Documentation Guidelines

• Appearance of the surgical incision site: Presence of inflammation, infection, or signs of healing

• Response to chemotherapy or radiation treatments

• Comprehension of treatment plan, including care of surgical site, purpose, and potential side effects of medical treatments

• Reaction to the loss or disfigurement and prognosis

• Readiness to adapt to a prosthetic device

• Presence of complications: Infection, bleeding, poor wound healing, ineffective coping by the patient or significant others

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