SKIN BRADEN SCALE AT RISK 15-18 (95)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM SKIN BRADEN SCALE AT RISK 15-18
PLAN
  • Ambulation
  • Promote nutritional & fluid intake
  • Chair for meals
  • Turn q 2 hours
  • Bowel/bladder program
  • Draw sheet for movement in bed
  • Elevate heels or apply protectors
  • Manage moisture
  • Monitor Labs
  • Prevent friction & shear forces
DESIRED OUTCOME 
For patients who are at risk (score 15 or higher) on the Braden scale.
ACTIVE YES