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Extremity
|
|
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Indications
• • •
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Wounds Present
|
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Edema
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DP/PT pulses
|
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Sensation
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Pain level (1-10) prior to application
|
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Mobility Status
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Type of Compression Wrap
|
|
technique
|
Wrap applied from
|
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Padding applied
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Compression Level
|
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Estimated mmHg
|
Toe visible post application
|
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Skin color/temp post application
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Pain level post application
|
|
Pulses post application
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Cap Refill
|
|
Patient Tolerance
|
|
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Change in how many days
|
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