WA DSHS 13-783 2017-2025 free printable template
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DATE OF SERVICE AGING AND LONGER SUPPORT ADMINISTRATION (ALTA)Pressure Injury Assessment and Documentation (Pressure Injury Numbering from Nursing Services Basic Injury Assessment) Use one form per
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How to fill out WA DSHS 13-783
01
Begin by obtaining the WA DSHS 13-783 form from the Washington State Department of Social and Health Services website or at a local office.
02
Fill in the personal information section, including your name, address, phone number, and email.
03
Provide any relevant identification numbers, such as your Social Security number or DSHS client ID.
04
Complete the section requesting information about your household composition, including the names and ages of all household members.
05
Indicate your income sources, including wages, benefits, and any additional financial support.
06
Fill out the expenses section, detailing your monthly bills and necessary living costs.
07
Review the completed form for accuracy and make sure all required fields are filled in.
08
Sign and date the form at the bottom where indicated.
09
Submit the form as directed, either online, by mail, or in person at a DSHS office.
Who needs WA DSHS 13-783?
01
Individuals and families in need of assistance from the Washington State Department of Social and Health Services, including those applying for benefits such as food assistance, medical assistance, or cash assistance.
02
Clients who need to update their information with DSHS due to changes in household status, income, or other relevant circumstances.
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How do you document skin assessment?
Document the soaps, shampoos, conditioners, lotions, oils, and other topical products that the patient uses routinely. Ask the patient: about skin changes such as xerosis (skin dryness), pruritus, wounds, rashes, or changes in skin pigmentation or color. if skin appearance changes with the seasons.
How do you document an integumentary assessment?
There are five key areas to note during a focused integumentary assessment: color, skin temperature, moisture level, skin turgor, and any lesions or skin breakdown.
What is skin assessment form?
A SKIN ASSESSMENT captures the patient's general physical condition, based on careful inspection and palpation of the skin and documentation of your findings.
What are the skin assessment tools?
Screening and assessment tools Braden Scale for Predicting Pressure Sore Risk (Braden Scale) Norton Scale. Waterlow Scale6.
What is the description of skin assessment?
The physical assessment of the skin involves inspection and palpation and may reveal local or systemic problems in the patient. When palpating the skin, it is important to note: Texture – it should be smooth and even. Thickness – very thin skin may indicate steroid therapy or arterial insufficiency.
How do you write a skin assessment?
A skin assessment should include the presenting concern/compliant with the skin, history of the presenting concern/compliant, past medical history, family history, social history, medicines (including topical treatment) and allergies and impact on quality of life.
What are the 5 parameters of skin assessment?
The usual practice includes a minimum of the following 5 parameters: temperature. color. moisture. turgor. intact skin or presence of open areas.
What are the 5 things used to assess the skin?
There are five key areas to note during a focused integumentary assessment: color, skin temperature, moisture level, skin turgor, and any lesions or skin breakdown.
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What is WA DSHS 13-783?
WA DSHS 13-783 is a form used by the Washington State Department of Social and Health Services for reporting specific information related to social services and healthcare.
Who is required to file WA DSHS 13-783?
Individuals or organizations that are providing certain social services or healthcare in Washington State are required to file WA DSHS 13-783.
How to fill out WA DSHS 13-783?
To fill out WA DSHS 13-783, you need to provide the relevant identifying information, service details, and any other required data as specified in the form instructions.
What is the purpose of WA DSHS 13-783?
The purpose of WA DSHS 13-783 is to collect essential data that helps in monitoring and evaluating social services and healthcare provisions in Washington State.
What information must be reported on WA DSHS 13-783?
Information that must be reported on WA DSHS 13-783 includes service recipient details, type of services provided, duration of services, and any relevant outcomes or assessments.
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