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Pressure Ulcers

Site (include laterality):

  • Elbow
  • Back (upper/lower)
  • Sacral
  • Hip
  • Buttock
  • Ankle
  • Heel
  • Head
  • Other (specify)

 

Pressure Ulcer Stage:

  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Unspecified

With gangrene

  • Document if ulcer (including stage) is present on admission