Patient number

234.44.775

February 13, 2025 5:58pm

A Physical aspects 25%

  1. Abdominal pain (1/4)
  2. Anal or perianal problems (2/4)
  3. Fecal urgency (3/4)
  4. Poor sleep (4/4)
  5. Fatigue (4/4)
  6. Flare-up of your bowel disease (4/4)

B Activities 62%

  1. Physical care (2/4)
  2. Activities (1/4)
  3. Travel (1/4)
  4. Work or study (2/4)

C Social aspects 83%

  1. Relationships with friends (1/4)
  2. Intimate relationships (1/4)

D Psychological aspects 46%

  1. Life satisfaction (2/4)
  2. Outlook on the future (1/4)
  3. Autonomy (1/4)
  4. Resilience (2/4)
  5. Self-confidence (3/4)
  6. Feeling in control of your complaints (4/4)

E Circumstances 62%

  1. Surgical procedure (2/4)
  2. Hospitalization (1/4)
  3. Inability to take out health insurance (1/4)
  4. Income loss due to inability to work (2/4)

Patient feels his/her knowledge of IBD is insufficient.
Chief complaint:

Normal life
Impairment profile

Normal life impairment score

51% ability to live a normal life on items answered.