175k views
0 votes
A patient's risk for pressure sore development according to the Braden Scale is as follows:

Sensory perception:4
Moisture:4
Activity:2
Mobility:2
Nutrition:1
Friction and Shear:3
From this assessment, the nurse determines that the patient's risk for pressure sore development is:

Select one:
a. No risk
b. High risk
c. Moderate risk
d. Mild risk

1 Answer

5 votes

Final Answer:

The patient's risk for pressure sore development is: c. Moderate risk

Step-by-step explanation:

The patient's risk for pressure sore development, based on the Braden Scale assessment, is determined to be c.moderate risk. The total score is calculated by adding the scores for each of the six subscales: Sensory perception (4) + Moisture (4) + Activity (2) + Mobility (2) + Nutrition (1) + Friction and Shear (3) = 16. According to the Braden Scale scoring system, a total score between 15 and 18 indicates moderate risk for pressure sore development.

The Braden Scale is a widely used tool in healthcare to assess the risk of pressure ulcer development in patients. It considers various factors, including sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

The cumulative score helps healthcare professionals categorize the patient's risk level, enabling them to implement preventive measures and interventions tailored to the individual's needs.

In this case, a total score of 16 falls within the moderate risk range, suggesting that the patient requires vigilant monitoring and preventive strategies to reduce the likelihood of pressure sore development. It is crucial for healthcare providers to use such assessment tools systematically to identify at-risk individuals and implement proactive measures to maintain skin integrity and prevent the occurrence of pressure ulcers.