Domains of Suffering in the Patient Vignette
| Axis | Domain | Threat or Loss |
|---|---|---|
| Biomedical | Symptoms | Night sweats, brain fog, fatigue, joint pain, pruritis, vaginal dryness, decreased libido, weight gain |
| Functions | Insomnia, not running due to joint pain | |
| Sociocultural | Roles | Hard to perform at work due to brain fog and fatigue |
| Relationships | Sexual relationship with partner affected due to decreased libido, fatigue, and dyspareunia | |
| Psychobehavioral | Emotions | Fear, sadness |
| Thoughts | Anxious thoughts about teenage children and ailing father | |
| Existential | Narrative | Realizing that a significant part of her identity has been defined by her sexuality, attractiveness, and reproduction, she wonders who will she be as she becomes a post-menopausal woman? |
| Worldview | Entering a later stage of life, she asks herself: What is her life all about? Where does it fit in the life of her family and the big picture of why she is on the planet? |