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Braden Scale Scoring System. -Sensory perception - Mobility ability to change own position -. The most preferred tool is the Braden Scale for Predicting Pressure Sore Risk. Sensory perception moisture activity mobility nutrition and frictionshear. In most cases a score of 18 or less indicates at-risk status.
Sensorisk perception - evne til at reagere meningsfuldt på. The Waterlow pressure ulcer risk assessment and prevention tool was designed in 1988 for community hospital nursing and residential care home use. BRADEN SCORE INTERVENTION GUIDE 19-23 No Risk Continue to assess per agency timeline. This section determines a patients ability to respond meaningfully to pressure-related discomfort. Braden Scale 9 or Preventative Interventions Very High Risk Use same protocol as for high risk patients Add a pressure redistribution surface for. An audit of these records raised concern as to whether staff nurses a.
15-18 At Risk Identify areas of risk.
How To Interpret Braden Score Total score ranges from 6 to 23. Select at least one intervention within those risk categories and implement. BRADEN SCALE For Predicting Pressure Sore Risk Use the form only for the approved purpose. WHAT IS THE BRADEN SCALE. Sensory perception skin exposure to moisture the clients level of activity the clients ability to change positions nutritional intake and the presence of friction and shearing force. Pain perception and consciousness are central to this score.