Fillable Braden Details

In this post, the author discusses the Braden Scale Form. The scale is a questionnaire with a series of questions in order to identify any underlying medical conditions in patients who are experiencing symptoms such as fatigue and weight loss. These symptoms can be signs of an underlying disease or condition. The author also lists down some factors that should be considered before using the Braden Scale form for assessment purposes. The Braden Scale Form is a questionnaire used by doctors to assess whether your patient may have an underlying medical condition affecting their health. In this blog post, I will discuss how you can use the scale effectively during diagnosis and what factors need to be taken into account beforehand so that it doesn't lead to inaccurate results or delays in treatment when needed most.

This table features specifics of braden scale form. Our recommendation is that you look at this information before you decide to start filling out the file.

QuestionAnswer
Form NameBraden Scale Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesbraden risk, braden scale template, braden scale form, braden pressure

Form Preview Example

BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK

Patient=s Name _____________________________________

Evaluator=s Name________________________________

Date of Assessment

 

 

 

 

 

 

SENSORY PERCEPTION

1. Completely Limited

 

2. Very Limited

3. Slightly Limited

4. No Impairment

 

Unresponsive (does not moan,

 

Responds only to painful

Responds to verbal com-

Responds to verbal

ability to respond meaning-

flinch, or grasp) to painful

 

stimuli. Cannot communicate

mands, but cannot always

commands. Has no

fully to pressure-related

stimuli, due to diminished level of

 

discomfort except by moaning

communicate discomfort or the

sensory deficit which would

discomfort

con-sciousness or sedation.

 

or restlessness

need to be turned.

limit ability to feel or voice

 

OR

 

OR

OR

pain or discomfort..

 

limited ability to feel

 

has a sensory impairment which

has some sensory impairment

 

 

pain over most of body

 

limits the ability to feel pain or

which limits ability to feel pain

 

 

 

 

discomfort over 2 of body.

or discomfort in 1 or 2 extremities.

 

 

 

 

 

 

 

MOISTURE

1. Constantly Moist

 

2. Very Moist

3. Occasionally Moist:

4. Rarely Moist

 

Skin is kept moist almost

 

Skin is often, but not always moist.

Skin is occasionally moist, requiring

Skin is usually dry, linen

degree to which skin is

constantly by perspiration, urine,

 

Linen must be changed at least

an extra linen change approximately

only requires changing at

exposed to moisture

etc. Dampness is detected

 

once a shift.

once a day.

routine intervals.

 

every time patient is moved or

 

 

 

 

 

turned.

 

 

 

 

 

 

 

 

 

 

ACTIVITY

1. Bedfast

 

2. Chairfast

3. Walks Occasionally

4. Walks Frequently

 

Confined to bed.

 

Ability to walk severely limited or

Walks occasionally during day, but

Walks outside room at least

degree of physical activity

 

 

non-existent. Cannot bear own

for very short distances, with or

twice a day and inside room

 

 

 

weight and/or must be assisted into

without assistance. Spends

at least once every two

 

 

 

chair or wheelchair.

majority of each shift in bed or chair

hours during waking hours

 

 

 

 

 

 

MOBILITY

1. Completely Immobile

 

2. Very Limited

3. Slightly Limited

4. No Limitation

 

Does not make even slight

 

Makes occasional slight changes in

Makes frequent though slight

Makes major and frequent

ability to change and control

changes in body or extremity

 

body or extremity position but

changes in body or extremity

changes in position without

body position

position without assistance

 

unable to make frequent or

position independently.

assistance.

 

 

 

significant changes independently.

 

 

 

 

 

 

 

 

NUTRITION

1. Very Poor

 

2. Probably Inadequate

3. Adequate

4. Excellent

 

Never eats a complete meal.

 

Rarely eats a complete meal and

Eats over half of most meals. Eats

Eats most of every meal.

usual food intake pattern

Rarely eats more than a of any

 

generally eats only about 2 of any

a total of 4 servings of protein

Never refuses a meal.

 

food offered. Eats 2 servings or

 

food offered. Protein intake

(meat, dairy products per day.

Usually eats a total of 4 or

 

less of protein (meat or dairy

 

includes only 3 servings of meat or

Occasionally will refuse a meal, but

more servings of meat and

 

products) per day. Takes fluids

 

dairy products per day.

will usually take a supplement when

dairy products.

 

poorly. Does not take a liquid

 

Occasionally will take a dietary

offered

Occasionally eats between

 

dietary supplement

 

supplement.

OR

meals. Does not require

 

OR

 

OR

is on a tube feeding or TPN

supplementation.

 

is NPO and/or maintained on

 

receives less than optimum amount

regimen which probably meets

 

 

clear liquids or IV=s for more

 

of liquid diet or tube feeding

most of nutritional needs

 

 

than 5 days.

 

 

 

 

 

 

 

 

 

 

FRICTION & SHEAR

1. Problem

 

2. Potential Problem

3. No Apparent Problem

 

 

Requires moderate to maximum

 

Moves feebly or requires minimum

Moves in bed and in chair

 

 

assistance in moving. Complete

 

assistance. During a move skin

independently and has sufficient

 

 

lifting without sliding against

 

probably slides to some extent

muscle strength to lift up

 

 

sheets is impossible. Frequently

 

against sheets, chair, restraints or

completely during move. Maintains

 

 

slides down in bed or chair,

 

other devices. Maintains relatively

good position in bed or chair.

 

 

requiring frequent repositioning

 

good position in chair or bed most

 

 

 

with maximum assistance.

 

of the time but occasionally slides

 

 

 

Spasticity, contractures or

 

down.

 

 

 

agitation leads to almost

 

 

 

 

 

constant friction

 

 

 

 

 

 

 

 

 

 

8 Copyright Barbara Braden and Nancy Bergstrom, 1988 All rights reserved

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