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.
Question | Answer |
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Form Name | Braden Scale Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | braden risk, braden scale template, braden scale form, braden pressure |
BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK
Patient=s Name _____________________________________ |
Evaluator=s Name________________________________ |
Date of Assessment |
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SENSORY PERCEPTION |
1. Completely Limited |
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2. Very Limited |
3. Slightly Limited |
4. No Impairment |
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Unresponsive (does not moan, |
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Responds only to painful |
Responds to verbal com- |
Responds to verbal |
ability to respond meaning- |
flinch, or grasp) to painful |
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stimuli. Cannot communicate |
mands, but cannot always |
commands. Has no |
fully to |
stimuli, due to diminished level of |
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discomfort except by moaning |
communicate discomfort or the |
sensory deficit which would |
discomfort |
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or restlessness |
need to be turned. |
limit ability to feel or voice |
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OR |
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OR |
OR |
pain or discomfort.. |
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limited ability to feel |
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has a sensory impairment which |
has some sensory impairment |
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pain over most of body |
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limits the ability to feel pain or |
which limits ability to feel pain |
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discomfort over 2 of body. |
or discomfort in 1 or 2 extremities. |
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MOISTURE |
1. Constantly Moist |
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2. Very Moist |
3. Occasionally Moist: |
4. Rarely Moist |
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Skin is kept moist almost |
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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, |
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Linen must be changed at least |
an extra linen change approximately |
only requires changing at |
exposed to moisture |
etc. Dampness is detected |
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once a shift. |
once a day. |
routine intervals. |
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every time patient is moved or |
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turned. |
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ACTIVITY |
1. Bedfast |
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2. Chairfast |
3. Walks Occasionally |
4. Walks Frequently |
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Confined to bed. |
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Ability to walk severely limited or |
Walks occasionally during day, but |
Walks outside room at least |
degree of physical activity |
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for very short distances, with or |
twice a day and inside room |
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weight and/or must be assisted into |
without assistance. Spends |
at least once every two |
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chair or wheelchair. |
majority of each shift in bed or chair |
hours during waking hours |
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MOBILITY |
1. Completely Immobile |
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2. Very Limited |
3. Slightly Limited |
4. No Limitation |
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Does not make even slight |
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Makes occasional slight changes in |
Makes frequent though slight |
Makes major and frequent |
ability to change and control |
changes in body or extremity |
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body or extremity position but |
changes in body or extremity |
changes in position without |
body position |
position without assistance |
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unable to make frequent or |
position independently. |
assistance. |
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significant changes independently. |
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NUTRITION |
1. Very Poor |
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2. Probably Inadequate |
3. Adequate |
4. Excellent |
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Never eats a complete meal. |
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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 |
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generally eats only about 2 of any |
a total of 4 servings of protein |
Never refuses a meal. |
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food offered. Eats 2 servings or |
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food offered. Protein intake |
(meat, dairy products per day. |
Usually eats a total of 4 or |
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less of protein (meat or dairy |
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includes only 3 servings of meat or |
Occasionally will refuse a meal, but |
more servings of meat and |
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products) per day. Takes fluids |
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dairy products per day. |
will usually take a supplement when |
dairy products. |
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poorly. Does not take a liquid |
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Occasionally will take a dietary |
offered |
Occasionally eats between |
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dietary supplement |
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supplement. |
OR |
meals. Does not require |
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OR |
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OR |
is on a tube feeding or TPN |
supplementation. |
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is NPO and/or maintained on |
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receives less than optimum amount |
regimen which probably meets |
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clear liquids or IV=s for more |
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of liquid diet or tube feeding |
most of nutritional needs |
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than 5 days. |
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FRICTION & SHEAR |
1. Problem |
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2. Potential Problem |
3. No Apparent Problem |
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Requires moderate to maximum |
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Moves feebly or requires minimum |
Moves in bed and in chair |
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assistance in moving. Complete |
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assistance. During a move skin |
independently and has sufficient |
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lifting without sliding against |
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probably slides to some extent |
muscle strength to lift up |
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sheets is impossible. Frequently |
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against sheets, chair, restraints or |
completely during move. Maintains |
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slides down in bed or chair, |
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other devices. Maintains relatively |
good position in bed or chair. |
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requiring frequent repositioning |
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good position in chair or bed most |
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with maximum assistance. |
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of the time but occasionally slides |
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Spasticity, contractures or |
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down. |
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agitation leads to almost |
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constant friction |
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8 Copyright Barbara Braden and Nancy Bergstrom, 1988 All rights reserved |
Total Score |