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Some grouped the factors influencing health into four principal forces: (1) environment, (2) heredity, (3) lifestyles, and (4) health care services (Blum, 1981).
Health status is a measure of how people perceive their healthrating it as excellent, very good, good, fair, or poor. Reported health status is a predictor of important health outcomes including mortality, morbidity, and functional status (14).
Examples include functional health, disability days, activity limitation, health expectancy, disability free life expectancy.
A health status report form is a form used by healthcare providers to collect information about a patients health and well-being. Whether you own or manage a clinic, hospital, or private practice, use this free Health Status Report Form to collect information about your patients!
You might use phrases like I am in good health or I feel comfortable to convey overall well-being. Conversely, expressions like I am not in good health or I feel uncomfortable effectively communicate less favorable health conditions.
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What to Include Other current medical or surgical conditions. Allergies. Diet/appetite/water intake: movements/urination: Amount, frequency, color, consistency, odor, changes. Exercise: Amount, frequency, when, type, changes.

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