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Within 24 hours of admission a Braden Scale Risk assessment must be completed to determine and communicate to the team immediate prevention strategies required for the client.
The Braden Scale uses a scores from less than or equal to 9 to as high as 23. The lower the number, the higher the risk is for developing an acquired ulcer or injury. 19-23 = no risk. 15-18 = mild risk. 13-14 = moderate risk.
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.
The Braden scale uses six areas to rate the risk for pressure ulcers: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. The maximum score for friction and shear is 3 points. The other risk factors are scored on a 4-point scale. The maximum score on the Braden scale is 23.
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.
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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.
The Braden Scale assessment score scale: Very High Risk: Total Score 9 or less. High Risk: Total Score 10-12. Moderate Risk: Total Score 13-14.
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.
0:56 5:15 Pressure Wound Video Series Pt 1: The Braden Scale - YouTube YouTube Start of suggested clip End of suggested clip The information on each of the sub scales is obtained from client interview observation or chartMoreThe information on each of the sub scales is obtained from client interview observation or chart obstruction and typically can be completed in 10 minutes.
The Braden Scale is a standardized, evidence-based assessment tool commonly used in health care to assess and document a patient's risk for developing pressure injuries.

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