PATIENT INFORMATION Patient Name Patient ID Diagnosis Referring Physician Exam Date Accession Number Primary Medication Secondary Medication As-Needed Medication As-Needed Medication NEUROTYPE GROUP Efficacy Type Resilience Type Focus Type Acceptance Type RECOMMENDED PAIN CONTROL COGNITIVE STRATEGIES NEUROTYPE GROUP BRAIN ANATOMICAL CHARACERISTICS Left Brain / Side View Left Brain / Mid View Right Brain / Side View Right Brain /Mid View NEUROTYPE GROUP BRAIN FUNCTIONAL CHARACERISTICS Axial Coronal Sagittal
Values are presented for informational purposes only. This report is not a medical diagnosis and should not be used
to guide medical treatment. For that purpose please see your physician.
PATIENT INFORMATION Patient Name Patient ID Diagnosis Referring Physician Exam Date Accession Number Primary Medication Secondary As-Needed Medication As-Needed Medication Medication CURRENT PAIN DIAGNOSIS VS. NEUROTYPE GROUP Pain Severity vs. Group Based on Diagnosis: Pain Severity vs. Group Based on Age:
Patient is at 45th percentile within group.
Patient is at 20th percentile within group.
Patient (red *) in Group (blue distribution) Patient (red *) in Group (blue distribution)
Values are presented for informational purposes only. This report is not a medical diagnosis and should not be used
to guide medical treatment. For that purpose please see your physician.
PATIENT INFORMATION Patient Name Patient ID Diagnosis Referring Physician Exam Date Accession Number Primary Medication Secondary As-Needed Medication As-Needed Medication Medication FUTURE PAIN PROGNOSIS VS. NEUROTYPE GROUP Pain Severity vs. Group Based on Diagnosis: Pain Severity vs. Group Based on Age:
Patient is at 85th percentile within group.
Values are presented for informational purposes only. This report is not a medical diagnosis and should not be used
to guide medical treatment. For that purpose please see your physician.
PATIENT INFORMATION Patient Name Patient ID Diagnosis Referring Physician Exam Date Accession Number Primary Medication Secondary As-Needed Medication As-Needed Medication Medication OVERALL SUMMARY AND CONCLUSIONS Patient NeuroType Patient is in: Internal, Fluidity, Realist, Identifying NeuroType group. This group accounts for 4.34% of the total population, 6.27% of the population of pain patients. Patients within this group demonstrate adaptive behavior when dealing with pain flare-ups and are rarely dependent on opioid medication. These patients are able to achieve relief through a combination of their confidence in treatment options, understanding how these options can work for them, and focus on how to achieve their treatment goals. These patients identify with their pain condition which can lead to catastrophizing behavior in some cases. Pain Strategy Recommendations An internal-efficacy patient should focus on state inhibition (for negative affective states) and planning to define a specific model for their treatment pathway. Fluid-resilient patients should focus on visualization, and lapse detection to maintain focus when executing their plans. Realist-focus patients should focus on attention / distraction techniques and context manipulation. Identifying-acceptance patients should emphasize component identification to break complex problems into manageable blocks, and reappraisal to manipulate the importance of these components. Patient Current Pain (Diagnostic) Patient is currently at 45th percentile within NeuroType group, meaning that:
45% of patients within this group have lower pain severity
55% of patients within this group have higher pain severity. Patient is currently at 20th percentile within Age group, meaning that: 20% of patients within this group have lower pain severity
80% of patients within this group have higher pain severity. Estimated Patient Future Pain (Prognostic) Patient is estimated to be at 85th percentile of NeuroType group in the future, meaning that: Patient is estimated to show improvement greater than 85% of patients within the group.
Patient is estimated to show improvement below 15% of patients within the group. Patient is predicted to experience "significant" pain relief of at least 50%, an amount associated with a "good" prognosis. These patients can typically achieve pain relief by maintaining their existing treatment pathway. Pain strategy recommendations for these patients emphasize understanding this pathway, appreciating their role within this pathway, and learning mechanisms to maximize focus throughout. These patients often benefit from instruction regarding cognitive drivers of pain flare-ups and attentional strategies that can minimize their impact.
Values are presented for informational purposes only. This report is not a medical diagnosis and should not be used
to guide medical treatment. For that purpose please see your physician.
STUDENT ALLERGY/ANAPHYLAXIS CARE PLAN Student Name _____________________ D.O.B. _________ Teacher ______________ Student School Nurse ______________________________ Phone Number ___________________ Health Care Provider ____________________ Preferred Hospital __________________ History of Asthma No Yes (Higher risk for severe reaction) ALLERGY : (check appropriate) TO
S.R. DA AGRICULTURA E FLORESTAS Portaria n.º 51/2011 de 1 de Julho de 2011 Ao abrigo do disposto do n.º 4 do artigo 32.º de Decreto Regulamentar Regional n.º 4/2009/A, de 5 de Maio, manda o Governo da Região Autónoma dos Açores pelo Secretário Regional da Agricultura e Florestas, o seguinte: Artigo 1.º 1 – É aprovado o calendário venatório da Ilha de S. Miguel, que cons