User Manual
Contents
1. Length of time completely disabled Length of time partially disabled Figure 3E Disability iHeadache Users Manual 13 3 6 Adding Medications to Your Headache See Section 3 3 and Figure 3C for Headache Entry Press from the Headache entry screen to open the Headache Meds screen You can add medication s that you take for your headache here To enter medication s you take press the tothe right of Add Medication to Headache Figure 3F Select a medication from your personal Medication List Figure 3G and enter the time that you took the medication Press Save to add the medication to your Headache Meds list Press Cancel to return to the Headache Meds screen without adding a medication If you are done adding medications to your headache press Save on the Headache Meds screen Figure 3F To delete a medication from your headache press Edit and select the medications you want to delete ll Carrier gt i Carrier gt Sorani Se O C Treximet 85 500 mg i sumatnptan naproxyn Advil Motrin Any dose 11 00 pm ibuprofen Advil Motrin Any dose ibuproten Imitrex 100 mg A0 sumatnptan 4 XIT R Sa eee Figure 3F Medication s taken for your headache Figure 3G Adding medication s and specifying time 14 iHeadache Users Manual 3 7 Viewing and Editing Your Headaches See Using the Headache2. iHeadache Capturie real time information on your headaches Feel it Record it Analyze it Send it User Manual Brought to you by Better lmpreving 7 TELIS ot lite tor parienrs W physicians Copyright 2009 BetterQOL All rights reserved BetterQOL com the BetterQOL com logo iHeadache and the iHeadache icon logo are trademarks of BetterQOL Apple iPhone and iPod Touch are trademarks of Apple Computer Inc registered in the U S A and other countries Other names and marks mentioned herein may be trademarks of their respective companies iHeadache Quick Start Guide Welcome to iHeadache Tracking your headaches including symptoms medications and disability will help you receive better care This Quick Start Guide provides an overview of iHeadache s key capabilities Getting Started The first time you start the app the system will automatically start the first headache Just say ok and do not worry about it now you can modify the date and time later Th com Set Your Preferences by pressing the Settings button and fill in your name to use on reports Go to the Medication Profile and add all the medications that you currently take to treat your headaches If your medication is not in the system you can Medication Profile B add it manually in Custom Medications Custom medications C Enter a headache from either the log page see next page or the Hea
3. e How many days do you have migraines and how many days to you have probable migraines Use the chart below to learn more about specific types of primary headache disease Chronic Migraine Chronic migraine patients have headaches 15 days per month with at least 8 days of the headaches being actual migraines averaged over 3 months Episodic Migraine Episodic migraine patients commonly have headaches that are tension headaches and probable migraine headaches For treatment they can all be considered part of the migraine headache disease process Tension Headaches If you have been diagnosed with tension headaches then none of your headaches should be migraine or probable migraine If they are then review options with your physician for taking therapy specifically for migraines New Daily Persistant Every day you have a headache and they are all tension Headaches type headaches The headaches began on a single day and continued daily from the very first day Infrequent Tension Tension headaches occuring less than once monthly on Headaches average over one year Headaches per month averaged over 3 months headache month averaged over 3 months In one study where headache experts first diagnosed patients with frequent disabling tension headaches 30 of them proved to have migraine with real time diaries Medications for treating migraines are given to patients who get disabling headaches of any type as long as some of their ty
4. Log Screen Section 2 5 2 3 8 Finding Headaches Missing Data See Using the Headache Log Screen Section 2 5 2 3 9 Application Help Help is available throughout the application by pressing the Q in the lower right corner of your screen iHeadache Users Manual 15 Chapter 4 Reports 16 4 1 Report Options You can obtain reports on your headaches for up to one year Pick your start and stop dates for the aai Carrier T report then choose to view data sorted by the following Report Start Date 1 16 09 42 calendar months scabies 30 day time frames 28 day time frames Break report by none one complete period of time Headache Type Medication Taken Select the criteria to include on the report IE Disability Time including I Disability Scale Headache Type Medications Taken Time Disabled MIDAS Disability Scale Show Report You must have at least 30 days of data in order for iHeadache to estimate a MIDAS score If 90 days of data are available the MIDAS score is more accurate 4 2 Viewing and Sending Reports To have the most detailed reports possible all headaches need to have the duration disability medication and symptom information filled out To view your report on your iPhone press Show Report or you can email it to yourself or others by pressing Email Report 4 3 Using iHeadache to Optimize Your Headache Care THE iHEADACHE APP CANNOT
