Table 1.

Provider-Administered Questionnaire

How do you feel? Have you been dizzy today? Do you have a dry mouth or feel thirsty? What is your weight today? How much urine have you made in the past 24 hours? What color is your urine? How much ostomy output have you had in the past 24 hours? What consistency is your ostomy output? How much Metamucil are you taking per day? How much loperamide are you taking per day? How much diphenoxylate/atropine are you taking per day?