| RPT |
|Braden Scale for Predicting Pressure Ulcer Risk
| 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 -- degree of physical activity
| <*Answer_5429*>
| Mobility -- ability to change and control body position
| <*Answer_5430*>
| Date Given: <.Date_Given.>
| 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.
|
| Clinician: <.Staff_Ordered_By.>
|Copyright Barbara Braden & Nancy Bergstrom, 1988 $~
| Location: <.Location.>
|
| Veteran: <.Patient_Name_Last_First.>
| SSN: <.Patient_SSN.>
| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|
