A nurse is using the Braden scale to help predict a patient's pressure ulcer risk. The patient's sensory perception is very limited, she is occasionally moist, she is bedfast, her mobility is very limited, nutrition is adequate, and friction is a potential problem. What is this patient's total Braden score?

14

Explanation

• In the Braden scale, there are six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear

• This patient's sensory perception is very limited-2, she is occasionally moist-3, she is bedfast-1, her mobility is very limited-2, nutrition is adequate-3, and friction is a potential problem-3. What is this patient's total Braden score? 14

• Scores range from 6-23 with a total score of 10 or less representing a high 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 significant problem-1, problem-2, potential problem-3, and no apparent problem-4

Visit our website for other NCLEX topics now!