Health Log Empty

Empty log for you to use

Date: What day it is

Day: The number of days the patient has been concussed

Key Events: Record what key things occurred that day

School Communication: Record if there is any

Hospital Communication: Record if communicated with Hospital

Physical Activity: Record the physical activities engaged in that day (i.e. stationary biking)

Cognitive Activity: Record the cognitive activities engaged in that day (i.e. thinking puzzle)

School Attendance: Record how much school the patient went to that day

Screen Time: Record how much screen time the patient did that day

Nap Time: Record how much time the patient spent napping that day

Bed Time Night Before: Record what time the patient went to bed the day before

Wake Time: Record what time the patient woke up that day

Night Time Sleep: Record how much time the patient slept

Return to Play Stage: Record which stage of the

Return to Play Protocol⁠

the patient is on

Return to Learn Stage: Record which stage of the

Return to Learn Protocol⁠

the patient is on

Total Symptoms: Record the total score of symptoms after scoring each one from 0 to 6

Tips

To make the daily entry more readable, click on the expand button to the left of the day’s row

Option + Space to expand row on Mac

Ctrl + Shift + Space to expand row on PC

To add more columns, scroll to the right, and click the “+”

Some options for new columns could be

Reading comprehension

Appetite

To hide categories that aren’t helpful, right click on the header, and select hide

Once you no longer have neck pain, you can hide the category

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Daily Entry

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My Daily Condition and Activity Journal

My Daily Condition and Activity Journal

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Want to print your doc?
This is not the way.

Try clicking the ⋯ next to your doc name or using a keyboard shortcut (

CtrlP

) instead.