5. T aa 15 36 PINGING Headaches Missing Dali sosterrana in e o a EE A 15 Afi ey 40 E E 8 8 NGL 1 Helon ny cee eRe tt nre ster ntAIOT tT ren ey cen SiG Unrrlny ae nti vPeen rete Teer tony Apron nr aan e teen eer reer A 15 Chapter 4A Reports ois oes ca ea ce a a 16 AREPO OP GILG Vpn mene oer MMC Rate a reo ret mmr mp ES errata A norte On eerie eet man eTs ete Sone 16 AZ VIE WIIG and ending IRC ONES ssns na A E A E 16 4 3 Using iHeadache to Optimize Your Headache Care sssssssssssssssssssssenrnnssnnrnnnnunnnnnnnnnnnnnnonnnnnennnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnnnennnnne 16 iHeadache License Agreement snarnionai a a a a 19 2 iHeadache Users Manual Chapter 1 Welcome to iHeadache 1 1 What is iHeadache iHeadache an app for the iPhone and iPod touch captures real time information about your headaches Real time information aids the patient and physician in making an accurate diagnosis Studies have demonstrated that the misdiagnosis of the type of headache results in the patient not being prescribed the most effective medication iHeadache is an expert system It classifies your headache type by analyzing your symptoms the duration of the headache and medications taken It follows the International Headache Society Criteria IHS Criteria and classifies your headache as a Migraine Probable Migraine Tension Headache or Unclassified Headache The application tracks the following data Symptoms iHeadache records symptoms comm
6. then selecting the date and time on the picker Symptoms 3 3 2 Length of Your Headache Medications The headache duration field Length of Headache is optional but may be used to classify the type of headache you are having To ensure complete reports and an accurate diagnosis itis advisable to enter the duration of your headache The duration can be Figure 3C Headache Entry Less than 30 minutes 30 minutes to 2 hours 2 to 4 hours Over 4 hours 3 3 3 Initial and Maximum Severity Select the initial severity and the maximum severity The maximum severity cannot be lower than the initial severity 3 3 4 Symptoms Medications amp Disability Information about symptoms medications and disability is optional but it helps to create a complete headache report for you and your physician Add or edit these items for a headache by pressing the next to the section Once a section has been entered and saved a will be displayed For instructions on entering symptoms see Section 3 4 For instructions on entering disability see Section 3 5 For instructions on adding medication to your headache see Section 3 6 Remember iHeadache is designed for you to enter information about your headache as it progresses You can initially set the Length of Headache and Maximum Severity of your headache and always come back in and change them as needed You can also update your symptoms medications
7. DIAGNOSE YOUR HEADACHES ONLY A PHYSICIAN CAN MAKE A HEADACHE DIAGNOSIS AFTER EXAMINING YOU AND RULING OUT CAUSES OF YOUR HEADACHES THE ADVICE BELOW ASSUMES THAT YOUR PHYSICAN HAS DIAGNOSED YOU WITH A PRIMARY HEADACHE TYPE SUCH AS MIGRAINE TENSION CLUSTER ETC While there are no hard and fast rules Dr Brian Loftus Chief Medical Officer at BetterQOL Inc offers the following recommendations for patients to maximize the benefit of iHeadache in their headache care It is most important to try and enter all of your headache information at the time the headache is occurring At the end of the headache or the end of each day review the headache entry and make sure the information is complete This is particularly important for your disability time and partial disability time While iHeadache cannot make a headache diagnosis and all patients need their headaches iHeadache Users Manual evaluated and diagnosed by a physician at least once iHeadache can provide useful information concerning the potential accuracy of your diagnosis The system analyzes headaches to see if the symptoms are compatible with migraine tension or probable migraine headache Cluster headaches are currently not included although iHeadache can still be used for headache counts and disability as there is no benefit for tracking symptoms of cluster patients Look at your headache reports for the last three 3 months or so e How many days per month do you have headaches
