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Helpful Tips : Daily Diary
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From: MSN Nicknamepray4acure2  (Original Message)Sent: 6/17/2007 4:44 PM

Just a little reminder of what to document in the daily diaries

Not only does this help WC cases it also helps the doc to figure out if your RSD might have spread or if your meds are not helping pain as well as they should, or even if certains things aggrevate your RSD

IF ANYONE HAS ANYTHING TO ADD TO THIS DOCUMENTING PLEASE FEEL FREE TO DO SO

Please remember to document medication and dosage, how often you are taking it, stopping and starting medications as well as the dates as reasons for taking the meds and if stopped the reason for stopping the medication and if the medication was effective and if any side effects were present.  Please include any over the counter drugs including but not limited to antacids, vitamins, minerals, and herbs, among many others

PHYSICAL SYMPTOMS

Overall morning pain level where and what type S = SHOOTING PAIN X = STABBING PAIN B = BURNING PAIN

Overall afternoon pain level where and what type A = Aching Pain N = Numbness P = Pins and Needles

Overall evening pain level where and what type

What was your average level of pain today

Did you take all your pain medicine today according to instructions

Did you skip any of your schedules pain medicines today why

Did you call your doctors office between visits because of pain

Did you avoid or limit your activities or cancel plans today because of pain or changes in your pain what activities

Even though you took your pain medicine for persistent pain on schedule, were there times during the day that you experienced unrelieved breakthrough pain

How many times did this happen

Did any activities start your breakthrough pain what activities

Overall are you satisfied with your pain management ? Explain what makes you satisfied or unsatisfied

What pain level would you find acceptable

Other than prescription medicine did you do anything else today to try and relieve the pain

Non prescription drugs (acetaminophen Ibuprofen) herbal remedies Hot or cold packs exercise

Changing positions (such as lying down or elevating legs) physical therapy

Relaxation techniques (hypnosis, biofeedback) acupuncture

Creative Technique (art or music therapy) psychological counseling

Talk to a trusted friend, family, clergy massage

Prayer, meditation, guided imagery rest

Any other methods to relieve the pain

Any side effects from meds

Drowsiness, sleepiness

Nausea, vomiting, upset stomach

Constipation

Lack of appetite

Weight gain

Any other side effects

How well did I sleep

What is my fatigue level

How weak do I feel

How dizzy do I feel

How are my bowels

How is my urination

How is my hearing

How is my walking

How is my vision

How moist are my eyes

What are my exercise levels

MENTAL, COGNITIVE, AND EMOTIONAL

How is my thinking ability

How anxious do I feel

How depressed am I

How angry do I feel

How irritable am I

How happy am I

EXACERBATING CONDITIONS

Current Temp Low High

Current Pollen/Mold Count tree-grass-ragweed Current weather Sunny Overcast Rainy Snowy Foggy

Is the humidity affecting me?

Have I done too much?

 



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