My Symptom Tracker13a75d0dcb3a36f2a16d-90f71e043228b3a6bf0af83603aee50f.r79.c… · The Symptom...

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Janssen Biotech, Inc. © Janssen Biotech, Inc. 2014 8/14 019738-140811 JanssenBiotech.com Make the most of your time with your rheumatologist The Symptom Tracker is an easy way to keep track of your rheumatoid arthritis (RA) symptoms and give your doctor a clearer view of how you’re doing with your treatment. Get the most out of your RA treatment by sharing your weekly progress with your doctor. My Symptom Tracker Helping you have a joint discussion with your doctor Getting Started With the Symptom Tracker How the Symptom Tracker Can Help You: Take a few minutes to measure how RA is affecting you each day, and keep track of the progress you are making with your treatment. Use your notes to support a joint discussion with your doctor and nurse. It will help you manage your condition and make you aware of the things that affect how you feel. Record how you’re feeling every day. Fill in these rating scales each day. You’ll get a good picture of how you’re doing with your RA. On Day 7 use the Weekly Summary to rate how you’ve been feeling throughout the entire week. Use the Symptom Tracker to record your symptoms from week to week, then share it with your doctor at your next visit. Fill out the form on your computer Print and fill out with pen or pencil Download and save to your computer 1 2 or Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Notes: Morning Stiffness Lasted (hours) My morning stiffness… How I’m feeling today: (1 = Good, 5 = Bad) Morning Stiffness Lasted Record how long you felt stiffness in your joints after you woke up in the morning. Nighttime Pain Indicate how much pain kept you awake last night. Pain, Stiffness & Swelling in Joints Select 1 if you have a few joints that are swollen or hurting, or up to 5 if you have many. My Daily Activities Rate how your RA symptoms had an impact on your daily activities.

Transcript of My Symptom Tracker13a75d0dcb3a36f2a16d-90f71e043228b3a6bf0af83603aee50f.r79.c… · The Symptom...

Page 1: My Symptom Tracker13a75d0dcb3a36f2a16d-90f71e043228b3a6bf0af83603aee50f.r79.c… · The Symptom Tracker is an easy way to keep track of your rheumatoid arthritis (RA) symptoms and

Janssen Biotech, Inc.© Janssen Biotech, Inc. 2014 8/14 019738-140811

JanssenBiotech.com

Make the most of your time with your rheumatologistThe Symptom Tracker is an easy way to keep track of your rheumatoid arthritis (RA) symptoms and give your doctor a clearer view of how you’re doing with your treatment. Get the most out of your RA treatment by sharing your weekly progress with your doctor.

My Symptom TrackerHelping you have a joint discussion with your doctor

Getting Started With the Symptom Tracker

How the Symptom Tracker Can Help You:

Take a few minutes to measure how RA is affecting you each day, and keep track of the progress you are making with your treatment.

Use your notes to support a joint discussion with your doctor and nurse. It will help you manage your condition and make you aware of the things that affect how you feel.

Record how you’re feeling every day.

Fill in these rating scales each day. You’ll get a good picture of how you’re doing with your RA.

On Day 7 use the Weekly Summary to rate how you’ve been feeling throughout the entire week.Use the Symptom Tracker to record your symptoms from week to week, then share it with your doctor at your next visit.

Fill out the form on your computer

Print and fill out with pen or pencil

Download and save to your computer1 2 or

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

My morning stiffness… How I’m feeling today: (1 = Good, 5 = Bad)

Morning Stiffness Lasted

Record how long you felt stiffness in your joints after you woke up in the morning.

Nighttime Pain

Indicate how much pain kept you awake last night.

Pain, Stiffness & Swelling in Joints

Select 1 if you have a few joints that are swollen or hurting, or up to 5 if you have many.

My Daily Activities

Rate how your RA symptoms had an impact on your daily activities.

Page 2: My Symptom Tracker13a75d0dcb3a36f2a16d-90f71e043228b3a6bf0af83603aee50f.r79.c… · The Symptom Tracker is an easy way to keep track of your rheumatoid arthritis (RA) symptoms and

© Janssen Biotech, Inc. 2014 8/14 019738-140811

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Week of:

WEEKLY SUMMARY:

My morning stiffness lasted… How I’m feeling today: (1 = Good, 5 = Bad)

On average, On average, my morning stiffness lasted… how I felt this week: (1 = Good, 5 = Bad)

Notes:

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Notes:

Morning Stiffness Lasted (hours)

Nighttime Pain Pain, Stiffness & Swelling in Joints My Daily Activities

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Morning Stiffness Lasted (hours)