Wheeland Spoke Formulation of the Crisis

The wheel-and-spoke format is a useful tool to help develop a formulation that specifies the causes of the crisis and can assist in the development of an effective, prioritized treatment plan. The acute crisis should be pictured as the center of a wheel. The spokes of the wheel are the problems or symptoms that are likely causing or contributing to the crisis. The physician can establish a numbered priority list for problem solving. For each problem listed, the family physician recommends a specific evaluation, test, or treatment approach designed to ameliorate the crisis. An application of the wheel-and-spoke diagram for Denise's case is illustrated in Figure 45-4.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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