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Many of the following items will become part of your “Parkinson’s Care Notebook”.  A MUST for those with Parkinson’s, especially during an emergency situation. 

You may not always be able to speak for yourself.  Your carer could be incapacitated!  Ensure your vital information is ready with all your medical info in one place, ready to be passed on!  This notebook is the beginning of creating a higher level of care in your future. 

NOTE: All Printables are printed on 32# paper with rounded corrners.  Suggestion, make sure you always have a unused form, make you a copy of this form and place the organial in your medical files.  Now you are able to print out a new pristtine document anytime you need one. 

A: Medical Visit Accompany Letter  941.01

To be completed by your Neuro/MDS.  This letter is to help keep your caregiver with you throughout all of your medical and professional appointments. 

B: Medical Alert Hospital Hanger/Card  941.15

Designed to be hung or placed prominently in a hospital or care facility room.  Additional medication information and consideration on the reverse side. This is a 8.5 x 11 inch laminated item with hanger. 

C: Getting The Most Out Of Your Visit 941.07

Get the most out of all of your doctor’s appointments by planning ahead.  Take your “TOP 3” concerns to your specialist in an organized manner.

D: Hospital RX Medication Dispensing Order 941.06

This document will help ensure your Parkinson's medication or given on time every time. It is designed to be given to and placed in your records during all hospital stays, trips to the ER, rehab centers, and or care facilities. Make sure  ALL staff have reviewed this document. This document is to be signed by YOUR Neuor/MDS, Nurse Practioner as to dosage and timing of your Parkinson’s medications.   

E: Appointment Log 941.11

Track all future appointments concerning your health.  Also, know at a glance past visit information often asked by a physician.  “When was the last time you saw” or When did you see?”, you are no longer guessing, it is here at your fingertips in your “Parkinson’s Care Notebook”  

F:  Drug Disposal 941.13

Know where and how to donate unused medications.

G: Medication Dosage and Timing  Worksheet / OTC and Supplement Worksheet

This document allow you to quickly know at a glace which meds are taken and what time of the day.  Designed to be presented during office visits to show nurses/doctors exactly what you are taking and when.  Lower the risk of contradictory drugs and also help ensure the best timing for each medication.   Some meds are better taken at a specific time of the day.  Benificial during "pill sorting" task. Very helpful should someone need to step in to help with medication dispersal who is not familuar with you specific medication routine.  941.04 & 941.05

H: Office Visit Work Sheet 

Make notes on office visits during the consult.  Don’t be left guessing later on. 941.10

J: Sample of the Medication Dosage and Timing plus the OTC/Supp worksheets.  How to best use them.     

Not Shown:

Fact Sheet: APDA/Parkinson's Foundation Fact Sheet For Nurses and Hospilitizations

Provides vital information needed to share with ALL medical clinics, non-Parkinson's doctors and staff,  EMT, ER Visits, and hospitals and care facilities. 

Symptom Tracker - to be used to track symptom changes during visits to better help your physician to know what is going on.  By recording changes that raise concern helps you to, later on, know exactly when and what. 

Hospital Letters/Articles - Information from professionals to share with hospital staff, care facilities, family, and friends. 

Tip Sheets: Quick reference tidbits for day-to-day and emergency situations.