BRADEN SCALE – For Predicting Pressure Sore Risk Use the form only for the approved purpose. Any use of the form in publications (other than internal policy manuals and training material) or for profit-making ventures requires additional permission and/or negotiation. SEVERE RISK: Total score 9 HIGH RISK: Total score 10-12
The Braden scale is a scale that measures the risk of developing pressure ulcers. The scale consists of six subscales that reflect determinants of pressure (sensory perception, activity and mobility) and factors influencing tissue tolerance
BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK Patient =s Name _____ Evaluator =s Name_____ Date of Assessment SENSORY PERCEPTION ability to respond meaning - fully to pressure -related discomfort 1. Completely Limited Unresponsive (does not moan, flinch, or grasp) to painful ...
The Braden Scale includes fields that assess sensory perception, moisture levels, activity, mobility, nutrition, and friction or shear. Each field has specific criteria that guide the evaluator in making accurate assessments.
Braden Scale for Predicting Pressure Ulcer Risk Category I (Stage I) Category II (Stage II) Category III (Stage III) Category IV (Stage IV) Unclassified (Unstageable) Suspected Deep Tissue Injury ... Protocol for Braden Moisture Subscale Developed by Dr. Joyce Black M1131N 11.09
1NPO: Nothing by mouth. 2IV: Intravenously. 3TPN: Total parenteral nutrition. 1. Completely limited: Unresponsive (does not moan, flinch or grasp) to painful stimuli, due to diminished level of consciousness or sedation, OR limited ability to feel pain over most of body surface.
BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK Source: The Hartford Institute of Geriatric Nursing, Barbara Braden and Nancy Bergstrom, 1988 Patient’s Name :_____Evaluator’s Name:_____ Date of Assessment SENSORY PERCEPTION ability to respond meaningfully to pressure related discomfort 1.
Easily fill and download the Braden Scale Chart for free in PDF and Word formats. Assess the risk for developing pressure ulcers with this comprehensive form.
Braden Scale for Predicting Pressure Sore Risk Patient’s Name: Evaluator’s Name: Date of Assessment: Sensory Perception: Ability to respond meaningfully to pressure related discomfort. 1. Completely Limited: Unresponsive (does not moan flinch or grasp) to painful stimuli, due to diminished level of consciousness or sedation OR