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Dizziness can be caused by many medical conditions. Sudden changes in blood pressure, heart rate or blood sugar can
cause dizziness as can side effects from certain medications. Dizziness, when accompanied by headache or blurred
vision, may indicate a more serious condition which should be discussed with your health care provider
60
Have you developed a cough? (same as Question Number 28)
A newly developed cough may signal a change in your medical condition. If your cough is unrelieved with prescribed
medication or if you develop difficulty breathing contact your health care provider.
61
Have you had a fall in the last day? (same as Question Number 31)
Falls can be a major cause of injury, and can lead to serious complications. Falls may be caused by medications, pain,
weakness, or changes in heart rate or blood pressure or
be accidental. Report any falls to your health care provider, even if it seems like you did not injure yourself.
Reminders
Number
Reminders
You have an appointment with your doctor today. Please write down any questions you may have and bring them to
101
your appointment.
You have an appointment with your doctor this week. Please write down any questions you may have and bring them
102
to your appointment.
You have an appointment with your health care provider today. Please write down any questions you may have and
103
bring them to your appointment.
You have an appointment with your health care provider this week. Please write down any questions you may have
104
and bring them to your appointment.
105
You are scheduled to have a visit from your home care nurse today.
106
You are scheduled to have a visit from your nursing assistant today.
107
You are scheduled to have a visit from your respiratory therapist today.
108
You are scheduled to have a visit from your physical therapist today.
109
Please check your medications to see if you need any refills.
110
Remember you have an event with your family this week.
111
Remember your social club is having a meeting this week.
112
Remember your grandchildren are coming over this week, have fun.
113
Please remember to change your dressing today.
114
P.4510EN.01
GENESIS DM CLINICAL GUIDE
Appendix A: Subjective Questions
12/5/2007
72
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