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Monterey Park Individualized Health Risk Appraisal                

 

Written feedback to our uniformed personnel concerning health risks and health status is required following the annual examination. Reporting findings and risks and suggesting plans for modifying risks improves the physician-patient relationship and helps uniformed personnel claim ownership of their health status. Individualized health risk appraisals also must include questions that attempt to accurately measure the uniformed personnel’s perception of their health. Health perception can be a useful indicator of potential problems.

 

Medical History Questionnaire                    

 

A history questionnaire must be completed to provide baseline information with which to compare future medical concerns. 

 

Hands-on Physical Examination                

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To Include:

 

• Vital Signs - Head, Neck, Eyes, Ears, Nose, and Throat

• Cardiovascular - Inspection, auscultation, percussion and palpation.

• Pulmonary - Inspection, auscultation, percussion and palpation.

• Gastrointestinal - Inspection, auscultation, percussion and palpation.

• Genitourinary - Hernia exam (Also, see cancer screening).

• Lymph Nodes

          

 

• Neurological

 

          The neurologic exam for uniformed personnel must include a general mental status evaluation and general assessment of the major            cranial/peripheral nerves (motor, sensory, reflexes).

 

• Musculoskeletal

 

         Includes an overall assessment of range of motion (ROM) of all joints. Additionally, observation of the personnel performing certain          standard office exercises or functions is helpful in assessing joint mobility and function.

 

 

• Blood Analysis                             

 

          The following are components of the blood analysis. At a minimum, laboratory services must provide these components in their                 automated chemistry panel (aka SMAC 20) and complete blood count (CBC) protocols

 

    

• Urinalysis                                

 

 

• Vision Tests                             

           Assessment of vision must include evaluation of distance, near, peripheral, and color vision. Evaluate for common visual disorders.

 

• Pulmonary (Spirogram)                        

 

• Chest X-Ray                                

 

• Stress EKG    with Vo2 value     calculated                

 

• Oncology Screening Elements 

 

 

• USAR Heavy Metal and Special Exposure Screening

 

 

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