Doctor Discussion Guide

Most patients lack any real relationship with their healthcare provider, so an awkward dialogue takes place during most discussions in doctor’s offices. Here are the essential questions to be thinking about before going to your appointment, and questions to review with your healthcare provider to get the most out of the visit. Just select a condition in the box below and your prep list will appear below.

Arthritis Discussion Guide

Written by eHealth Navigator Thursday, 29 March 2012 4:55PM

This guide is designed to help you discuss your arthritis pain and potential treatment options with your doctor.   Answer the following questions as best you can and note the places where you have questions, so you can ask your doctor during your next appointment.

1.  Indentify by circling where you suffer pain below:
a.  Right shoulder
b.  Left shoulder
c.  Right hand
d.  Left hand
e.  Right elbow
f.   Left elbow
g.  Right wrist
h.  Left wrist
i.  Right hip
j.  Left hip
k.  Right knee
l.  Left knee
m.  Right ankle
n.  Left ankle
o.  Right foot
p.  Left foot
q.  Other:

2.  Rate each location you indicated as a source of pain by rating the pain (Mild , Moderate, or Severe)
a.  Right shoulder                        Mild     Moderate     Severe
b.  Left shoulder                           Mild     Moderate     Severe
c.  Right hand                               Mild     Moderate     Severe
d.  Left hand                                 Mild     Moderate     Severe
e.  Right elbow                            Mild     Moderate     Severe
f.  Left elbow                                Mild     Moderate     Severe
g.  Right wrist                              Mild     Moderate     Severe
h.  Left wrist                                 Mild     Moderate     Severe
i.  Right hip                                  Mild     Moderate     Severe
j.  Left hip                                     Mild     Moderate     Severe
k.  Right knee                              Mild     Moderate     Severe
l.  Left knee                                  Mild     Moderate     Severe
m.  Right ankle                           Mild     Moderate     Severe
n.  Left ankle                               Mild     Moderate     Severe
o.  Right foot                               Mild     Moderate     Severe
p.  Left foot                                  Mild     Moderate     Severe
q.  Other:


3.  For each pain source indicated above list as new or not below.
a.  Right shoulder
b.  Left shoulder
c.  Right hand
d.  Left hand
e.  Right elbow
f.  Left elbow
g.  Right wrist
h.  Left wrist
i.  Right hip
j.  Left hip
k.  Right knee
l.  Left knee
m.  Right ankle
n.  Left ankle
o.  Right foot
p.  Left foot
q.  Other:

4.  Circle each location where the pain has gotten worse over the last 3 months.
a.  Right shoulder
b.  Left shoulder
c.  Right hand
d.  Left hand
e.  Right elbow
f.  Left elbow
g.  Right wrist
h.  Left wrist
i.  Right hip
j.  Left hip
k.  Right knee
l.  Left knee
m.  Right ankle
n.  Left ankle
o.  Right foot
p.  Left foot
q.  Other:

5.  List medications you are currently taking:






6.  Please list any of the following you are doing to relieve the pain:
a.  Pain relievers
b.  Homeopathic
c.  Heating pad
d.  Avoiding use of that area
e.  Light activity or exercise
f.  Other:

Please print and take this with you to your appointment.

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