Student Handout for Data Collection: Braden Scale for Predicting Pressure Sore Risk Directions Read the following scenario and document using the Braden scale flow sheet, totaling your score. You are encouraged to use your textbook as a reference to review the details of the Braden scale. Scenario Paula is an elderly patient who recently experienced a stroke with right-sided hemiparesis. She has been in poor health over the past 6 months and lost 40 pounds as a result of self-described “stomach problems” that have impacted her appetite. She has gross motor movement in her right foot and leg but lacks sensation. Her right arm is flaccid. She is incontinent of urine and stool and needs help repositioning in bed.
1
2
3
4
Sensory perception Moisture
Completely limited
Very limited
Slightly limited
No impairment
Constantly moist
Moist
Occasionally moist Walks occasionally Slightly limited
Rarely moist
Activity
Bedfast
Chair fast
Walks frequently
Mobility
Completely immobile Very poor
Very limited
No limitation
Nutrition
Probably inadequate Potential problem
Adequate
Excellent
Friction and sheer Total Score
Problem
No apparent problem
© 2024. Davis Advantage for Fundamentals of Nursing , F.A. Davis Company.
126
Powered by FlippingBook