Self-Monitoring Symptom Log

Institute for Healthcare Improvement
Cambridge, Massachusetts, USA
This tool helps patients track how changes in diet, medications, activity, emotions, or other factors are affecting their symptoms and can be used as a communication tool with health care providers. Keeping a log like this example will help patients keep track and recognize progress on self-management goals.

Instructions for Patients and Families:
You can keep track of your symptoms with a symptom log, your numbers (like blood pressure, blood glucose, weight), and your medications and treatments. Some patients and families keep track of their health and progress by using a personal health record.
Keeping records of your health and your self-management activities will help you see where you are succeeding and where you need help. If you show your records to your providers, it will help them understand what you are going through and will probably give them new ways to help you.


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