8. and disability at anytime iHeadache Users Manual 11 3 4 Entering Your Symptoms See Section 3 3 and Figure 3C for Headache Entry Press from the Headache entry screen to open the Symptoms screen Enter your symptoms by answering yes or no amp to the questions You must answer yes or no to all of the questions before you can save Return to the symptoms page to as your headache progresses if you need to change your answers and update the symptoms Press Save when you are done or press cancel to return to headache entry without saving 12 An aura is something that occurs before the headache begins If you are unsure if you have an aura answer no for now and ask your doctor about this Worse with movement means your headache pain is worse with regular movements such as walking around The term throbbing pain can also be thought of as a pulsating pain or a pain that goes up and down like your heart beat Sensitivity to light means the headache is more uncomfortable when you are exposed to light or you may feel better being in a dark room Is your headache Preceded by an aura Primarily one sided Worse with movement Accompanied with throbbing pain Accompanied with nausea No 35 Accompanied with sensitivity to light Accompanied with sensitivity to noise Accompanied with neck pain Accompanied with sinus symptoms Figure 3D Symptoms Sensi
9. ation severity symptoms disability and medication taken Log View a list of all your headaches sorted in chronological order You can also find headaches that are missing medication duration symptoms and disability information Reports View and email reports about your headaches Select various criteria time periods and report dates Settings Set up your personal medication list add custom medications and specify preferences iHeadache Users Manual 7 8 2 5 2 Using the Headache Log Screen To access the Log Screen press the Log button in the iHeadache toolbar wail Carrier 10 53 PM_ The Log screen Figure 2H lists all the headaches that you have entered Headaches Filter All headaches 20 are color coded by type Migraines are Red a Probable Migraines are Blue i heat 2 Tension Headaches are Green 06 08 09 at 11 45 am Migraine Unclassified Headaches are Black 05 25 09 at 10 40 am Tension headache Medications and Disability not entered 05 06 09 at 04 40 pm Probable migraine To edit a headache select the headache you er ea 05 03 09 at 10 45 am Unclassified headache want to edit and you will be taken to the idolana aapa and Diedlity eat extons 6 Headache Entry screen encanta ht re a 23 To delete an existing headache press the delete button and the delete buttons will appear To start a new headache press either the button in the upper right corne
10. cations a Enter your disability caused from the headache It is generally best to enter your disability information at the end of the headache Enter the amount of time you felt you were totally disabled unable to function and were generally in bed Include the time you were sleeping if this is not the time of day you would normally sleep and the amount of time you are a partially disabled still working or playing but not as well pete Add Another Headache K iHeadache You can enter new headaches from the log page by tapping on the Enter New Headache button The log screen lists all the headaches that have been entered to date Use the Headache Filter to find headaches with missing symptoms disability duration and medication Generating Reports The reports are designed with both you and your health care provider in mind and they offer a wealth of information In general since headaches come and go it is best to look at headaches over periods of time To generate a report press the button at the bottom of the screen then select the start and stop dates for the report This can include data for up to one prior year You can break the reports by calendar months 30 day periods or 28 day periods 4 weeks Discuss with your healthcare provider what to include on the report In order to view the report press Show Report and to send it to your doctor
11. dache page The system will automatically Preferences start a headache the first time you open the App You can begin 3 entering information about the first headache you are going to Reminders log When you need to begin a new headache you can tap the button Add Another Headache on the Headache screen Upgrades amp new features Update O the headache duration as your headache progresses If the headache has been present for a while you may want to set the duration at this time You can always update it later if the headache lasts longer About iHeadache Set your initial pain and maximum headache pain to z Settings this point of the headache Come back and update your maximum pain at any time if your headache gets worse Enter your symptoms All questions must be answered with either yes or no in order for you to save You can come back Headache Start Time 99 02 09 10 45 AM and update the symptoms at any time so if you have any new Length of Headache Duration isn t selected E symptoms as your headache progresses be sure to come back and enter them Initial Severity O Enter medications taken for the headache and the time you took them It is best to go to medication page and enter the medications when you take them The medication time is automatically set to the time you enter the medication however you may edit it Symptoms Disability Medi
