What is the purpose of the Braden Scale?
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. These are: sensory perception, moisture, activity, mobility, friction, and shear.
What is the importance of the Braden Scale in nursing assessment?
The Braden Scale for Predicting Pressure Ulcer Risk, is a tool that was developed in 1987 by Barbara Braden and Nancy Bergstrom. The purpose of the scale is to help health professionals, especially nurses, assess a patient’s risk of developing a pressure ulcer.
How often do you document Braden Scale?
Clients on a therapeutic support surface are repositioned every 2- 4 hours. The frequency depends upon their overall assessment, Braden Scale score, ability to reposition independently, the severity of the pressure ulcer, if present, and the characteristics of the client’s support surface.
What are the 6 subscales of the Braden Scale?
The most commonly used pressure ulcer assessment tool in the United States is the Braden Scale. It consists of 6 subscales: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
What is a good Braden Scale score?
NOTE: A score of 15 to 18 is mild risk, 13 to 14 is moderate risk, 10 to 12 is high risk, and 9 or less is very high risk. Online Figure A. Braden Scale for evaluating pressure ulcer risk.
What is the Braden Scale and how is it used?
Briefly put, the Braden Scale is an evidenced-based tool, developed by Nancy Braden and Barbara Bergstrom, that predicts the risk for developing a hospital- or facility-acquired pressure ulcer or injury. The Braden Scale uses a scores from less than or equal to 9 to as high as 23.
What is a good score on the Braden Scale?
NOTE: A score of 15 to 18 is mild risk, 13 to 14 is moderate risk, 10 to 12 is high risk, and 9 or less is very high risk. Online Figure A.
What type of injuries Cannot be staged?
“Mucosal membrane pressure injury is found on mucous membranes with a history of a medical device in use at the location of the injury. Due to the anatomy of the tissue, these injuries can’t be staged.”
What is moisture in Braden Scale?
Moisture is mainly measured by how frequently the bed sheets are changed when utilizing the Braden Scale for Predicting Pressure Sore Risk®; more specific definitions are outlined in the attached sheet.
What is the Humpty Dumpty scale?
The Humpty Dumpty Falls Scale (HDFS), a seven-item assessment scale used to document age, gender, diagnosis, cognitive impairments, environmental factors, response to surgery/sedation, and medication usage, is one of several instruments developed to assess fall risk in pediatric patients.
What kind of scale is Braden scale?
The Braden Scale is a summated rating scale made up of six subscales scored from 1-4 (1 for low level of functioning and 4 for the highest level or no impairment). Total scores range from 6-23 (one subscale is scored with values of 1-3, only).
What is the Braden scale for bedsore risk?
The Braden Score consists of 6 indicators of risk: sensory perception, moisture, activity, mobility, nutrition, and friction or shear. Each indicator will be scored from 1-3, or 4, and then tallied together. Scores range from 6 to 23 . The lower the score, the greater the risk that the resident will develop a bedsore.
What is the Braden scale assessment in nursing?
The Braden Scale for Predicting Pressure Sore Risk is a universally accepted tool to help staff in nursing homes and hospitals identify individuals who may be at risk for developing bed sores (also called decubitus ulcers, pressure sores or pressures ulcers).