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Description

Location of the pressure ulcer on the body.

On-Screen Instructions

Check all that apply to the specific ulcer being reported.

Field Type

Checkbox (multiselect)

Responses

  • Ankle

  • Back

  • Back of head

  • Buttock

  • Coccyx

  • Elbow

  • Heel

  • Hip

  • Knee

  • Sacrum

  • Shoulder

  • Thigh

  • Other (please describe)

Guide for Use

If “Other” is selected, a text box for a description will also appear.

History

Start Date

Spring 2012

End Date

n/a

Change History

n/a

  • No labels

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