19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52. Are you experiencing more difficulty breathing today, compared to a normal day? (With Education)
If
Yes:
53. Have you had to limit your activities more than usual? (With Education)
If
Yes:
54. Are you having difficulty taking any of your medications? (With Education)
Genesis Touch - User Manual
Have you noticed any bleeding today?
Have you noticed any new bruising today?
Are you having any problems with urination?
Are you having any problems with your bowel movements?
Has your wound changed in size or color?
Have you noticed a change in odor from your wound?
Have you noticed a change in the drainage from your wound?
Have you had to use your nitroglycerin in the last day?
Have you had to use your oxygen in the last day?
Have you developed a cough?
Have you noticed a decrease in your appetite?
Are you having difficulty swallowing?
Have you had a fall in the last day?
Are you having difficulty taking care of your wound?
Have your hands or face been more swollen in the last day?
Has there been any protein in your urine in the last day?
Do you have severe heartburn today?
Have you noticed a decrease in your baby's movement today?
Have you had any blurred vision today?
Have there been any changes in the medication you are taking?
Are you having difficulty following your weight-loss plan?
Are you having difficulty following your exercise plan?
Do you feel more anxious or upset today?
Has your mood been more depressed this week compared to a normal week?
Are you having difficulty managing stress this week compared to a normal week?
Are you having difficulty following your smoking cessation plan?
Are you having difficulty following your alcohol reduction plan?
Are you having difficulty understanding your diagnosis?
Have you had 2 plus or greater protein in your urine today?
Have you been to the emergency room this week?
Were you admitted to the hospital any time this week?
Has your doctor added, deleted, or changed any of your medications this week?
Did you have an unexpected visit to your physician this week?
More activity, being nervous, or not following directions from your doctor may make it harder to
breathe. Take your medicine. Use your oxygen as ordered by your doctor. Complete your
breathing treatments as directed. Shortness of breath, a new cough, or having to limit usual
activity may be a sign of a change in your health. Contact your health care provider to discuss.
A decrease in activity may be a sign of a change in your health. If you can't do your normal
activity, have a hard time breathing, or develop a new cough, contact your health care provider.
113