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Management of Menopause Type^®Seminar
Module B: Subjective Data
Subjective Data
The SOAPIER Model - Defining Subjective Data - Collection of Subjective Data
Thus far we have redefined menopause as a transition that may show up in many different ways, and have determined that there are actually 12 different Menopause Types^®. We have also determined that therapeutic interventions shall be designed to treat each woman according to her own Menopause Type^®. We realize that choices include lifestyle, nutrition, herbs, homeopathy, glandulars, hormone precursors and natural hormone replacement therapies.
The SOAPIER Model
Management of Menopause Types^®. (or any other health condition) is best accomplished through applying the SOAPIER model of case management. This familiar model is composed of seven distinct components:
	Subjective Data			Collection of reported symptoms and other subjective findings
	Objective Data			Collection of physical exam data, lab tests, bone density and other objective findings
	Assessment			The analysis of subjective & objective data
	Plan			Developing an individualized treatment protocol plan, based on established protocols.
	Implement			Putting the treatment plan to action.
	Evaluate			Evaluating patient outcome & response to therapy by collecting new subjective & objective data
	Reassessment			Reassessing new data to determine if therapy needs to be continued or modified.
The process begins with subjective data.
Defining Subjective Data
		"Subjective: arising out of one's perception of one's own state"
Symptoms are subjective and are experienced and reported by the individual being questioned. Aches, pains, spasms, weakness, fatigue and feelings of irritability or anxiety are all subjective. Hot flashes, vaginal dryness and night sweats are mainly subjective, even though they may be observed as well.
Collection of Subjective Data
Subjective data has traditionally been collected through two methods. Patients are first asked to fill out a Patient Intake Form that typically requests medical history and includes a review of systems checklist and, ideally, a lifestyle survey (smoking, alcohol, caffeine) and dietary survey. Healthcare practitioners then perform a Medical Interview in which is directed to the patients specific needs and presenting concerns. A combination of these two methods - a medical interview guided by the information the patient has provided in the intake form - is obviously the most effective method of collecting subjective data. This part of the seminar will introduce the Menopause Type^®Questionnaire^™, a patient intake form that will allow analysis of subjective data to reflect relative deficits or true deficits of estradiol, progesterone or testosterone or relative excess or true excess or androgens. The questionnaire includes both physical and neuro-cognitive symptoms.
Note: The Patient Intake Form, the Medical Interview and other documents are available in the Resources section of the Management of Menopause Type^® Program.
What's Next?
We will now review the symptoms of estrogen deficiency, progesterone deficiency and testosterone deficiency as well as the symptoms of androgen excess.
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