Chaloner and Franks reported an updated version of the Walsall Community Pressure Sore Risk Calculator. The authors are from Walsall Community Health Trust and Thomas Valley University in London.
Changes from the original risk score:
(1) removal of pain as a parameter (with predisposing disease zeroed out)
(2) reweighting various items
Parameters:
(1) predisposing disease
(2) level of consciousness
(3) mobility
(4) nutritional status
(5) bladder incontinence
(6) bowel incontinence
(7) carer input
(8) skin condition
|
Parameter |
Finding |
Original |
Updated |
|
predisposing disease |
chronic stable |
1 |
0 |
|
|
acute/chronic unstable |
2 |
0 |
|
|
requires ultimate care |
3 |
0 |
|
level of consciousness |
alert |
0 |
0 |
|
|
lethargic, comatose |
1 to 3 |
3 |
|
mobility |
moves without assistance |
0 |
0 |
|
|
moves with little assistance |
1 |
3 |
|
|
moves only with assistance |
4 |
8 |
|
|
chair |
6 |
8 |
|
|
bedfast |
6 |
8 |
|
nutritional status |
well-balanced |
0 |
0 |
|
|
fair |
1 |
0 |
|
|
poor or very poor |
2, 3 |
4 |
|
bladder incontinence |
none |
0 |
0 |
|
|
occasional |
1 |
0 |
|
|
usual |
2 |
1 |
|
|
total |
3 |
4 |
|
bowel incontinence |
none |
0 |
0 |
|
|
occasional |
1 |
4 |
|
|
usual |
2 |
4 |
|
|
total |
3 |
6 |
|
carer input |
active |
0 |
0 |
|
|
intermittent |
2 |
2 |
|
|
limited |
4 |
2 |
|
|
occasional |
6 |
2 |
|
skin condition |
healthy |
0 |
0 |
|
|
rashes, dryness |
2 |
2 |
|
|
increased turgor, fragile |
4 |
4 |
|
|
redness |
6 |
4 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 31
|
Score |
Risk of Pressure Ulcer |
|
0 to 3 |
not at risk |
|
4 to 9 |
low |
|
11 to 14 |
medium |
|
>= 15 |
high |
Performance:
• The sensitivity was 80% with a specificity of 64%.
Specialty: Dermatology
