A comprehensive tool for monitoring arthritis symptoms and treatment effectiveness
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Name: ___________________ Date Range: //___ to //___
Rate your pain level (0-10, where 0 = no pain, 10 = worst pain)
Date | AM Pain | PM Pain | Location | Triggers |
---|---|---|---|---|
Date | Medication | Dose | Time Taken | Side Effects |
---|---|---|---|---|
Check activities that were difficult today: □ Dressing □ Bathing □ Walking □ Climbing stairs □ Gripping objects □ Writing □ Other: ________________
Mood/Stress Level: ________________ Diet Changes: ________________ Other Observations: ________________
Overall Progress: ________________ Questions for Doctor: ________________
Bring this tracker to your next appointment Doctor's Name: ________________ Next Appointment: //___
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