A nurse is reviewing a patient's chart and notes a Braden score of 14. The nurse understands that this score corresponds with what level of pressure ulcer risk?
Explanation
• In the Braden scale, there are six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
• Scores range from 6-23 with a total score of 10 or less representing a high risk.
• Very high risk: Less than 10
• High risk: 10-12
• Moderate risk: 13-15
• Mild risk: 16-23
• Sensory perception is scored from completely limited-1, very limited-2, slightly limited-3, and no impairment-4.
• Moisture is scored from constantly moist-1, often moist-2, occasionally moist-3, and rarely moist-4.
• Activity is scored from bedfast-1, chairfast-2, walks occasionally-3, and walks frequently-4.
• Mobility is scored from completely immobile-1, very limited-2, slightly limited-3, and no limitations-4.
• Nutrition is scored from very poor-1, probably inadequate-2, adequate-3, and excellent-4.
• Friction and shear