On the Trend Chart,
after sustaining a partially herniated disk while skiing on May 10,
1995, this lady became acutely depressed before the pain was controlled.
With prompt intervention on May 11, 1998 (evaluation, pain relief, physical
therapy), treatment for her depression with medication and immediate
supportive psychotherapy, and information that surgery would probably
not be necessary, she realized that her fears and depression could be
resolved reasonably promptly, and her life began returning to normal
by June 12, 1998.
The main idea of
this chart is to provide a practical, quick way of alerting the pat7ient
and healthcare provider to different areas in one's life that may seriously
affect health. Once alerted, one can get assistance to gather additional
details about the issues. This concept of trying to do a quick screen
to identify factors beyond the usual (i.e., blood pressure, blood sugar,
weight, MRI, etc.) is an increasingly recognized and important part
of health evaluation and treatment.
Mini data sets with
expanded screening are used from a synthesis of extensive public domain
information. The information below is not intended to be a detailed
or finalized presentation of these categories.
Physical/Biological
If you feel problems
are insignificant, though present, please indicate. Family history of
health problems, including drug allergies, anemia, diabetes, high blood
pressure, nervous system diseases (i.e., seizures, "nervous breakdown",
etc.). List any other conditions, including above. Example: heart disease,
breathing problems, digestive problems, coordination or muscle weakness
problems, infections, trouble with memory, thinking, mood, blood clotting,
energy, accidents, hospitalizations, and others (see list).
Psychological/Emotional
If you feel problems
are insignificant, though present, please indicate. Problems with thinking,
feeling, mood changes, behavior problems, excess worries, and dissatisfaction
with lifestyle.
Social
If you feel problems
are insignificant, though present, please indicate. Problems in relationships
with family, friends, school, and work.
Work/School
If you feel problems
are insignificant, though present, please indicate. Repeated difficulties
with school achievements, work efforts, job changes, and disability.
Random/Spiritual/Luck
If you feel problems
are insignificant, though present, please indicate. Earthquakes, fire,
flood, environmental problems (i.e., poor air, water).