Personal Health Record
Keeping all medical information in one convenient place helps patients and families better communicate with physicians, better monitor medications and treatments and easily update changes in conditions or care.
Crouse’s Aging and Complex Care Service provides the tools seniors and their families need to keep an organized, up-to-date Personal Health Care Record.
This easy-to-carry booklet documents:
- Patient’s contact information, including family, physicians and pharmacy
- Medical history
- Hospitalization history
- Immunization history
- Upcoming appointments
- An area to note questions and concerns for the next doctor visit
Personal Medication Record
A Personal Medication Record helps adults better manage their health and medications. This simple document provides a place to record all medications, including frequency and dosage, take note of any drug allergies or side effects, and record any medications no longer taken.
In addition, this handy document can be presented to all healthcare providers or pharmacists, or brought on vacation or to an ER visit as a reference.
Symptom Tracker
The Symptom Tracker is a document that makes it easy for patients with congestive heart failure to keep an accurate record of how they are feeling each day. A convenient chart uses a number scale to record and measure typical patient symptoms (i.e., loss of appetitive, weight). And, this tool helps patients remember their symptoms, so they can properly discuss them with their healthcare provider at the next visit.
Diabetic Placemat
The Diabetic Placemat provides an easy reference to the components of a healthy meal and provides the signs and symptoms of high and low blood sugar. It is also a handy place to record daily blood sugars.