Pearl Case Study
Poor Results in a Diabetic: Bad Doctor or Insufficient Tools for Health?
"Whole Person" vital sign SF-36 data:

"SF-36 Assessment Interview:"

What would need to happen for you to say your health as a whole person was excellent?
For example:
Find peace with yourself
Have help with the bills
See my kids succeed and become self-sufficient
Mediate 3 times a week
Jean Ray Case Study
Jean Ray: 74 year old Caucasian, homemaker
Health Conditions:
Osteoarthritis 1976
History of Gastric Ulcer 1994
Depression 1994
Left Hip Replacement 1995
Bladder Incontinence 1999
Osteoporosis 2000
Recent Stroke 2000
Present Medications:
Medication for ulcer, overactive bladder, arthritis, cholesterol, stroke prevention, depression, hormone replacement and aspirin
Physical Component Score (PCS):
Physical functioning
Role Physical
Bodily Pain
General Health
Mental Component Score (MCS):
Vitality
Social Functioning
Role Emotional
Mental Health
Results:
Average increase in Physical Health (PCS)
With hip replacement is 9 points
Overal improved by 22 points
Possible Reasons:
Mental/emotional health (MCS) optimized pre-operatively
Other health limitations addressed prior to surgery
Care providers and patient all "reading off of the same page" (FHA) and expectations discussed before procedure
Did quality of life improve?

1994 ulcer due to arthritis medicine, start anti-depressant
1995 pre-op hip surgery
1996 post-op 6 months post hip surgery
2000 incontinence and stroke
2001 stroke prevention strategy