Author(s)Canadian Virtual Hospice clinical team
Filecvh symptom diary.pdf

This diary can be used by patients to record their symptoms, when they occur, treatments used and did they work. It is a helpful communication tool between the patient and health care providers to improve symptom management. Patients are encouraged to take this record to health care appointments to help explain the symptoms they are experiencing, etc.   
Source: adapted by CVH clinical team from AGS Panel on Persistent Pain in Older Person, by American Geriatrics Society, J Am Geriatr Society 2002; 50: June suppl.

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