Verify patient dose: |
Missed doses: {YES/NO} |
Medication changes: {YES/NO} |
Diet or alcohol changes: {YES/NO} |
Abnormal bleeding or bruising: {YES/NO} |
|
Falls or injuries: {YES/NO} |
Upcoming surgery or procedure: {YES/NO} |
Change in medical condition or diagnosis: {YES/NO} |
Adapted from https://www.amjmed.com/article/S0002-9343(16)31066-X/pdf.