Braden Scale for Predicting Pressure Ulcer Risk

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The Braden Scale for Predicting Risk of Risk Ulcer , is a tool developed in 1987 by Barbara Braden and Nancy Bergstrom. The purpose of this scale is to help health professionals, especially nurses, assess a patient's risk of developing ulcer pressure.

Video Braden Scale for Predicting Pressure Ulcer Risk

Assessment using Braden Scale

The Braden scale assesses the patient's risk of developing ulcer pressure by examining six criteria:

Sensory perception

This parameter measures the ability of patients to detect and respond to discomfort or pain associated with pressure on their body parts. The ability to feel pain itself plays a role in this category, as does the level of patient awareness and therefore their ability to react cognitively to stress-related discomfort.

Humidity

Excessive and continuous skin moisture can pose a risk to harm the integrity of the skin by causing the skin tissue to be maserated and therefore at risk for epidermal erosion. So this category assesses the level of skin moisture exposed.

Activity

This category looks at the level of physical activity of the patient because very little or no activity can promote muscle atrophy and tissue damage.

Mobility

This category sees the patient's ability to adjust their body position independently. It assesses the physical ability to move and can involve the client's desire to move.

Nutrition

Assessing the nutritional status of the client sees the normal pattern of their daily nutrients. Eating only a portion of unbalanced food or nutrition can indicate a high risk in this category.

Friction and Slide

Friction and slide see the amount of help clients need to move and glide levels in the bed or chair they are experiencing. This category is judged because the shear movement can cause shear which means the skin and bone move in opposite directions causing damage to cell membranes and capillaries. Moisture increases friction susceptibility.

Maps Braden Scale for Predicting Pressure Ulcer Risk

Printing with Braden Scale

Each category is ranked on a scale of 1 to 4, excluding the categories of 'friction and shear' rated on a scale of 1-3. It combines for a total probability of 23 points, with a higher score which means lower risk of developing ulcer pressure and vice versa. A score of 23 means there is no risk to develop a compressive ulcer while the lowest possible score of 6 points is the most severe risk for developing a compressive ulcer. Scale scale scale Braden scale:

• Very High Risk: Total Score 9 or less
• High Risk: Total Score of 10-12
• Medium Risk: Total Score 13-14
• Light Risk: Total Score of 15-18
• No Risk: Total Score 19-23

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See also

• The pressure ulcer
• Wound healing
• Waterlow score

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References

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External links

• The Braden Script Official Website
• Braden Scale Instruction Sheet
• The Braden Scale Assessment Form

Source of the article : Wikipedia