Symptom Assessment and Management

My Symptom Assessment/Checklist

Forms:

To use the fillable form, please open the form on a computer or mobile device with Adobe Acrobat Reader installed, fill it out, save it on the device and email the file back to the kidney care clinic or dialysis unit.

Videos:

My Symptom Checklist: A guide for patients

Common Symptom Guides

Constipation

Patient Teaching Tool: Constipation

Patient Teaching Tools: Constipation (Chinese Foods)

Osmotic Laxatives

Stimulate Laxatives

sennosides

Stool Softeners

docusate sodium

Nausea/Poor Appetite

Muscle Cramps

Patient Teaching Tool: Muscle Cramps

Pain Management Resources

Pruritus

Patient Teaching Tool: Itchy Skin (Pruritus)

gabapentin

Antihistamines

Topical Cream

PRA Itch Cream (0.25% menthol, 0.25% camphor in Glaxal Base)

Restless Leg Syndrome

Patient Teaching Tool: Restless Legs Syndrome

*The information in our patient handout materials are provided for educational/information purposes, and to support discussion with your health care team about your medical condition and treatment. It does not constitute medical advice and should not substitute for advice given by your physician or other qualified health care professional.