BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK



|BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK |

|Patient’s Name: |Evaluator’s Name: |DATE OF ASSESSMENT: | | | | |

|Sensory perception |1. Completely limited: |2. Very |3. Slightly |4. No | |

|Ability to respond meaningfully to pressure-related discomfort |Unresponsive (does not moan, |limited: |limited: |impairment: | |

| |flinch, or grasp) to painful |Responds only|Responds to |Responds to | |

| |stimuli, due to diminished |to painful |verbal |verbal | |

| |level of consciousness or |stimuli. |commands but |commands. Has| |

| |sedation, |Cannot |cannot always|no sensory | |

| |OR |communicate |communicate |deficit which| |

| |Limited ability to feel pain |discomfort |discomfort or|would limit | |

| |over most of body surface |except by |need to be |ability to | |

| | |moaning or |turned, |feel or voice| |

| | |restlessness,|OR |pain or | |

| | |OR |Has some |discomfort. | |

| | |Has a sensory|sensory | | |

| | |impairment |impairment | | |

| | |which limits |which limits | | |

| | |the ability |ability to | | |

| | |to feel pain |feel pain or | | |

| | |or discomfort|discomfort in| | |

| | |over ½ of |1 or 2 | | |

| | |body. |extremities. | | |

1 Nothing by mouth

2 Intravenously

3 Total Parenteral Nutrition

SOURCE: Barbara Braden and Nancy Bergstrom. Copyright, 1988. Reprinted with permission.

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