TX HHS Form 6515. CLASS or DBMD Nursing Assessment

The TX HHS Form 6515, CLASS or DBMD Nursing Assessment Addendum B, is a tool used to assess wound status in individuals receiving Community Living Assistance and Support Services (CLASS) or Deaf Blind with Multiple Disabilities (DBMD) care. This form helps healthcare professionals evaluate the severity of wounds and track changes over time.

This assessment form requires the following information: individual's name, Medicaid number, assessment date, location, and anatomic site. The form also includes sections for wound shape, edges, undermining, and necrotic tissue type. Healthcare providers can use this form to document wound status, monitor progress, and make informed decisions about patient care.

The TX HHS Form 6515, CLASS or DBMD Nursing Assessment Addendum B, is designed for use in a variety of settings, including long-term care facilities, hospitals, and home health care. This form is particularly useful when assessing wounds that require ongoing monitoring and treatment. By completing this assessment, healthcare professionals can ensure that patients receive the appropriate level of care to promote wound healing and prevent complications.