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Bedsores Caregiver Survey

Page One

1. How old is your loved one?
2. Describe your loved one's weight.
3. Does your loved one perspire excessively?
4. How often are your loved one's sheets changed?
5. Does your loved one suffer from incontinence?
6. Does your loved one have access to a medical bed that allows him or her to change positions (sit up etc.)?
8. Are you able to provide your loved one with the same amount of care as a hospital or nursing home would? If not, what are your limitations? Please check all that apply.
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