Diary ... How are YOU doing?
We believe it is vital for the PLWP who has Parkinson's to know their personal PD profile. In other words, "How are YOU doing?" One thing we do know, everyone is different. Below you will find a diary that will help you see the whole picture. If you are having particular problems with your personal treatment, keep detailed information. For example, make several copies of this form and put them in a binder. Between doctor's visits, keep this diary, giving a copy of it to your neuro preferably with a summary that you understand. Depending on your problem, make this as detailed as needed. Each hour, check the appropriate box: off, on, or on with dyskinesia. Then, list symptoms or side effects you are experiencing at that time, and any medications you have taken that hour. Send suggestions for form modifications to plwp2000@yahoo.com Note: Ctrl P to print!|
date _________ |
Off | On |
On
w/dys |
Medication taken |
Symptoms or side effects |
Comments |
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