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Brain Tumor Monitoring Progress Chart

Patient Self-Monitoring and Treatment Response Tracker

Oncology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: _________________________ Date of Diagnosis: ______________ Treating Physician: _____________

Symptom Tracking

Daily Symptoms Scale (0-10)

Date Headache Nausea Vision Changes Balance Issues Notes

Treatment Response

Medication Log

  • Medication Name: ________________
  • Dosage: ________________________
  • Frequency: ______________________
  • Side Effects: ___________________

Therapy Sessions

  • Type of Therapy: ________________
  • Date: __________________________
  • Response: ______________________

Imaging Results

MRI/CT Scan Tracking

  • Date of Scan: ___________________
  • Type of Scan: __________________
  • Tumor Size: ____________________
  • Changes Noted: _________________

Quality of Life Indicators

Daily Activities (✓ if able to perform)

□ Walking independently □ Reading □ Writing □ Speaking clearly □ Memory tasks □ Self-care activities

Notes for Next Appointment

Emergency Contacts

Primary Doctor: _________________ Oncologist: ____________________ Emergency Contact: _____________

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