| RPT |
.|.|Braden Scale for Predicting Pressure Ulcer Risk||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>|| Braden Scale Score: <-Braden Score->||Severe risk: 9 or lower.|High risk: 10-12.|Moderate risk: 13-14.|Mild risk: 15-18.|
|Questions and Answers||Sensory perception -- ability to respond meaningfully to pressure-related discomfort| <*Answer_5427*>|Moisture -- degree to which skin is exposed to moisture|
<*Answer_5428*>|Activity -- ability to change and control body position| <*Answer_5429*>|Mobility -- ability to change and control body position| <*Answer_5430*>|Nutrition -- usual food intake
patterns| <*Answer_5431*>|Friction and shear| <*Answer_5432*>| |Information contained in this note is based on a self report assessment and is not sufficient to use alone for diagnostic
purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities. |Copyright Barbara Braden & Nancy Bergstrom, 1988 $~
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