Dagbog for semi-ambulante patienter
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Kontakt os altid på telefon 97 66 38 33 (hverdage) eller 97 66 38 01 (aften, nat, weekend), hvis du får følgende symptomer:
- Temperatur over 38,5 grader
- Andre tegn på infektion
- Blødning.
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Har du spørgsmål, er du velkommen til at kontakte os.
Dato
Temperatur morgen
(grader celsius)
Temperatur aften
(grader celsius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celsius)
Temperatur aften
(grader celsius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celsius)
Temperatur aften
(grader celsius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celsius)
Temperatur aften
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)'
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Dato
Temperatur morgen
(grader celcius)
Temperatur aften
(grader celcius)
Vægt 2 gange ugentligt
(kg)
Notér symptomer på infektion, nyopståede problemer, ændringer i appetit, humør, motion eller andet:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________Notér, hvis du mangler medicin, udstyr til skift af forbinding eller udstyr til blodprøvetagning i eget hjem:
__________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________