Patient Condition Monitor

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Complete once per day — takes about 2 minutes

Overall Impression

How does the patient seem today, overall?

5
Neither good nor bad
Very poorExcellent
🍽️ Eating & Appetite
0 = nothing at all · 10 = full normal meals
5
NothingFull meals
🫁 Physical Condition
0 = unresponsive · 10 = alert and communicating
5
UnresponsiveFully alert
💊 Medication
🧠 Mood & Interaction
0 = very distressed or withdrawn · 10 = calm and positive
5
DistressedCalm / positive
⚠️ Urgency Assessment
📝 Notes

Complete once per week — takes about 5 minutes

Weekly Trend

Compared to 7 days ago, how has the patient changed overall?

5
About the same
Much worseMuch better
⚖️ Physical Measurements
kg
0 = barely eating all week · 10 = eating full meals consistently
5
Barely eatingEating well
💊 TB Treatment Progress
👥 Social & Emotional
0 = has given up · 10 = determined to recover
5
Given upFighting hard
🏥 Clinical Opinion
0 = very unlikely to recover · 10 = good chance of recovery
5
Very unlikelyGood chance
🔴 Specific Concerns This Week
📝 Weekly Summary Notes