Question

6. Braden scale assessment is the first step in the tdehuieation ol p appropriate pres sure ulcer prevention measures and cost effective use of health care resources. Falsekin assessmen True Using the Braden Scale with sub-category descriptors read the following case studies and answer the questions An 80 year old female was admitted to your unit from the Emergency department after falling at home and lying on the floor for 2 days. Her admitting diagnosis is Stroke with left hemiparesis. Your assessment reveals a frail emaciated female with DTI (deep tissue injury) to her sacrum and heels. She is incontinent of urine and stool. There is peri-anal excoriation secondary to her incontinence. A foley catheter is placed upon admission. However, she remains inco However, she remains incontinent of stool requiring her linen to be changed once a shift. She claims that she has not eaten in 2 days. Physical Therapy has secen her; she is too weak to make significant changes in bed but did get up to the chair with Therapy. 7. Based on the information above how would you score the Braden Scale sub-categories? Sensory Perception Moisture Activity Mobility Nutrition Friction and Shear Total Score

Answer 1

Braden score for this patient is :-

Sensory perception - 2

Moisture - 1

Activity -1

Nutrition - 1

Mobility - 1

Friction and shear - 1

Total score is 7

A score of less than 9 has highest risk to develop pressure ulcer .