Problem Classification Scheme
The Scheme is a comprehensive, orderly, nonexhaustive, mutually exclusive taxonomy designed to identify diverse clients’ health-related concerns. It consists of four levels. Four domains appear at the first level and represent priority areas of practitioner and client health-related concerns. Forty-two terms (concepts), referred to as client problems or areas of client needs and strengths, appear at the second level. The third level consists of two sets of problem modifiers: health promotion, potential, and actual as well as individual, family, and community. Clusters of signs and symptoms describe actual problems at the fourth level. The Problem Classification Scheme provides a structure, terms, and system of cues and clues to help practitioners collect, sort, document, classify, analyze, retrieve, and communicate client needs and strengths.
Domains and Problems of the Problem Classification Scheme
Income
Sanitation
Residence
Neighborhood/workplace safety
Psychosocial Domain: Patterns of behavior, emotion, communication, relationships, and development.
Communication with community resources
Social contact
Role change
Interpersonal relationship
Spirituality
Grief
Mental health
Sexuality
Caretaking/parenting
Neglect
Abuse
Growth and development
Physiological Domain: Functions and processes that maintain life.
Hearing
Vision
Speech and language
Oral health
Cognition
Pain
Consciousness
Skin
Neuro-musculo-skeletal function
Respiration
Circulation
Digestion-hydration
Bowel function
Urinary function
Reproductive function
Pregnancy
Postpartum
Communicable/infectious condition
Health Related Behaviors Domain: Patterns of activity that maintain or promote wellness, promote recovery, and decrease the risk of disease.
Nutrition
Sleep and rest patterns
Physical activity
Personal care
Substance use
Family planning
Health care supervision
Medication regimen