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Comprehensive Health History |
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Physical Exam |
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Pressure Injury Wound Assessment |
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NPUAP’s Pressure Injury Staging System |
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Assessment for Infection |
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Bacterial Biofilm |
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Screening for Risk for Malnutrition |
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Determining Nutritional Status |
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Comprehensive Nutrition Assessment |
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Pain Assessment |
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Vascular Assessment |
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Mobility and Support Surface Assessment |
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Support Surface Equipment Assessment |
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Plan of Care for Repositioning |
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Repositioning in Bed |
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Repositioning in a Chair/Wheelchair |
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Support Surface Selection |
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Support Surfaces - Entrapment |
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Transition from an Existing Support Surface to Higher Level of Support |
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Heel Off-Loading from Bed or Wheelchair |
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Nutritional Requirements |
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Cleansing the Wound |
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Dressing Selection |
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Agents for Managing Infection |
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Debridement Selection |
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Types (Categories) of Debridement |
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Debridement and Lower-extremity Ulcers |
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Types of Adjunctive Therapies |
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Electrical stimulation |
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Evaluation of Wound Healing |
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Evaluation for Risk for Additional Pressure Injuries |
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Negative Pressure Wound Therapy |
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Pain Management |
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Self-Management |
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