The Braden scale can be used to identify those patients at risk for development of pressure ulcerations.
Parameters evaluated (6):
(1) sensory perception
(2) moisture
(3) activity
(4) mobility
(5) nutrition
(6) friction and shear
Each parameter is graded from 1 (markedly abnormal) to 4 (normal), except for item 6 which is scored from 1 to 3.
total score =
= SUM(points for all 6 parameters)
Interpretation:
• maximum score 23 (best prognosis)
• minimum score 6 (worst prognosis)
• A patient is at risk for pressure ulcer if score <= 16.
• The breakpoint for determining risk for pressure ulcer may vary with patient population; in an ICU trauma population the breakpoint was found to be 11 rather than 16 (Jiricka, 1995).
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