Healthcare Tools

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Tools created by Caring Ambassadors Program:

Your Healing Planner©
A tool for healing when faced with long-term illness

My Plan
A personal integrative health plan to help you organize choices you have made related to all aspects of your healthcare

Action Plan
Break up larger goals into smaller actions that can realistically be achieved to help you move forward on your healing journey

My Integrative Healthcare Team reference sheet 
Record the names and contact information for your practitioners from all areas of healthcare

Health history and intake questionnaire
A generic health history intake questionnaire to keep on file and provide to all healthcare practitioners 

My Medications and Supplements reference sheet
Track and record all medications you are taking, including prescriptions, over the counter drugs, supplements and vitamins 

My Weekly Action Plan & Calendar
Set weekly goals, organize appointments, and track progress made on your healing journey. Available mid-year 2018

Your Healing Planner©

A tool for healing when faced with long-term illness

The initial version of Your Healing Planner is now available for download! Will you help make it great? The Caring Ambassadors is still in the process of developing content and improving the planner’s user friendliness. We’d love to hear your feedback and suggestions: What works? What doesn’t? How can we improve the Your Healing Planner to help you and others learn, live well, and heal?

Click here to learn more

My Plan

A personal integrative health plan to help you organize choices you have made related to all aspects of your healthcare

Once you’ve taken the first steps to gain control over your healthcare after your diagnosis, it is important to spend some time establishing goals for the road ahead. When you’ve determined these goals, the question becomes: how do you work towards them? At that point, mapping out a personal healthcare plan can be incredibly helpful.

 

Click here to learn more about My Plan

Action Plan
Break up larger goals into smaller actions  that can realistically be achieved to help you move forward on your healing  journey

“What you get by achieving your goals is not as important as what you become by achieving your goals.” – Henry David Thoreau

Learn more about creating an Action Plan

My Integrative Healthcare Team reference sheet

Record the names and contact information for your practitioners from all areas of healthcare

Download the PDF here

Health History and Intake Questionnaire

A generic health history intake questionnaire to keep on file and provide to all healthcare practitioners 

Download the PDF here

My Medications and Supplements Reference Sheet
Track and record all medications you are taking, including prescriptions, over the counter drugs, supplements and vitamins 

Download the PDF here

My Weekly Action Plan & Calendar

Set weekly goals, organize appointments, and track progress made on your healing journey. Available mid-year 2018

Tools created by others:

*Although some of these tools were initially developed for specific patient populations, most of the information and skills they provide can be used by any patient with a long-term illness.

Lifestyle Tools

Whole Health Library
VHA Office of Patient Centered Care & Cultural Transformation,
Pacific Institute for Research and Evaluation,
University of Wisconsin-Madison School of Medicine and Public Health

Healthy Food, Healthy Mind, Healthy Lifestyle, Healthy You
Dr. Wayne Jonas

The Nutrition Rainbow
Physicians’ Committee for Responsible Medicine

My Food Tracker
American Diabetes Association

Weekly Exercise and Physical Activity Plan
National Institutes of Health

My Fitness Pal, calorie counter, diet & exercise journal

How to Understand and Use the Nutrition Facts Label
US Food and Drug Administration

What’s Cooking? USDA Mixing Bowl
US Department of Agriculture

BMI Calculator
US Department of Agriculture

HerbList mobile App for Apple
HerbList mobile App for Android
National Institutes of Health

Meditation and mindfulness practice

Sleep Diary
National Sleep Foundation

Communication Tools
Talking about Complementary and Alternative Medicine with Health Care Providers: A Workbook and Tips
Office of Cancer and Complementary and Alternative Medicine,
National Cancer Institute

A Greater Understanding. Second Opinions: Know Your Rights and Options
Patient Advocate Foundation

Teamwork: The Cancer Patient’s Guide to Talking with Your Doctor
National Coalition for Cancer Survivorship

How to Talk to Your Doctor (online video)
Caregiver Action Network

Tips for Talking with your Pharmacist
Patient Advocate Foundation

Essential Questions to Ask Your Doctor
National Coalition for Cancer Survivorship

Questions to Ask your Doctor, Question Builder
Agency for Healthcare Research and Quality

Self-Advocacy and Health Care Management Tools

After Diagnosis: A Guide for Patients and Families
American Cancer Society

Cancer Survival Toolbox (audio program)
National Coalition for Cancer Survivorship

Know Yourself Worksheet [PDF]
National Coalition for Cancer Survivorship

National Financial Resource Directory
Patient Advocate Foundation

My Family Health Portrait online tool
The Surgeon General

How to Choose a Doctor worksheet
American Cancer Society

A Doctor’s Guide to a Good Appointment
The New York Times

American Academy of Family Physicians: Symptom Diary

Decision Making Tools

Patient Decision Aids
The Ottawa Hospital 

Prepare for Your Care

Shared Decision Making National Resource Center
The Mayo Clinic  

The Option Grid decision aids

Decision Support App
The Empowered Patient Coalition 

Choosing Wisely website
The American Board of Internal Medicine Foundation