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Title: Microsoft Word Lower Extremities Assessment Form 2017.doc Author: Trish Created Date: 12/20/2016 3:24:31 PM
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How to fill out lower extremities assessment form

01
Obtain a copy of the lower extremities assessment form.
02
Read the instructions provided with the form to familiarize yourself with the requirements.
03
Start by entering the necessary personal information of the individual being assessed, such as their name, age, and contact details.
04
Proceed to record the measurements of various segments of the lower extremities, including the circumferences of the thighs, calves, ankles, and feet.
05
Follow the specified guidelines for accurately measuring each segment, using a measuring tape if required.
06
Record any visible abnormalities or deformities observed during the assessment.
07
Assess the strength, range of motion, and balance of the lower extremities, documenting any limitations or difficulties experienced by the individual.
08
Include any relevant medical history or prior injuries that could impact the assessment.
09
Provide additional comments or observations if necessary.
10
Review the completed form for accuracy and completeness before submitting it to the appropriate healthcare professional or agency.

Who needs lower extremities assessment form?

01
Individuals who have undergone lower extremity surgery and require post-operative assessment.
02
Athletes participating in sports that involve frequent use of the lower extremities, such as running or jumping.
03
Patients with musculoskeletal conditions or injuries affecting the lower extremities, such as fractures, sprains, or arthritis.
04
Individuals with chronic conditions that may affect the lower extremities, such as diabetes or peripheral arterial disease.
05
Individuals in need of prosthetic or orthotic devices for the lower extremities.
06
Elderly individuals who may experience age-related mobility issues or balance problems.
07
Rehabilitation patients recovering from accidents or injuries that have impacted their lower extremities.
08
Healthcare professionals who need to assess and monitor the lower extremities of their patients for treatment planning and progress evaluation.
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Lower extremities assessment form is a document used to evaluate the condition of the legs and feet.
Individuals who have issues with their lower extremities or are required to provide documentation of their leg and foot health.
Lower extremities assessment form must be completed by providing accurate and detailed information about the condition of the lower extremities.
The purpose of lower extremities assessment form is to assess and document the health and functioning of the legs and feet.
Information such as medical history, current symptoms, physical exam findings, and any relevant test results must be reported on lower extremities assessment form.
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