PaJR initiation checklist:
1) History sequence of events link in description box
2) Clinical images of visceral fat and muscle mass (preferably standing lateral and ap views)
3) Available Radiology of the patient's problem (anatomic diagnosis)
4) Available electrophysiology (physio-logic diagnosis)
5) Relevant blood and fluid biochemistry (biochemical diagnosis)
6) Representative image in the DP
7) Patient project description (each and every PaJR is part of a ProJR). ProJR is project journey record that contains many PaJRs
8) Title : Age, gender example 26M Involuntary movements (always mention duration), Telangana, PaJR
9) One needs to upload all the PaJR updates sequentially into the case report and then email the final image of the signed informed consent form downloadable from http://
The case reporter needs to ensure that the informed consent is signed by each of their logged patients and emailed to this address: informedconsentpajr@
The signed informed consent needs to be emailed along with the patient's signature, their name and complete contact details along with signature and contact details of witness along with the case report and PaJR link in that email else the people who are archiving this data will not be able to correlate who's it is
10) Always share this graphical timeline for every inpatient (and if possible for our outpatients with regular follow up) regardless of their fever status as this is also a quick graphical timeline of the patient's soap and not just the fever 👇
11) Please ask the patient to describe his entire day through hourly activities (energy expenditure) with details particularly when he was alright and what happened hourly on the days the symptoms reappeared and started disturbing his daily hourly routine every hour.
Please share that here
A simple skeletal format that can be improvised upon is linked here :
12) Inpatient PaJR
Share the fever chart asap to allow us to understand at a glance what we have done and found differently each day since ../../23 asap
13) OSCE medical education integration of PaJR practice workflow :
OSCE points and questions common for all that all must be prepared to answer in their patients:
What bothers your patient the most and what are his active concerns?
List the problems in your patient in order of patient priorities and requirements
Sequence of events :
What was your patient's hourly workflow before the illness and how did it change after?
What are the current diagnostic and therapeutic gaps and what more can the treating team do to fill those gaps?
More here :
More FAQ's :
What is PaJR, CBBLE, UDHC, UDLCO :
User driven healthcare glossary :
[9/26, 9:59 AM] : Good morning Sir,
What is the format of the email to be sent to informedconsentpajr@gmail.
[9/26, 2:22 PM] Rakesh Biswas: This link contains the form 👇
Once the patient signs and all the address details of patient and witness are entered send an image of that to that email address as an attachment
In the subject line of the email mention :
Title of the pajr link and in the text also provide the links to the PaJR as well as case report
More PaJR workflow and FAQs
1) Was she admitted?
Please share her lateral view of abdomen and biceps to understand if she has a cardio metabolic syndrome risk phenotype
2)Please share your questions around this patient to trigger the discussion that may help everyone to learn how to provide better care to this patient
3) Please ask the patient to share his food plate (energy inputs) and hourly activities (energy expenditure) here everyday or if she can't do it herself on whatsapp as a patient advocate, then you will need to call her and share the daily updates here along with details on how the symptoms are disturbing daily hourly routine every hour
4) Please copy the case history and clinical images in the description box here to your online portfolio case report logbook.
5) [9/25, 9:49 PM] 2020 UG: They're mostly in the OP sir as of now a days so....
[9/25, 9:50 PM] Rakesh Biswas: OP patients need the case report much more than IP
6) [9/25, 9:25 PM] : Sorry sir, the patient was in hurry and refused to give his number.
[9/25, 9:35 PM] Rakesh Biswas: Ask the number and get consent signed before the interview.
Next before asking the history take the clinical images
Always mention opd or IPD and the duration of illness in the title
[9/26, 2:24 PM] Rakesh Biswas:
[9/26, 2:25 PM] Rakesh Biswas: Mention here the date you first saw the patient and in the title mention if it's opd or IPD
I am truly impressed by this activity
ReplyDelete