My care team
Write on the printed version who participates and how to reach them.
- Main professional and phone(fill in this space on the printed version)
- Nursing or home care(fill in this space on the printed version)
- Appointment or transportation coordination(fill in this space on the printed version)
- Main family member or caregiver(fill in this space on the printed version)
- Pharmacy(fill in this space on the printed version)
Organizing tasks
- Write who coordinates each task and on which day it happens.
- Confirm the next appointment date and time.
- Check which supplies should be available at home.
- Write down the instructions that need clarification.
- Keep a list of pending questions for the next conversation.
Changes worth communicating
- Any change your treating team asked you to report.
- Difficulty following an instruction.
- Supplies that ran out.
- Changes in the family support available.
- Appointments that could not be kept.
Call log
- Date, person and outcome(fill in this space on the printed version)
- Date, person and outcome(fill in this space on the printed version)
- Date, person and outcome(fill in this space on the printed version)
Simple week
Write the main task for each day and who will do it.
- Monday(fill in this space on the printed version)
- Tuesday(fill in this space on the printed version)
- Wednesday(fill in this space on the printed version)
- Thursday(fill in this space on the printed version)
- Friday(fill in this space on the printed version)
- Saturday and Sunday(fill in this space on the printed version)
Keeping documents organized
- Keep instructions and prescriptions in a single folder.
- Write the date on every document you receive.
- Bring the folder to every appointment.
- Share information only with people the patient has authorized.
- Remember this guide does not replace the official medical record.