Comprehensive Medical Report and Treatment Plan
Why Create a Comprehensive Medical Report?
Table of Contents
A Quick Example Showing the Benefits of a Comprehensive Report
A 2013 report in Public Health Reviews shows that people with substance use disorders are more likely to develop co-occurring health problems like cancer, heart disease, and sexually transmitted infections.
Physical health and substance abuse are strongly connected, supporting the need for a comprehensive medical report and treatment plan during addiction treatment.
Making a Comprehensive Medical Report
Checking Vitals and Exploring Health History
The Goal of a Comprehensive Medical Evaluation
Individualized Treatment Plans
Mental Health Treatment Plans
Cancer Treatment Plan
Chronic Pain Treatment Plan
Substance Abuse Treatment Plan
Setting Treatment Goals
Just as a treatment plan will vary based on the individual and unique needs of each person, the goals of treatment are also individualized. These goals should be specific and include some manner for measurement so that everyone can determine if and when goals have been met. Treatment goals may include:
Improved Mental Health
A patient who is living with depression or anxiety may have a treatment plan goal that includes improved mental health. For example, a goal might be to reduce a score on a depression scale by 20% by the end of treatment or to reduce the number of daily disruptions that anxiety causes in his or her life.
For someone who has been struggling with a substance use disorder or addiction, sobriety is often a treatment plan goal. For example, someone who is recovering from opiate use disorder may have a treatment plan goal to remain sober for six months, as evidenced by negative urine drug screens.
A patient with a chronic pain treatment plan will typically have a goal of reducing pain. For instance, a patient who begins treatment with low back pain that rates at a 7 on a scale of 1 to 10, with 10 indicating the most severe pain, may aim to reduce average daily pain ratings to a 2. Meeting this goal would make the pain more manageable so it interferes less with daily functioning.
Exploring Treatment Options
Psychotherapy, also known as counseling or talk therapy, is common among those who are in treatment for mental health conditions like anxiety or depression. Psychotherapy can help people to identify the underlying causes of mental health disorders and develop healthier coping mechanisms and ways of thinking.
This is another common option for treatment plans. Those who are living with substance use disorders will undergo some form of addiction treatment, which can involve individual counseling, group counseling, educational groups, support groups, and medication.
For those living with chronic pain, physical therapy is an option that can be included in a treatment plan. The research supports the use of this treatment option, as a study in the American Journal of Physical Medicine & Rehabilitation found that a four-week physical therapy intervention significantly reduced neck pain while improving range of motion and physical performance when compared to a control group.
For those living with cancer, radiation therapy is a common form of treatment on the treatment plan. This option may even reduce cancer-related pain. According to scientists, clinical studies show that as many as 80% of patients with uncomplicated bone metastases enjoy pain relief with external beam radiotherapy.6
Comprehensive Medical Reports Improve Your Treatment
A treatment plan includes a variety of services aimed at improving overall health and well-being as well as checkpoints to meet treatment goals. Specific treatment plans are developed after a comprehensive medical assessment, which is thorough and identifies all underlying issues that may be contributing to any presenting problems. An advantage of a comprehensive medical report and treatment plan is that this sort of service assesses the entire person, providing the optimal level of care for true health and recovery.