Communication - Feedback.

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In this Communication section you have learned about the guidelines for communicating with physicians and older adults about health problems. You were provided with strategies for inquiring about health issues and major health problems that many older adults experience.

This template will help you conduct your "health" interviews and it could serve as a communication tool between you, your loved one, and his or her physician. After completing it you can print it out.

Name
Date
When was the last time you had a physical?
What medications are you taking?
How would you rate your overall health?	Very Good Average Poor
What health difficulties have you experienced within the past week?
What daily activities, such as bathing, cooking, etc. do you find challenging?

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