Although the Reflection Circle is a basic structure for reflection, not all groups or group members are comfortable or interested in speaking up in this environment right away. Being creative and using a variety of activities helps to gain the participants' interest and can foster comfort and familiarity in the group.
If polyuria is present, patients should be asked about the age at onset, rate of onset (eg, abrupt vs gradual), and any recent clinical factors that may cause polyuria (eg, IV fluids, tube feedings, resolution of urinary obstruction, stroke, head trauma, surgery). Patients should be asked about their degree of thirst.
The symptoms of polycythemia vary depending on the cause and the presence of complications. Symptoms of polycythemia vera can include dizziness, headache, facial flushing, difficulty breathing, fatigue, itching after taking a hot bath, enlarged spleen, lethargy, and visual disturbances.