Service User Name (required) LL Number: Do you have a pressure sore? YesNo If yes please instruct the care worker of the ’turn per visit’ and other aspects of the pressure sore. Has it been graded by the District Nurse? YesNo What grade did he/she give it? LowMediumHighNone Where is it located? Please indicate with a marker pen on the body map document, If necessary Supervisor Note Is the person at risk of pressure sores? Yes.No If yes, please complete risk assessment Any other comments: Supervisor Supervisor Date
