What is the Braden Scale assessment?

The Braden Scale is a scale made up of six subscales, which measure elements of risk that contribute to either higher intensity and duration of pressure, or lower tissue tolerance for pressure. These are: sensory perception, moisture, activity, mobility, friction, and shear.

How is the Braden score calculated?

How to calculate Braden score? As we mentioned above, the Braden scale has six different sub-scales with four possible answers (with one exception – the friction/shear sub-scale has three). Therefore, the first five sub-scales are scored from 1 to 4 points, and the friction/shear sub-point is scored from 1 to 3.

What is the Braden risk assessment tool used for?

Background: This tool can be used to identify patients at-risk for pressure ulcers. The Braden Scale was developed by Barbara Braden and Nancy Bergstrom in 1988 and has since been used widely in the general adult patient population. The scale consists of six subscales and the total scores range from 6-23.

When is a Braden risk assessment done?

Within 24 hours of admission a Braden Scale Risk assessment must be completed to determine and communicate to the team immediate prevention strategies required for the client.

What is the best Braden Scale score?

The Braden Scale uses a scores from less than or equal to 9 to as high as 23. The lower the number, the higher the risk is for developing an acquired ulcer or injury.

When should the Braden Scale be used?

The Braden Scale for Predicting Pressure Sore Risk is completed on admission to a facility and should be updated quarterly to help provide the best care to a residents changing physical condition.

How do you use the Braden Scale in nursing?

The Braden Scale uses a scores from less than or equal to 9 to as high as 23. The lower the number, the higher the risk is for developing an acquired ulcer or injury. There are six categories within the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction or shear.

How often should the Braden Scale be performed?

Reassess clients who score less than or equal to18 (Braden Scale) or 16 (Braden Q Scale): a. ICU / CCU: at least every 48 hours. b. Acute Care: every 48 hours and post operatively.

How often do nurses do Braden Scale?

With regard to LTC residents, calculating a Braden Scale score on admission, every week for 4 weeks, and then again either monthly or quarterly is suggested.