12. determine headache type This will be the default setting until it is changed Require Duration The duration of the headache is required in order to determine the type of headache 2 5 Basic Navigation in iHeadache The basic navigation is outlined below so that you can efficiently enter information into iHeadache iHeadache is designed for you to enter information about your headache as it 6 iHeadache Users Manual progresses For example if you start entering your symptoms at the onset of your headache and additional symptoms develop you can go back and update iHeadache with your new symptoms 2 5 1 The iHeadache Toolbar The iHeadache toolbar appears at the bottom of all screens Any time you need switch between functions the program will remember your previous entries so you will Headache Start Time not loose the data you have entered Length of Headache Initial Severity Example You are entering a headache but a a decide you want to look at the Log to see how Maximum Severity many headaches you have had recently You can NSTI Woderaie severe look at the Log then return to Headache Symptoms J Disability and finish entering your headache without loosing any data Medications 7 Add Another Headache Figure 2G Example of the iHeadache Toolbar The following appear on the iHeadache Toolbar Headache Headache Enter headaches including start date dur
13. e will be the current date and time When you are ready to a enter your first headache just click the Headache cys the wi fiat wee on inkial_ I i i i headache is created for you See Start Time and pick whatever date and time you hina Seven 2 a detailed instructions need 3 2 Begin a New Headache Press the Headache button on the iHeadache toolbar You can begin a new headache at any time from the Headache Start Time oc0 08 0200 PMS headache entry screen by pressing the Start New oe ee Headache button See Section 2 5 2 for starting a new headache from the log screen u Headache M Headache record was successfully created An alert box will notify you that a new headache was successfully created Press OK and begin entering data about your headache If you already have a headache entered on the same day iHeadache will alert you and make sure you want to start a new headache Warning You already have an headache this Figure 3B Confirmation of new headache day Do you want to start another headache ee v e aa c Y RE 10 iHeadache Users Manual 3 3 Entering a Headache 3 3 1 Headache Start Time All headaches must have a start time When a new headache is created the start Headache Start Time time automatically defaults to the current k anii date and time The start time can be Initial Severity changed by selecting the start time drop down menu and
14. eadache Order Test Preference It is possible for a headache to meet the criteria for both probable migraine and tension headache Headache experts disagree how these headaches should be Ignore Duration 16 considered According to the most recent definitions of headache from the International Headache Society the directive is to count these headaches as tension headaches but some physicians prefer to count them as probable migraines Set the preference by choosing to test for tension headaches first or probable migraines first Headache duration rules Figure 2F Preferences Screen 2 4 2 Medication Name in Reports Chose whether to show generic medication names trade medication names or both on reports 2 4 3 Headache Duration Rules The official diagnosis of an individual migraine headache is one that either lasts at least four hours or goes away when a medication used specifically to treat migraines is taken For the purpose of tracking or counting migraines you can chose to do the following with the length of the headache Ignore the Duration Whether the duration is entered or left blank the duration will be ignored and only the symptoms will be analyzed to determine the type of headache Use the Duration if Entered If the duration is entered then it will be used along with symptoms to determine the headache type If duration is left blank then only the symptoms will be analyzed to
