Ficha de acompanhamento de feridas

Nome: ________________________________________________
Idade: _________________________________________________
Histórico:_______________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
DM:_________HAS:_______ EDEMA: (__________)
Tempo de ferida:_________________________________________
Fase da ferida:__________________________________________
Tratamento proposto:_____________________________________
Descrição:
Aspecto:_______________________________________________
Tamanho:______________________________________________
Exudato:_______________________________________________
Odor:_________________________________________________
ACHADOS:_____________________________________________
______________________________________________________

ORIENTAÇÕES:_________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
_____________________________________________________