Patient B.
Treatment management sample (CGI) tracking table
Patient: Mary Jones, age 9
Diagnosis: attention deficit hyperactivity disorder
| VISIT/DATE | SYMPTOMS | TOLERABILITY | ACTION | CGI-S | CGI-I |
|---|---|---|---|---|---|
| 1 5/22/06 | Inattention and hyperactivity home and school | N/A (no meds) | Initiate stimulant [name, dose] | 4 | N/A (no meds) |
| 2 5/29/06 | Inattention and hyperactivity have lessened a bit at home; still prominent at school | No problems | Dose raised [name, dose] | 3 | 3 |
| 3 6/5/06 | One episode fidgetiness at school (minor); otherwise no symptoms at school or home | Eating less per parent; one-pound weight loss since last visit | Maintain dose; parent to provide breakfast prior to dosing | 2 | 1 |
| 4 7/7/06 | No symptoms noted | No problems | Maintain dose; continue to dose after breakfast | 1 | 1 |