Question

The nurse will be using the Braden scale with each admit to the long-term care center. Which of these will be utilized in a Braden scale assessment? Select all that apply?

a) Sensory perception
b) Moisture
c) Pain
d) Activity

Answer 1

The Braden scale assesses for sensory perception, moisture levels, and patient activity to evaluate the risk of pressure ulcer development, but it does not directly assess pain.

Step-by-step explanation:

The Braden scale is a predictive scale used to assess a patient’s risk of developing pressure ulcers. Among the six areas it assesses are: sensory perception, which looks at the patient's ability to respond to pressure-related discomfort; moisture, which assesses the degree to which the skin is exposed to moisture; and activity, which measures the patient’s physical activity levels and their ability to reposition themselves. Pain is not directly assessed by the Braden scale but is important in overall patient care, and could be assessed by other tools like the Mosby pain rating scale.