SKIN BRADEN SCALE HIGH RISK (97)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM SKIN BRADEN SCALE HIGH RISK
PLAN
  • Ambulation
  • Nutrition Consult
  • PT Consult
  • Skin barrier for incontinence
  • Avoid elevation >30 degrees for prolonged periods
  • Chair for meals
  • Certified Wound Specialist consult
  • Do not massage reddened areas over bony prominences
  • Turn q 2 hours
  • Draw sheet for movement in bed
  • Elevate heels or apply protectors
  • Monitor labs
DESIRED OUTCOME 
For patients with a high risk (score 12 or less) on the Braden scale.
ACTIVE YES