Braden Scale for predicting pressure injury risk Ability to respond Unresponsive (does not moan, flinch, or meaningrlully to pressure-related discomfort grasp) ability surface. consciousness or sedation OR limited to feel pain over most of body Responds only to painful stimuli. Cannot Responds to verbal commands, but which over restlessness OR has a sensory impairment limits the ability to feel pain or discomfort 1/2 of body. ffin@m@n@!E@n@n be skin is exposed to moisture Skin is often, but not always moist. Linen must changed at least once a shift. Degree of Confined to bed Ability to walk severely limited or nonexistent. Cannot bear own weight and/or must be assisted into chair or wheelchair. detecled 5A Responds to verbal commands. Has no sensory sg EE to be turned OR has some sensory impairmenl pain or discomfort. bc which limits ability to feel pain or discomfort in 1 or 2 extremities Ep Eo $F i:d Skin is kept moist almost constantly by perspiration, urine, etc. Dampness is every time patient is moved or turned. Degree to which cannot extra Skin is occasionally moist, requiring an linen change approximately once a day. Skin is usually dry linen only requires changing at routine intervals. 3: 9* qp nl Bp physical activity W;ffiW Ability to change and control body position very short distances, with or without assistance. Spends majority of each shift in bed or chair. Walks occasionally during the day, but lor Walks outside the room at least tvvice a day and inside room at least once every two hours during waking hours. 9b le ep R..a Does not make even slight changes in body or extremity position without assistance. Makes occasional slight changes in body or extremity position, but unable to make frequent or significant changes. independently. Makes frequent though slight changes in body or odremity position independently. Makes major and frequent changes in position without assistance. 5! dl 8e -q.0 AF i3 d;,ffif; Usual food Never eats a complete meal. Rarely eats more intake pattern than 1/3 of any food offered. Eats 2 seMngs or less of protein (meat or ddry products) per day. Takes fluids poorly. Does nol take a liquid dietary supplement OR is NPO and/or maintained on clear liquids or lvs for more than 5 days. Rarely eats a complete meal and generally eats only about % of any food offered. Protein intake includes only 3 servings of meat or ddry products per day. Occasionally will take a dietary supplement OR receives less than optimum amount of liquid diet or tube feeding. Eats over half of most meals. Eats a total of 4 servings of protein (meat, ddry producls) per day. Occasionally will refuse a meal, but will usually take a supplement when offered OR is on a tube feeding or TPN regimen which probably meets most of nutritional needs. Eats most of every meal. Never refuses a meal. Usually eats a total of 4 or mor€ servings oJ meat and dairy products per day. Occasionally eats between meals. Does not require supplementation. frE :3 6_9 E3 b,t a9 f;i cO se p9 Requires moderate to maximum assistance in moving. Complete lifting without sliding against sheets is impossible. Frequently slides down in bed or chair, requiring frequent repositioning with maximum assistance. Spasticity, contractures or agitation leads to almost constant friction. Moves feebly or requires minimum assistance. During a move, skin probably slides to some extent against sheets, chair, restraints or other devices. Maintains relalively good position in chair or bed most of the time but occasionally slides down. Moves in bed and in chair independently and has sufficient muscle strength to lift up completely during move. Maintains good position in bed or chair at all times. 6b AR .Ei !ts' E. RE QbN t8t, €is t-s t o ht ..:o a;h Copyright: Barbara Braden & Nancy Bergstrom, 1988. Ail ights reserved. Resource: www.bradenscale.com A number of contributing or confounding factors are a/so assoclaled wlth pressure ulcers; the significance of these factors is yet to be elucidated. sEi i5s ;!: p\; a'r t ArjoHuntleigh lnc. GETINGE GROUP 2349 West Lake Street, Addison, lllinois 60101 MAQUET AruoFruNTLElGl{ GETINGE GITINGE GROUP GETINGE CROUP GETINGT GROUP www.getingegroup.com MCVOOO44IOB REVA