15. he dose of the preventative is inadequate or the preventative needs to be changed Typically a good response to a preventative is a 30 reduction in the number of days you have a headache and 50 reduction in disability A great response is more than 50 reduction in the headache days and more than 75 reduction in disability iHeadache Users Manual iHeadache License Agreement Only a physician can diagnose your headaches Once serious causes of headaches have all been eliminated you can use iHeadache to keep track of the number of headaches you have severity of your headaches disability caused by your headaches treatment of your headaches type of headache migraine probable migraine or tension type This application determines the type of headache by analyzing symptoms during the headache duration of the headache and response to migraine specific medication Most headaches that patients consider to be sinus headaches stress headaches and menstrual headaches fall into the above groups At this time cluster headaches are not supported for headache typing by iHeadache but patients can use this application to keep track of cluster headache counts and medication usage The application will report data by time intervals months 30 days or 28 days This enables you and or your physician to use the data to determine if the treatments for prevention of your headaches are working In addition the application
16. ing Headaches Shows how to enter a headache Also covers entering symptoms disability and medication Navigation Log Screen and finding headaches missing data are also explained Tutorial 3 Running Reports Explains how to generate reports and what information is available Also shows how to view and email the reports iHeadache Users Manual 3 Chapter 2 iHeadache Settings amp Navigation 4 2 1 The Settings Screen Before you begin to enter headaches into iHeadache we recommend that you set a few i fast Carter preferences Press the Settings button on the iHeadache Toolbar to bring up the screen Your name with options for entering your personal eB Medication Profile gt settings Go Custom Medications 3 The reports generated from iHeadache can Adlai have aname on them Enter your name E Armos and it will appear on your reports If you prefer not to have a name appear on your reports then enter none R About Headache Upgrades amp New Features gt Figure 2A Settings Screen 2 2 Your Medication Profile a When tracking your headaches it is helpful to record the medication s you take to treat your headache In order to add medications to your headache they must first be setup in your Medication Profile From the Settings screen press Medication Profile To add a medication to your Medication Profile Figure 2B press the onthe line that says Add Medicati
17. on You will be taken to the Medication List Figure 2C The most common prescription and over the counter medications for acute headaches are available in iHeadache Enter the name of your medication generic or brand name in the search field to try to find your medication or scroll down the list If your medication has more than one dose try to find the correct one Press the onthe medication that you want to add or press anywhere on the name of the medication to see the Medication Details Figure 2C The Medication Details screen shows the form tablet injection capsule etc dose and other information Confirm it is the medication that you want and press Add medication to profile If it is not the medication that you want to add press Back to go back to the Medication List If your medication is not listed in the Medication List you can add a custom medication by pressing New Medication See Section 2 3 for setting up custom medications To delete medications from your Medication Profile press edit on the Medication Profile Screen Figure 2B and select the medications you want to delete iHeadache Users Manual 2 2 Creating Your Medication Profile Con t i gt gt gt Default system medication Imitrex 100 mg sumatnptan Name Imitrex Imitrex 6 mg sumatnptan Form injection Imitrex 4 mg j sumatnptan Maxal
18. on 1n Ulead ache catalase sachet aan a eee de toe a asa ae a ca le eer atten 6 Pe Me ea CAC ie OOM egaa A 7 2 5 2 USING the Headache LOS SClrE ECM ssvcicazisescascpisvscansivazensansantannsvaeivestadaanesbensestavasuadaesewebaaniasasati ona itaeasaapanaagaveaavainivaavenasreasans 8 2593 Neea eV IO SANIT OWS oss cces Opes vccvess can veastcessusastsicncsecceytce A N 9 Chapter 3 Entering Your Headache Information csccssscssseeseeseeeesneesseeseneeeeeesseeeseeeseneseeeessnessaeeseeesseeseaeseneenas 10 ST VOU MI leadac he aks aeee Geese E E E N ena edt atone nearer 10 S2 LO EGC BA cai TEULA Gl cimemmrenrmerereretrert ctr A E erer ee E Ser asec neta A erent terre reer 10 ro ENENG ATH Ada NE oa A amv nore Cer etre T A Petter nr oer erry rere me ee formee eer Terre eran ere 11 eo a Pl AHeadache Start TIME Semen mene one E E ee men eee ee ee E 11 J Pm 9 41 ea gh OUr Edda Ch sane ane rn EN Peon NES rR et tree ae mT one E eae nee eee ee 11 33 Miuakand Maximu Severity ct escusccaii eens wdedee A datos Miadatscedtyci nN driadasaaeatidaadendre 11 5 52 Symptoms Medications amp DISADIICY ousensia since S 11 Ds CTIA V OUP SV INC OMS eset ceca Sects TEE taeda saeco race OO eas anvdeshlacaes deemed 12 Bede DISC VILY N Om edda che S oiia acceso cu A handle ater akan AAA E advent 13 36 Adding Medications to Your Headache pecsesiescarssce atta taste teeta ibdeacesuan e a pcaiaate eee 14 3 7 VieWING and Eding YourHeadacheSsemsosencsein anal aerial N E A
