Question

Determining those patients at greatest risk is the cornerstone of reducing pressure ulcers for the busy nurse. One such way that has been developed to help with assessing risk is the Braden scale . Why do you think these particular categories are helpful in determining risk?

Answer 1

Ans) Braden Risk Assessment tool:

- Use this together with your clinical judgement.
- An assessment that identifies risk should lead to action.
- This is a clinical tool you can use to assess risk of a patient/client developing a pressure ulcer. Use this together with your clinical judgement.

- The primary aim of this tool is to identify patients/clients who are at risk, as well as determining the degree of risk of developing a pressure ulcer.

- 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. Each item is scored between 1 and 4, with each score accompanied by a descriptor. The lower the score, the greater the risk.

- Lower the Braden score, needs immediate Interventions- change of position 2 nd hrly, aur matress.