Braden scale for Predicting pressure ulcer risk - wikipedia Braden scale for Predicting pressure ulcer risk The Braden Scale for Predicting Pressure Ulcer Risk, is a tool that was developed in 1987 by Barbara Braden and Nancy Bergstrom. The purpose of the scale is to help health professionals, especially nurses, assess a patient 's risk of developing a pressure ulcer. Contents 1 Assessment using the Braden Scale 1.1 Sensory perception 1.2 Moisture 1.3 Activity 1.4 Mobility 1.5 Nutrition 1.6 Friction and Shear 2 Scoring with the Braden Scale 3 See also 4 References 5 External links Assessment using the Braden scale The Braden scale assesses a patient 's risk of developing a pressure ulcer by examining six criteria : Sensory perception This parameter measures a patient 's ability to detect and respond to discomfort or pain that is related to pressure on parts of their body. The ability to sense pain itself plays into this category, as does the level of consciousness of a patient and therefore their ability to cognitively react to pressure - related discomfort. Moisture Excessive and continuous skin moisture can pose a risk to compromise the integrity of the skin by causing the skin tissue to become macerated and therefore be at risk for epidermal erosion. So this category assesses the degree of moisture the skin is exposed to. Activity This category looks at a patient 's level of physical activity since very little or no activity can encourage atrophy of muscles and breakdown of tissue. Mobility This category looks at the capability of a patient to adjust their body position independently. This assesses the physical competency to move and can involve the clients willingness to move. Nutrition The assessment of a client 's nutritional status looks at their normal patterns of daily nutrition. Eating only portions of meals or having imbalanced nutrition can indicate a high risk in this category. Friction and shear Friction and shear looks at the amount of assistance a client needs to move and the degree of sliding on beds or chairs that they experience. This category is assessed because the sliding motion can cause shear which means the skin and bone are moving in opposite directions causing breakdown of cell membranes and capillaries. Moisture enhances the susceptibility of friction. Scoring with the Braden scale Each category is rated on a scale of 1 to 4, excluding the ' friction and shear ' category which is rated on a 1 - 3 scale. This combines for a possible total of 23 points, with a higher score meaning a lower risk of developing a pressure ulcer and vice versa. A score of 23 means there is no risk for developing a pressure ulcer while the lowest possible score of 6 points represents the severest risk for developing a pressure ulcer. The Braden Scale assessment score scale : Very High Risk : Total Score 9 or less High Risk : Total Score 10 - 12 Moderate Risk : Total Score 13 - 14 Mild Risk : Total Score 15 - 18 No Risk : Total Score 19 - 23 See also Pressure ulcer Wound healing Waterlow score References Jump up ^ Kozier, Barbara, Glenora Erb, Shirlee Snyder, and Audrey Berman. Fundamentals of Nursing : Concepts, Process, and Practice. 8th ed. Upper Saddle Riveer, NJ : Pearson Education, 2008. 905 - 907. Print. Jump up ^ U.S. National Library of Medicine, Initials. ( 2009, May 20 ). 2009aa braden scale source information. Retrieved from https://www.nlm.nih.gov/research/umls/sourcereleasedocs/2009AA/LNC_BRADEN/ Jump up ^ Cassell, Charisse. `` Pressure Ulcer Risk Assessment : The Braden Scale for Prediction Pressure Sore Risk. '' Health Services Advisory Group of California, Inc., n.d. Web. 25 Feb 2011. < http://www.hsag.com/App_Resources/Documents/CA_HSAG_LS3_Risk_Cassell.pdf > Archived July 12, 2011, at the Wayback Machine... Jump up ^ `` Archived copy ''. Archived from the original on 2011 - 07 - 15. Retrieved 2011 - 02 - 27. CS1 maint : Archived copy as title ( link ) Jump up ^ `` Bedsores ( pressure sores ). '' Mayo Clinic, 30 Mar 2009. Web. 25 Feb 2011. http://www.mayoclinic.com/health/bedsores/DS00570/DSECTION=causes. Jump up ^ Jiricka MK, Ryan P, Carvalho MA, Bukvich J ( 1995 ). `` Pressure ulcer risk factors in an ICU population ''. Am. J. Crit. Care. 4 ( 5 ) : 361 -- 7. PMID 7489039. External links Braden Scale Official Website Braden Scale Instruction sheet Braden Scale Assessment form Retrieved from `` https://en.wikipedia.org/w/index.php?title=Braden_Scale_for_Predicting_Pressure_Ulcer_Risk&oldid=831603167 '' Categories : Nursing Medical scales Hidden categories : Webarchive template wayback links CS1 maint : Archived copy as title Talk Contents About Wikipedia Català Français Srpskohrvatski / српскохрватски Edit links This page was last edited on 21 March 2018, at 11 : 31 ( UTC ). About Wikipedia

Question: what does a braden score of 20 mean
Answer: No Risk