Uk ibdq
Patient Quality of Life
Questionnaire (baseline)
PLEASE DO NOT WRITE ON THIS QUESTIONNAIRE.
IT IS FOR INFORMATION ONLY. ALL ANSWERS WILL BE RECORDED BY THE
Biobank Suite (rm 244), Grove Building, School of Medicine, Swansea University
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
Section E: Resource use questionnaire
This section is about the health care you have received –
apart from any services
at the hospital where you were recruited. All questions refer to the
three months before completing this questionnaire.
We would like to know about contacts you have had with health professionals in the last
three months
for any reason -
not just with regard to your bowel condition.
1. In the last
3 months, have you been seen for any reason by any of the following
at
your GP surgery?
Your own or another GP
Nurse
Any other health professional (e.g. dietician, physiotherapist, health visitor)
Please enter the number of times for…
Other (please specify) ____________________
2. In the last
3 months, have you been seen for any reason by any of the following
at
home?
Your own or another GP
Nurse
Any other health professional (e.g. dietician, physiotherapist, health visitor)
Other (please specify) ____________________
3. In the last
3 months, have you discussed your health over the telephone with any
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
health professional (apart from to make or change appointments).
4. In the last
3 months, have you visited an accident and emergency department
other than at the hospital where you were recruited to the study?
n the last
3 months, have you been admitted as an in-patient (i.e. stayed overnight in
hospital) for any reason at a hospital
other than at the hospital whereyou were
recruited to the study?
Please enter the number of
nights you spent in hospital
6If you are in work, did you take any time off work
either due to illness
or in
order to see any health professional, for any reason, in the last
3 months?
Please enter the number of day (to the nearest
half day)
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
Section F: Drugs use questionnaire
Have you taken any of the following
prescribed drugs in the last
3 months?
Drugs for colitis (prescribed in the last
3 months)
Name of Drug
Strength
Number Frequency Tick if taken
*For PRN drugs, record instead the
average number taken per day and
average frequency
**For oral prednisolone with reducing dose, please record details
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
Suppositories for colitis (prescribed in the last
3 months)
Strength
No Suppositories
If not continuous,
for how many days
Enemas for colitis (prescribed in the last
3 months)
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
Medication for general GI disorders (prescribed in the last
3 months)
Name of Drug
Strength
Frequency
*For PRN drugs, record instead the
average number taken per day and
average frequency (Nº of
Medication not listed (prescribed in the last
3 months)
Have you been
prescribed any other drugs regularly in the last
3 months that have
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
not been listed here (excluding paracetamol, aspirin and ibuprofen)? If so, please tell us the:
strength
number of tablets you take per dose and dose frequency (e.g. two
tablets four times a day, etc)
If the medication is not taken continuously over the last three months, please tell us
whether it is taken “
as required” or whether it was a
short course.
Please also indicate the
average number taken per day and the average frequency (No
days per week) for drugs taken “as required” or the number of days it was taken for if a
short course.
Thank you for completing this questionnaire.
If you are diagnosed with acute severe ulcerative colitis, you may be eligible for the
CONSTRUCT drugs treatment trial. If you consent to participate into the trial, you
may be asked to take part in a telephone interview with a researcher.
Please indicate below if you are happy to be asked about taking part in a telephone
interview, should you take part in the drugs trial.
Yes, I am happy to be asked about taking part in a telephone interview
No, I am not happy to be asked about taking part in a telephone interview
Swansea University School of Medicine
Grove Building Singleton Park, Swansea SA2 8PP
Source: http://www.dirum.org/assets/downloads/634429653844459948-CONSTRUCT%20Questionnaire.pdf
DIABETES AND DRIVING: WHAT YOU SHOULD KNOW. Hypos and driving. If your blood sugar falls below 4 and you become hypoglycaemic – “ hypo” this can be a risk to you and to other road users. It can increase the risk of accidents, which bars some people from driving. Diabetes does not mean you have to give up driving – but it does mean that you have to plan in advance before you g
THE CHOLESTEROL MYTH Source: The-Atlantic, VOL:v264, ISS:n3, DATE: Sept 1989, PAGE:37(25), ISSN: 0276-9077 , Diet has hardly any effect on your cholesterol level; the drugs that can lower it often have serious or fatal side effects; and there is no evidence at all that lowering your cholesterol level will lengthen your life. An article drawn from Thomas J. Moore's book , Heart Failure , pu