What is the Braden Scale assessment tool?

The Braden Scale is a scale made up of six subscales, which measure elements of risk that contribute to either higher intensity and duration of pressure, or lower tissue tolerance for pressure. These are: sensory perception, moisture, activity, mobility, friction, and shear.

What does the Braden Scale predict?

The Braden Scale for Predicting Pressure Sore Risk was developed to foster early identification of patients at risk for forming pressure sores. The scale is composed of six subscales that reflect sensory perception, skin moisture, activity, mobility, friction and shear, and nutritional status.

How often should Braden Scale be done?

Clients on a therapeutic support surface are repositioned every 2- 4 hours. The frequency depends upon their overall assessment, Braden Scale score, ability to reposition independently, the severity of the pressure ulcer, if present, and the characteristics of the client’s support surface.

What is the use of Braden Scale?

The Braden Scale for Predicting Pressure Ulcer Risk, is a tool that was developed in 1987 by Barbara Braden and Nancy Bergstrom. The purpose of the scale is to help health professionals, especially nurses, assess a patient’s risk of developing a pressure ulcer.

Why do we use Braden Scale?

The Braden Scale for Predicting Pressure Sore Risk is a universally accepted tool to help staff in nursing homes and hospitals identify individuals who may be at risk for developing bed sores (also called decubitus ulcers, pressure sores or pressures ulcers).

How many categories of pressure ulcers are there?

an open wound or blister – a category 2 pressure ulcer. a deep wound that reaches the deeper layers of the skin – a category 3 pressure ulcer. a very deep wound that may reach the muscle and bone – a category 4 pressure ulcer.

What do you need to know about the Braden scale?

Braden Score 15-18 Preventative Interventions (At Risk) Regular turning schedule Enable as much activity as possible Protect the heels Use pressure redistribution surfaces Manage moisture, friction and shear Advance to a higher level of risk if other major risk factors are present

What’s the intervention guide for the Braden score?

BRADEN SCORE INTERVENTION GUIDE 19-23 No Risk Continue to assess per agency timeline. 15-18 At Risk Identify areas of risk. Select at least one intervention within those risk categories and implement. 13-14 Moderate Risk Select at least one intervention from each risk category and implement. Refer to WOCN.

What is the Braden scale for pressure ulcer risk?

higher level of risk for pressure ulcer development. •In most cases, a score of 18 or less indicates at-risk status. Tailor this number to fit your hospital or unit. Low subscale score indicates risk from that factor. Address all deficits in care planning. Do not rely on the total score alone. 13 With the Braden Scale 14 Limits of Risk Scores

What’s the Braden score on the PHCA scale?

Braden Score 13-14 Preventative Interventions (Moderate Risk) Use the same protocol as for “at risk” patients Position patient at 30 degree lateral incline using foam wedges