Get Lower Leg Assessment Form. Lower Leg Assessment Form

The Lower Leg Assessment Form is an essential document used to evaluate the condition of the lower legs. This guide will provide you with clear steps to effectively fill out the form online, ensuring you provide all necessary information accurately.

Follow the steps to complete the Lower Leg Assessment Form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in the person's name and ID number at the top of the form. Ensure the information is accurate for proper identification.
3. Record the assessment date in the designated field, which is essential for tracking the assessment timeline.
4. Complete the edema section for both right and left legs by noting the date of onset, location, and description of the edema. Remember to specify whether the edema is pitting or non-pitting.
5. Input the edema measurements at specified intervals along the legs. Ensure each measurement is documented clearly and accurately.
6. Indicate whether there has been previous use of compression stockings for both legs and provide details about adherence to wearing them.
7. Move to the lymphedema section and mark observations for both legs, including any stages and signs related to the condition.
8. Proceed to the lipedema assessment, identifying signs and symptoms that may be present in either leg.
9. Fill out the section for skin and anatomy by marking any venous or arterial signs and symptoms. This includes noting the presence of ulcers, varicosities, and any family history.
10. Document any unusual ulcer conditions, their locations, and appearances if applicable.
11. Record leg pain symptoms, ensuring to differentiate between venous and arterial symptoms as needed.
12. Complete the circulation and pulse assessment for both legs, noting the status of dorsalis pedis and post-tibial pulses.
13. Finally, interpret the ABPI results and fill in the impression and healability status in the appropriate sections. Make sure to follow any additional guidance based on ABPI values.
14. Once all sections are filled out, review the form for accuracy, save changes, download, print, or share the form as required.

Start completing your Lower Leg Assessment Form online today to ensure a thorough evaluation.