19. on with various types of headaches The symptoms you enter into iHeadache are what determine the type of headache you are having Disability iHeadache captures the amount of time your headaches result in complete and partial disability It also captures the degree that you are disabled using the Migraine Disability Assessment Scale MIDAS scale Medication Usage Overuse of some medications can cause rebound headaches Capturing medication usage will lead to improved recognition of overuse Number of Headaches Some headache types are classified by the number of headaches a patient has over a period of time as well as the individual type of headache the patient is having iHeadache records the total number of headaches and the various types iHeadache was developed by Dr Brian D Loftus of Bellaire Neurology Dr Loftus is a private practice neurologist His practice emphasizes headaches epilepsy multiple sclerosis and neuropathic pain He has presented research at various national and international meetings 1 2 Quick Start Videos We ve put together a series of tutorials of common iHeadache functions watching them are probably the best way to get acquainted with the software There is also a quick start guide Then if you want to learn more this manual will still be here when you re done Tutorial 1 Setting Preferences Shows how to setup the medication profile custom medications and application preferences Tutorial 2 Enter
20. pes of headaches are migraines If you are not on migraine specific medications and your reports indicate significant disability from your headaches each month then please ask your physician for this medication Do you need headache preventatives Use reports from iHeadache to determine if headache preventatives are needed If you are iHeadache Users Manual 17 18 having significant disability despite you and your physicians best efforts to treat your headaches or if your headaches are more frequent than once weekly then one needs to consider prevention Choosing appropriate prevention depends both on the headache type as well as your individual treatment preferences You and your physician should take into account the following factors e Efficacy data for your headache type e Side effects of the medication e Cost e Comorbid diseases other diseases you have besides headache e Personal preference types of medications you may which to avoid If you are already on a preventative or after starting a preventative you and your physician need to determine if it is working Use iHeadache to break reports by months 30 days periods etc Look at a period of time after the new medication is started compared to the time period before the preventative is started e Are you having fewer headache days e Are you having less disability compared to before you started the preventative If you answer no to both of these questions then either t
21. press Email Report Your headache type is determined from your symptoms duration and medication taken according to International Headache Society criteria In a study performed by headache experts on patients with disabling tension headaches real time diaries proved 30 of patients were misdiagnosed More than U of patients with migraines are misdiagnosed with tension and sinus headaches Some diagnosis require not only knowing how many total headaches you have but also how many individual headaches meet criteria for migraine iHeadache will do this for you and your doctor If you have frequent headaches this app will allow your physician to make a more accurate diagnosis Medication use is summarized and reported by time frame It shows medications taken for headaches and can show the possibility of rebound headaches also known as medication overuse headaches Your disability is calculated by the system The system reports the time you are disabled and partially disabled from your headaches and calculates your MIDAS score MIDAS is a disability scale commonly used in migraine studies A score of 6 10 means you have mild or infrequent disability A score of 11 20 means you have moderate disability A score over 21 means you have severe disability Quick Start Guide Bette Delete Filter All headaches N 05 19 09 at 06 56 pm Migraine 05 07 09 at 01 05 pm Probable migraine Disability not en
