Lower leg assessment form 2025

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The document outlines a comprehensive assessment form for evaluating lower extremity wounds, focusing on leg ulcers. It includes sections on social history, health history related to vascular disease, medication details, and specific assessments for venous and arterial conditions. The form also addresses signs of infection in diabetic and venous ulcers, guidelines for interpreting ankle-brachial index (ABI) and toe-brachial index (TBI) results for compression therapy, and psychosocial considerations affecting the patient's quality of life.

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Click ‘Get Form’ to open the lower leg assessment form in the editor.
Begin by entering the 'Date of assessment' and 'Location of assessment' at the top of the form.
In the 'SOCIAL HISTORY' section, fill in your occupation and indicate your living situation by checking the appropriate boxes.
For 'HISTORY OF LEG ULCERS', specify if there is a previous history and provide details about the current ulcer's onset date and location.
Complete the 'HEALTH HISTORY' section by checking any relevant conditions that may be associated with vascular disease.
In the 'MEDICATIONS' section, indicate if any medications are prescribed for leg/foot pain and note any allergies.
Proceed to fill out the 'LOWER LEG ASSESSMENT' fields, providing observations on temperature, color, pain, skin condition, pulses, and wound location as applicable.
Finally, review all entries for accuracy before saving or sharing your completed form using our platform’s features.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (57 Votes)
2016	4 Satisfied (30 Votes)

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What is right lower leg?

The lower leg refers to the portion of the lower extremity between the knee and ankle. This area consists of bones, muscles, tendons, and nerves that all work together to allow the leg to function. The lower leg plays a key role in standing, walking, running, jumping, and other similar weight-bearing activities.

What is the body region name for the lower leg?

the crural region encompassing the lower leg, between the knee and ankle, the fibular region encompassing the outside of the lower leg, the tarsal region encompassing the ankle, the pedal region encompassing the foot.

How do you describe lower extremities?

Definition. The lower extremity refers to the part of the body that includes the hip, thigh, knee, leg, ankle, and foot. It consists of bones, muscles, tendons, ligaments, nerves, and blood vessels that work together to provide support, stability, and mobility for daily activities.

What is the medical term for the lower leg bone?

The muscular components of the lower leg include the gastrocnemius, soleus, peroneus longus, tibialis anterior, extensor digitorum longus, and the Achilles tendon.

How to do a lower limb assessment?

Start with the toes and work up the leg feeling symmetrically. Note any changes in temperature and whether there is a gradual or abrupt change. There may be an obvious demarcation in temperature. Severe arterial insufficiency will result in a cool limb.

lower limb assessment form

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What is the right lower leg called?

The calf is the back portion, and the tibia or shinbone together with the smaller fibula make up the shin, the front of the lower leg.

How do you document a lower extremity assessment?

Normal findings might be documented as: Skin colour consistent from upper legs to toes, equal limb circumference with no edema or ulcers. No presence of cyanosis or pallor on nails. Good capillary refill. Dorsalis pedis and posterior tibial pulses 2+ force and equal bilaterally.

Lower leg assessment form 2025

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See more lower leg assessment form versions

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Got questions?

What is right lower leg?

What is the body region name for the lower leg?

How do you describe lower extremities?

What is the medical term for the lower leg bone?

How to do a lower limb assessment?

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What is the right lower leg called?

How do you document a lower extremity assessment?

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