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.

Mole Removal

Mole Removal

Moles, warts, and other unsightly irregularities of the skin can be bothersome and even embarrassing. They can be removed naturally... Removing Warts and Moles Naturally! If you have moles, warts, and other skin irregularities that you cannot cover up affecting the way you look, you can have them removed. Doctors can be extremely expensive. Learn the natural ways you can remove these irregularities in the comfort of your own home.

Get My Free Ebook

Post a comment