22. r or the after Enter New Headache Also see Section 3 4 The log screen displays a note under headaches that are missing duration medication symptoms and disability information You do not have to Missing WechCamoue enter this information however your reports are E a much more useful if you do Missing disability The Headache Filter can be used to display only the headaches missing certain criteria Use the headache filter Figure 2I to show All Headaches Headaches Missing Medications Headaches Missing Symptoms Headaches Missing Disability Headaches Missing Duration Figure 2I Headache Filter iHeadache Users Manual 2 5 3 Next and Previous Arrows At the top of the Headache screen Figure 2J and Figure 3C there is a left and right arrow Use these arrows to scroll to the next and previous headache The date in between the arrows is the headache date You can edit the headaches as you scroll through them or just view the data Figure 2J Scroll Arrows on Headache Entry Screen iHeadache Users Manual 9 Chapter 3 Entering Your Headache Information 3 1 Your First Headache The very first time you start iHeadache a headache entry is created for you An alert box will appear to inform you of this Just press OK Headache Start Time 05 31 09 amp 09 46 PM lt A Length of Headache Duration isnt selected j This start time of the default headach
23. t MLT 5 mg nzatnptan Maxalt MLT 10 mg nzatnptan Maxalt 5 mg nzatnptan Maxalt 10 mg nzatnptan Midrin 65 100 325 Mg lsometheptene mucate etc Dose 6mg This medication is specially prescribed to treat migraines Add medication to profile Migranal Any dose 2 3 Creating Custom Medications Po If your medication is not listed by default in the Medication List you can add a custom medication to your Medication Profile From the Settings screen Figure 2A press Custom Medications Enter the name of the medication the form i e capsule tablet injection nasal spray etc and the dose This medication is specially prescribed to treat migraines If the medication is specifically prescribed to treat migraines and does not treat any other condition then press yes otherwise press no The reason this is important is that some headache diagnosis s are dependent upon duration of the headache and whether a migraine specific medication is taken to treat the headache Press save when you are finished entering your custom medication or press cancel to return without saving Figure 2E Custom Medication iHeadache Users Manual 5 2 4 iHeadache Preferences i Please note Your physician may specify these advanced preferences To edit the following settings press Preferences from the Settings screen Figure 2A 2 4 1 H
24. tered 04 26 09 at 05 40 pm Unclassified NERACIA v Symptoms and medications not entered 03 02 09 at 10 45 am Tension headache Report Start Date Report Stop Date Break report by Medication Taken Disability Time Disability Scale Show Report i 4 S From Stewart WF Lipton RB Dowson AJ et al Development and testing of the Migraine Disability Assessment MIDAS Questionaire to assess headache related disability Neurology 2001 56 Suppl 1 S20 28 with permission Migraine Disability Assessment MIDAS has graciously allowed for patient use with their doctors Table of Contents Chapter 1 Welcome CO VEG Gl aC Coc saiaicctssccess reise seh ces aa aaa A a Slvr ceed 3 P Whati Hedda Ne coher alos E E do ac clara tea EATA ede seat aback via vacances AE aeed cae 3 eZ UTC SEAT VLC OS i Naas eR NB ti anes ira Ya aces a eet See aac wae alae cael eae Deeds E Scien 3 Chapter 2 iHeadache Settings amp Navigation cccsecsscssecsseeseceesseeseeeeseeesseesseeseeesseesseeseaeseeeessnesseesseesnaesseneeneeesenes 4 ZT TRES OS SCO aa a A E terereert nr tire rere ra 4 Zo YOU Medica orn PrO E or nore na EEEE T A E A E A E E AAAA 4 Zo Creating GUSLOMTIVICOICOUIONS demini ARAE E A eter AS RA 5 ZA Heddache PTO TENTES dus enia E EA AEE O EAA 6 24 1 Headache Order Test Preference sriisscrisiiosiiinoniinniasai dnl a a aaa aa 6 2A 2 Medication IN AIT Ces COLES na aiea a ed ga aan A EE eae seeded rears cles 6 29 Basie Navigati
25. tivity to noise means the headache is more uncomfortable when you are exposed to noise or you may feel better when it is quiet iHeadache Users Manual 3 5 Disability from Headaches See Section 3 3 and Figure 3C for Headache Entry Press from the Headache entry screen to open the Disability screen iHeadache uses the MIDAS scale It was originally developed by Robert Lipton It is widely used in research studies to determine the effectiveness of treatments and their impact on the patient s disability In addition to the MIDAS scale estimate the amount of time you were completely disabled because of this headache Also estimate the amount of time that you were partially disabled Do not include time you were partially disabled in the time that you were completely disabled Return to the disability screen as your headache progresses to update information Press Save when you are done or press cancel to return to headache entry without saving Note If you answer Yes to question 1 question 2 will be disabled If you answer Yes to question 3 question 4 will be disabled Because of your headache today were you Unable to go to schoo or work At work or school but productivity was less than 50 of norma Unable to do household work Able to do household work but productivity was reduced by 50 Unable to attend social leisure or family activity
26. will report on your degree of disability using a MIDAS scale and by tracking the length of time disabled It also tracks medication usage iHeadache Users Manual 19
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