ࡱ> AC@%  bjbj%% "8GGl6666 B!!hz | | | | | | $" $j  s 0sss z sz srs:,f Ђ-:$6.  f <!!R%n%fsBladder Diary The Bladder Diary is for you to record: How often you urinate How often you accidentally leak urine What you think caused the accident The amount and type of drinks you had during the day You should start recording on the sheet each day when you get up in the morning. Then record on the same sheet for a full 24-hour period. Start a new sheet each day. Your doctor should tell you how many days to keep track of this information. Your doctor may also ask you to measure how much you urinate, and write that done as well. After you have filled out the Diary for the required number of days, bring the Diaries to your doctors office. How to use the Bladder Diary: 1st column Fill in the date and times each time that you urinate in the toilet or have an accident (leak urine before getting to the toilet). 2nd column Check this column if you urinated in the toilet. 3rd column Check this column if you had an accident. 4th column. If you had an accident, write down what you think caused the accident 5th column In this column, write down what you have been drinking before the accident. 1 Date & Time2 Urinated in Toilet3 Had Accident4 Cause of Accident5 Fluid Type and Amount before the Accident The example below shows how to fill in the diary. Monday July 4, 6AMx1 cup coffeeMonday July 4, 8:30 AMxWas outside watering plants couldnt get inside in time1 cup coffee 1 glass orange juice <=?Hz{}az' ) Q S  5\5CJ H*aJ 5CJ aJ >*CJCJCJ$7MsmF & FEƀ{F & FEƀ{ s;<HyqooooooooooF & FEƀ{F & FEƀ{ yz^_`abcdefghijklnz| $$Ifa$$IfK$$IflrZ  (o0664 la $$Ifa$   ' ) * + 8 $$Ifa$`$$Ifl4(0664 la$If8 9 P Q S TNNENNN $$Ifa$$If$$IflrZ  (o0664 la TNNNNNTN$If$$IflrZ  (o0664 la N$$IflrZ  (o0664 la$If N$$IflrZ  (o0664 la$If TNNNNN$If$$IflrZ  (o0664 la TNNNNNTN$If$$IflrZ  (o0664 la N$$IflrZ  (o0664 la$If N$$IflrZ  (o0664 la$If TNNNNNTN$If$$IflrZ  (o0664 la N$$IflrZ  (o0664 la$If N$$IflrZ  (o0664 la$If    TNNNNNTN$If$$IflrZ  (o0664 la      N$$IflrZ  (o0664 la$If       N$$IflrZ  (o0664 la$If         TNNNNNTL$If$$IflrZ  (o0664 la 1h/ =!`"`#`$`% i8@8 NormalCJ_HaJmH sH tH 8@8 Heading 1$$@&a$5\<A@< Default Paragraph Font.>@. Title$a$ 5CJ\@@  Balloon TextCJOJQJ^JaJ:'@: Comment ReferenceCJaJ4"4  Comment TextCJaJ8!"8 Comment Subject5\87Ms;<Hyz^_`abcdefghijklnz|')*+89PQS     000 0 0 0 00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 sy8      8@0(  B S  ?'()QRS33 78MNstWsxxDPaakk{<<HHZZzz!!G[^^ddjjkknnuu+7IMOOQRS David ReubenbC:\Documents and Settings\dreuben\My Documents\FILES\ACOVE Video\Final documents\Bladder Diary.docprjackso<C:\Geronet\centers\acove\patient_education\Bladder_Diary.docgnpIh ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH. hh^h`OJQJo( ^`OJQJo(o pp^p`OJQJo( @ @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o PP^P`OJQJo(ng                  lz')*+89PQS     @"`@Unknown David ReubenGz Times New Roman5Symbol3& z Arial5& z!Tahoma?5 z Courier New;Wingdings"h{ʗ&{ʗ&f FD!``20d- 2QHP Urinary Diary Pfizer Inc.prjacksoOh+'0 $ @ L X dpxUrinary Diaryorin Pfizer Inc.fizfiz Normal.dot prjacksot2jaMicrosoft Word 9.0@F#@fi|@':@':՜.+,0 hp   Pfizer Inc - Urinary Diary Title  !"#$%&'()*+,-./12345679:;<=>?BRoot Entry F`,-:D1Table%WordDocument"8SummaryInformation(0DocumentSummaryInformation88CompObjjObjectPool`,-:`,-:  FMicrosoft Word Document MSWordDocWord.Document.89q