BOPDHB Patient Resources Hip and Knee joint replacement book - June 2016

NHI Number TAURANGA/ WHAKATANE HOSPITAL OCCUPATIONAL THERAPY – MEASUREMENT SHEET Please bring this completed form with you to education Class. Please complete this form for where you will be staying on discharge. Armchair Height Before coming to hospital Name cm Measure from the front of the depressed cushion to the floor (ask someone to sit on the seat & measure from the lowest point) Legs  Castors  Domes  Dining Chair Measure from the seat to the floor. Height cm Bed Height cm Measure from the top of the depressed mattress to the floor (ask someone to sit on the bed & measure from the lowest point) Size (eg single/double) Legs  Castors  No. of legs/castors 23

BOPDHB Patient Resources Hip and Knee joint replacement book - June 2016 | Page 25