Section 84 Figure 2—Hospital Complications Record

• Library: Damages 2012 Forms

John Smith’s 1^st John Smith’s 2^nd

Complications Hospitalization Hospitalization

1. Decubitus Ulcer ü ü

2. Urinary Tract ü ü

Infections

3. Diarrhea From ü ü

Antibiotics

4. Skin Breakdown ü ü

5. Dry Skin ü ü

6. Diaphoresis ü ü

7. Dysreflexia ü ü

8. Spasticity ü ü

9. Hemorrhoids ü ü

10. Tachycardia/ ü _________

Bradycardia

11. Pain at Left ü _________

Pin Site

12. Discomfort in Hands ü ü

From Splints

13. Nause/Dizzyness/ ü ü

Blackouts

14. Pain in Left _________ ü

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