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LINHA DE CUIDADOS – CHECK LIST PACIENTE LESÃO DE PELE
DATA: ___/____/_______
Etiqueta do paciente
Diagnóstico Paciente possui alergia? Origem da lesão
____________________________________
____________________________________
( ) sim ( ) não
Qual?
___________________________________
( ) Externa
( ) Interna
Tipo de lesão Curativo Realizado Necessidade de acompanhamento com
plástica
Lesão infectada?
( ) LPP Estágio: _______
( ) Dispositivo
( ) Skin teans
( ) DAI
( ) outros _____________________________
Qual: ________________________________
Tempo de utilização do curativo: __________
Necessidade de troca da cobertura:
( ) sim ( ) Não
Qual: ________________________________
( ) sim ( ) não
Solicitação realizada: ___/___/_______
Cirurgião plástico comunicado:
___________________________________
Data da abordagem: ___/___/_______
( ) sim ( ) não
Necessidade de antibiótico
sistêmico?
( ) sim ( ) não
Avaliação pela fisioterapia Paciente com aporte nutricional adequado para
melhora da lesão ?
Prescrição médica avaliada pela farmácia Ciência do Médico Rotina
( ) Otimizar deambulação
( ) Deambulação com auxílio
( ) Restrito ao leito
( ) Possibilidade de acomodar na poltrona
Carimbo do fisioterapeuta
( ) Sim ( ) Não
( ) Paciente com restrição.
Qual: ________________________________
Carimbo do nutricionista
( ) curativo proposto
( ) creme barreira
Carimbo do farmacêutico
carimbo
Avaliação do serviço social Ciência do enfermeiro plantonista Ciência do médico plantonista Ciência do enfermeiro rotina
( ) Necessidade de abordagem da família
( ) Verificar moradia do paciente
Carimbo do serviço social carimbo carimbo carimbo

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DOC 01 CHECK LIST. LINHA DE CUIDADOS PAC LESÃO DE PELE.pdf

  • 1. LINHA DE CUIDADOS – CHECK LIST PACIENTE LESÃO DE PELE DATA: ___/____/_______ Etiqueta do paciente Diagnóstico Paciente possui alergia? Origem da lesão ____________________________________ ____________________________________ ( ) sim ( ) não Qual? ___________________________________ ( ) Externa ( ) Interna Tipo de lesão Curativo Realizado Necessidade de acompanhamento com plástica Lesão infectada? ( ) LPP Estágio: _______ ( ) Dispositivo ( ) Skin teans ( ) DAI ( ) outros _____________________________ Qual: ________________________________ Tempo de utilização do curativo: __________ Necessidade de troca da cobertura: ( ) sim ( ) Não Qual: ________________________________ ( ) sim ( ) não Solicitação realizada: ___/___/_______ Cirurgião plástico comunicado: ___________________________________ Data da abordagem: ___/___/_______ ( ) sim ( ) não Necessidade de antibiótico sistêmico? ( ) sim ( ) não Avaliação pela fisioterapia Paciente com aporte nutricional adequado para melhora da lesão ? Prescrição médica avaliada pela farmácia Ciência do Médico Rotina ( ) Otimizar deambulação ( ) Deambulação com auxílio ( ) Restrito ao leito ( ) Possibilidade de acomodar na poltrona Carimbo do fisioterapeuta ( ) Sim ( ) Não ( ) Paciente com restrição. Qual: ________________________________ Carimbo do nutricionista ( ) curativo proposto ( ) creme barreira Carimbo do farmacêutico carimbo Avaliação do serviço social Ciência do enfermeiro plantonista Ciência do médico plantonista Ciência do enfermeiro rotina ( ) Necessidade de abordagem da família ( ) Verificar moradia do paciente Carimbo do serviço social carimbo carimbo carimbo