SKIN BRADEN SCALE MODERATE RISK 13-14 (96)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM SKIN BRADEN SCALE MODERATE RISK 13-14
PLAN
  • Ambulation
  • Promote nutritional & fluid intake
  • PT Consult
  • Skin barrier for incontinence
  • Chair for meals
  • Turn q 2 hours
  • Draw sheet for movement in bed
  • Elevate heels or apply protectors
  • Manage moisture
  • Monitor Labs
  • Nutrition consult
  • Prevent friction & shear forces
DESIRED OUTCOME 
For patients with a moderate risk (score 13 or 14) on the Braden scale.
ACTIVE YES