Home Care And Community Based Services Overcoming Barriers to Access Hearing

Cover Home Care And Community Based Services Overcoming Barriers to Access Hearing
Home Care And Community Based Services Overcoming Barriers to Access Hearing
United States Congress Senate Special Committee
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Reserved for future ua«.
9. Reserved for future use.
10. Reserved for future use.
1 1 . Reserved for future use. I t 12. Is the patient highly susceptible to decubitus ulcers?
I 1 3. Are you aupervtaing the use of the device?
114. Does the patiem have coexisting pulmonary dtaeeae?
115. Has a coriaervative treatment program been tried without success?
116 Was a compreherurve asaessment performed after feOure of conservative treetment?
117. Is the home electric system sufficient for ttw antidpcte
...d increese in er>ergy consumption?
118- Is atructural support adequate to support the etr-ftutdiied bed' 119, Are open, moist dresslrtga used for tb« treatment of the patient?
I 20. Is there a trairted (ulWme caregiver to essist the pattent and mar^ge aH aspects involved with the use of ttie bed?
21 . Provide tt>e stage arxl size of each preaaure aree/ulcer neces- sitating the use of tt>f ovtrlsy. Mattress or bed. Pressure arec/Ulcer f1 #2 #3 Stage: _^^ ^^_ Max Length (cm): Max Width (cm): _ 22.


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