braden score chart
This combines for a possible total of 23 points, with a higher score meaning a lower risk of developing a pressure ulcer and vice versa. %PDF-1.5
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The assessment of a client's nutritional status looks at their normal patterns of daily Friction and shear looks at the amount of assistance a client needs to move and the degree of sliding on beds or chairs that they experience. 0000000016 00000 n
This category is assessed because the sliding motion can cause shear which means the skin and bone are moving in opposite directions causing breakdown of cell membranes and Each category is rated on a scale of 1 to 4, excluding the 'friction and shear' category which is rated on a 1-3 scale. Excessive and continuous skin moisture can pose a risk to compromise the integrity of the skin by causing the skin tissue to become macerated and therefore be at risk for This category looks at a patient's level of physical activity since very little or no activity can encourage atrophy of muscles and breakdown of tissue.This category looks at the capability of a patient to adjust their body position independently. 0000220194 00000 n
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Kozier, Barbara, Glenora Erb, Shirlee Snyder, and Audrey Berman. 0000220263 00000 n
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<"Bedsores (pressure sores)." 0000271968 00000 n
The ability to sense pain itself plays into this category, as does the level of consciousness of a patient and therefore their ability to cognitively react to pressure-related discomfort. The purpose of the scale is to help health professionals, especially nurses, assess a patient's risk of developing a pressure ulcer. 2009aa braden scale source information. BRADEN SCORE INTERVENTION GUIDE 19-23 No Risk Continue to assess per agency timeline. 0000272258 00000 n
The Braden Scale is a scale made up of six subscales, which measure elements of risk that contribute to either higher intensity and duration of pressure, or lower tissue tolerance for pressure. 0000024564 00000 n
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Retrieved from Cassell, Charisse. Braden Scale for Predicting Pressure Ulcer Risk Purposeassess risk of pressure ulcer 0000001825 00000 n
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8th ed. Web. What is the Braden Scale? 905-907. Fundamentals of Nursing: Concepts, Process, and Practice. National Library of Medicine, Initials. 0000016016 00000 n
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Upper Saddle Riveer, NJ: Pearson Education, 2008. 0000179720 00000 n
"Pressure Ulcer Risk Assessment: The Braden Scale for Prediction Pressure Sore Risk." 0000229207 00000 n
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Braden Risk Assessment Scale NOTE: Bed and chairbound individuals or those with impaired ability to reposition should be assessed upon admission for their risk of developing pressure ulcers. 0000220751 00000 n
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The above Braden scale for predicting Pressure Sore risk chart provides the chart with … Patients with established pressure ulcers should be reassessed periodically. 423 0 obj <>
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A score of 23 means there is no risk for developing a pressure ulcer while the lowest possible score of 6 points represents the severest risk for developing a pressure ulcer. (2009, May 20). Risk status is based on the Braden Scale score and risk factors for surgery-related pressure ulcers 3.
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