ElderlyDaily original · Health logs & diaries
Heart Failure Daily Log for Seniors
A year of mornings in one place: your weight and the change from yesterday, blood pressure, pulse, six symptoms and which zone you are in.
- 12 months of daily weight, blood pressure, pulse and symptoms
- Green, yellow and red zones
- Medicine charts for up to 10 medicines
- Big write-in boxes, US Letter + A4
One-time purchaseInstant download75-page fillable PDF · US Letter + A4
Checkout is handled securely by Gumroad.
Living with heart failure means watching for small changes every day. This log gives each morning one row: your weight and the change from yesterday, blood pressure, pulse, six common symptoms to mark, and your zone.
The green, yellow and red zone pages set out the signs of a good day, when to call your care team and when to call 911, drawn from MedlinePlus, the American Heart Association, Cleveland Clinic and Mayo Clinic. There is a page for your own care team's numbers, too.
What's inside
Every section, page by page
Daily log
- 12 months, days 1 to 31
- Weight and change from yesterday, blood pressure and pulse
- Six symptoms: short of breath, swelling, more tired, cough, dizzy, woke up breathless
- Your zone and notes
Zones & how-tos
- Green, yellow and red zones, from MedlinePlus, the American Heart Association, Cleveland Clinic and Mayo Clinic
- How to weigh the same way every morning, count your pulse and check for swelling
- Home blood pressure tips (MedlinePlus)
Your numbers & medicines
- My Care Team's Numbers: dry or target weight, weight-gain limits, salt and fluid limits, normal pulse and blood pressure, and who to call
- Monthly medicine charts for up to 10 medicines
- My Medicines and Medicine Changes
Summaries
- 12 monthly summaries: weight range, green, yellow and red days, calls, ER or hospital visits and questions
- 4 doctor-visit summaries
- A tests, results and hospital stays page
Preview
A closer look
Images from the product listing.
Free or full?
Start free, or get the full version
We also have a free printable on this topic. Here is what each one gives you.
Free on ElderlyDaily
Free heart failure weight log
- A month of mornings: weight, blood pressure, pulse and six symptoms
- A zones page: when to call your care team and when to call 911
The full version adds
Heart Failure Daily Log
- 12 months of daily logs
- Monthly medicine charts for up to 10 medicines
- A page for your care team’s own numbers and limits
- 12 monthly summaries, 4 doctor-visit summaries and a tests and hospital stays page
Who it’s for
- People with heart failure whose care team has asked them to weigh daily
- Family caregivers keeping track of a parent's weight, symptoms and medicines
- Anyone who wants a clear record for the cardiologist or heart failure clinic
How to use it
- 1Fill in My Care Team's Numbers with your target weight, limits and who to call.
- 2Each morning, weigh yourself the same way and write down the change from yesterday.
- 3Add blood pressure, pulse and any of the six symptoms, then mark your zone.
- 4On yellow or red days, follow your care team's plan.
- 5Bring the monthly summaries to each appointment.
Instant download
Heart Failure Daily Log
Not ready yet? Get 6 free pages from the Heart Failure Log
6 print-only pages from the full version: a monthly medicine check-off chart, a monthly summary, medicine changes, tests and hospital stays, and a Doctor Visit Summary. US Letter and A4. We’ll email them to you, plus a few tips after that. Unsubscribe anytime.
Save with a bundle
Also in these bundles
Heart Failure Daily Log is included in each of these.
Who makes these
Every ElderlyDaily printable is designed by SK Kutubuddin, who founded ElderlyDaily as a family caregiver. Where a page uses official guidance, such as the CDC’s fall-risk questions or the American Heart Association’s blood pressure categories, it names the source. About ElderlyDaily · Editorial policy
Questions
Good to know
Where do the zones come from?
From MedlinePlus, the American Heart Association, Cleveland Clinic and Mayo Clinic. They are general guidance and do not replace your own care team's action plan.
Can I fill it in on my phone?
Yes. Fill it in on a computer, or on a phone or tablet with the free Adobe Acrobat Reader app. Or print it and use a pen.
Is there a version for outside the US?
Yes. Both US Letter and A4 are included, and the A4 edition says "your local emergency number" instead of 911.
Is this medical advice?
No. It is a log for recording information to share with your care team. Never start, stop or change a medicine because of your readings without talking to your doctor first, unless your care team has given you a written plan. In an emergency, call 911.
Can I get a refund?
Because the files can be copied, all sales are final. If a file will not open or download, or something is missing, email sk@elderlydaily.com and we will fix it or refund you.
Free on ElderlyDaily
Related guides and tools
More from the shop
You may also need
A log for recording information to share with your care team; not medical advice, and not a replacement for your care team's own action plan.
