Skip to content
Health Log Example
Example of the first 10 days of concussion
Daily Condition and Activity Journal
Date
Day
Key Events
School Communication
Hospital Communication
Physical Activity
Cognitive Activity
School Attendance
Screen Time
Nap
Bed time night before
Wake time
Night Time Sleep
Wed, Jan 15
1
Patient got concussion at _ o’clock
Called Hospital to set up appt on 1/16, 930am
None
None
Full
0
1/14/2020, 10:00 PM
1/15/2020, 7:30 AM
9 hrs 30 mins
1. No activity
1. Complete cognitive rest
Thu, Jan 16
2
Visited Kaiser at 930am
Emailed Chemistry Teacher
Met with Doctor Name at 930 am.
None
None
Out
0
6 hrs
1/15/2020, 10:00 PM
1/16/2020, 9:00 AM
11 hrs
1. No activity
1 - Complete cognitive rest
Fri, Jan 17
3
Emailed Attendance Office
None
None
Out
0
3 hrs
1/16/2020, 10:00 PM
1/17/2020, 1:00 PM
15 hrs
1. No activity
1 - Complete cognitive rest
Sat, Jan 18
4
Patient pushed himself too fast
Rearranged Room
60m - Drawing
NA
0
4 hrs
1/17/2020, 10:00 PM
1/18/2020, 12:00 PM
14 hrs
1. No activity
1 - Complete cognitive rest
Sun, Jan 19
5
None
None
NA
0
3 hrs
1/18/2020, 10:00 PM
1/19/2020, 12:00 PM
14 hrs
1. No activity
2 - Intro of cognitive tasks
Mon, Jan 20
6
Emailed School Sports Trainer
None
None
NA
0
2 hrs
1/19/2020, 10:00 PM
1/20/2020, 1:00 PM
15 hrs
1. No activity
1 - Complete cognitive rest
Tue, Jan 21
7
Language Teacher said not to worry
None
30m - Audio
Out
0
3 hrs
1/20/2020, 11:00 PM
1/21/2020, 1:00 PM
14 hrs
1. No activity
1 - Complete cognitive rest
Wed, Jan 22
8
1st Day Symptom Free
Contacted school counceler about possible IEP
None
None
Out
0
3 hrs
1/21/2020, 11:00 PM
1/22/2020, 1:00 PM
14 hrs
1. No activity
1 - Complete cognitive rest
Thu, Jan 23
9
light from window caused mild headache/pressure in head
None
4m relaxing music
Out
0
3 hrs
1/22/2020, 11:00 PM
1/23/2020, 1:00 PM
14 hrs
1. No activity
2. Intro of cognitive tasks
Fri, Jan 24
10
freeway travel 20min each way, family dinner caused headache and had to isolate with sunglasses
Requested meetings with teachers.
None
3hrs low social interaction
Out
0
3 hrs
1/23/2020, 11:00 PM
1/24/2020, 1:00 PM
14 hrs
1. No activity
2. Intro of cognitive tasks
There are no rows in this table
Want to print your doc?
This is not the way.
This is not the way.
Try clicking the ··· in the right corner or using a keyboard shortcut (
CtrlP
) instead.