition of care • death-related issues (e.g., right to die, medical futility, advance directives) • diet and nutrition counseling (e.g., diabetes, obesity prevention) • environmental public health risks • environmental screening • genetic screening • heavy-metal poisoning and environmental toxin screening (e.g., lead, secondhand smoke) • medication safety (e.g., polypharmacy) • outbreaks/epidemics/pandemics (e.g., infection control, bioterrorism) • pre- and postoperative/procedure counseling • pre- and post-screening test counseling • preconception and prenatal counseling • safety concerns – prevention, protection, and reporting of child, sexual, or elder abuse; intimate partner violence; sexual assault; gun safety or violation; motor vehicle operation safety or violation; fall prevention; use of protective devices (e.g., helmets, seatbelts, infant/child seats) • sexually transmitted infection prevention • smoking cessation • substance abuse prevention and screening • sudden unexpected death in infancy including sudden infant death syndrome • vaccinations • wellness – mental, physical and spiritual (e.g., stress management, diet and exercise programs, sleep hygiene, counseling)
Laboratory tests and diagnostic imaging studies related to screening for disease or abuse
