PRO-based initiation of clinical interventions
Case Example 2: PRO-based initiation of clinical interventions for Louis
Example 2: Louis Brown
Louis, introduced in Chapter 7, is a 29-year-old patient diagnosed with advanced Morbus Hodgkin undergoing chemotherapy.Imagine you are Louis’ HCP. How would you choose and initiate clinical action?
Louis completes the EORTC QLQ-C30 via the web portal weekly before his appointments with you.
Before your meeting with Louis you review his weekly PRO data. After several weeks of chemotherapy, you can see that Louis reports increased fatigue and nausea as well as decreased physical and emotional functioning (red bars).
How would you conduct the consultation with Louis?
During the conversation, you ask Louis to talk about the symptoms he reported. You explore how he is experiencing his condition and what matters most to him. Louis confirms his symptoms, highlighting reduced physical functioning as particularly distressing. Together, you discuss possible symptom-management interventions.
What would you suggest to Louis? How would you address Louis’ symptoms?
In future consultations you will be able to see how Louis’ symptoms develop over time and possibly make further adjustments to the interventions. For example, if his nausea and vomiting still cannot be adequately controlled, a dietitian may be consulted in addition to adjustments to his medication.