5:00 P.M.
Later, as Rachel is relaxing, she starts to experience tingling and shooting pains in her armpit. Rachel becomes worried and texts the word CARE to 52046 , indicating the symptoms she is experiencing via the interactive mobile feedback form. Her Personal Concierge responds immediately with a message explaining that nerve pain is very common after surgery and usually takes a couple of weeks for the nerves to fully heal. The message also includes a link that directs Rachel to a page within her personalized library where she reads up on ways she can best manage the pain.
52046 CARE
5:30 P.M.
Rachel receives a Care Message reminding her to take her IBRANCE with dinner in conjunction with the medication management recommendation that IBRANCE be taken with food and at the same time each day.
7:00 P.M.
Rachel receives her evening message that helps relieve her stress and promote relaxation. The activity is a 10-minute yoga video. The yoga helps put Rachael in a more para-sympathetic state which reduces the anxiety she has been experiencing as nighttime approaches.
52046
9:00 P.M.
Rachel is getting ready for bed and begins experiencing feelings of anxiety in anticipation of the mind-racing she experiences when she lies down each night. Aware that this is a time of vulnerability for Rachel, the virtual concierge sends Rachel a Care Message timed to her bedtime suggesting that she create a relaxing environment by trying certain breathing techniques. She falls asleep mid-way through her breathing exercise.
52046 .....
The next day, Rachel receives a "how are you doing?" message asking her if her nerve pain has gotten worse. Rachel notices that is has not gone away and she actually is feeling more numbness in the area. She responds to the message with YES. Five minutes later, Rachel receives a call from her oncology nurse navigator who recommends that Rachel take over-the-counter pain medication and apply topical cream to help relieve the nerve pain. A couple days after following the nurse navigator’s recommendation, her nerve pain subsides and she responds as such to her next "how are you doing?" message.
SLEEP AND BEHAVIORALRX® MOBILE MEDICINE FOR THE MIND AND BODY
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