A nurse is using the Braden scale to assess a patient's risk for pressure ulcer formation. The patient's sensory perception is slightly limited, she is occasionally moist, she is chairfast, her mobility is slightly limited, nutrition is adequate, and friction is a potential problem. What is this patient's risk?



• Braden score of 16

• < 10 very high risk, 10-12 high risk, 13-15 moderate risk, 16-23 mild risk

• 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 is scored from  problem-1, potential problem-2, and no apparent problem-3

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