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    Patent Pending

    Braden Score for Pressure Ulcers

    Identifies patients at risk for pressure ulcers.
    When to Use

    Do you use the Braden Score for Pressure Ulcers and want to contribute your expertise? Join our contributor team!

    Select the closest description:

    No impairment: responds to verbal commands, able to feel and express pain/discomfort
    +4
    Slightly limited: responds to verbal commands but cannot always communicate discomfort or need to be turned, OR has sensory impairment limiting ability to feel pain/discomfort in 1-2 extremities
    +3
    Very limited: responds only to pain, cannot communicate discomfort except by moaning or restlessness, OR has sensory impairment limiting ability to feel pain/discomfort over half of body
    +2
    Completely limited: unresponsive to painful stimuli due to diminished consciousness or sedation, OR limited ability to feel pain over most of body
    +1
    Rarely moist: skin usually dry, linen only requires changing at routine intervals
    +4
    Occasionally moist: requiring extra linen change approximately once a day
    +3
    Very moist: skin is often but not always moist; linen must be changed at least once a shift
    +2
    Constantly moist: skin is kept moist almost constantly by perspiration, urine, etc; dampness detected every time patient is moved/turned
    +1
    Walks frequently: walks outside room ≥2x/day and inside room at least once every 2 hrs during waking hours
    +4
    Walks occasionally: during day but for very short distances with or without assistance; spends majority of shift in bed/chair
    +3
    Chairfast: ability to walk severely limited or non-existent; cannot bear own weight and/or must be assisted into chair/wheelchair
    +2
    Bedfast: confined to bed
    +1
    No limitation: makes major and frequent changes in position without assistance
    +4
    Slightly limited: makes frequent though slight changes in body or extremity position independently
    +3
    Very limited: makes occasional slight changes in body or extremity position but unable to make frequent or significant changes independently
    +2
    Completely immobile: does not make even slight changes in body or extremity position without assistance
    +1
    Excellent: eats most of every meal; never refuses a meal; usually eats ≥4 servings of meat and dairy products; occasionally eats between meals; supplementation not required
    +4
    Adequate: eats over half of most meals; eats 4 servings protein (meat or dairy) daily; occasionally refuses meal but will usually take supplement when offered; or is on a tube feeding/TPN regimen which probably meets most of nutritional needs
    +3
    Probably inadequate: rarely eats complete meal and generally eats only about ½ of any food offered; protein intake includes only 3 servings of meat or dairy products daily; occasionally will take dietary supplement; or receives less than optimum amount of
    +2
    Very poor: never eats complete meal; rarely eats >⅓ of any food offered; eats ≤2 servings protein (meat or dairy) daily; takes fluids poorly; does not take liquid dietary supplement; or is NPO and/or maintained on clear liquids or IV for >5 days
    +1
    No apparent problem: moves in bed/chair independently, has sufficient muscle strength to lift up completely during move, maintains good position in bed/chair
    +3
    Potential problem: moves feebly or requires minimum assistance; during a move, skin probably slides to some extent against sheets, chair restraints, or other devices; maintains relatively good position in chair or bed most of the time but occasionally sli
    +2
    Problem: requires moderate to maximum assistance in moving; complete lifting without sliding against sheets is impossible; frequently slides down in bed or chair, requiring frequent repositioning with maximum assistance; spasticity, contractures, or agita
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Barbara Braden

    About the Creator

    <p>Barbara Braden, PhD, was the dean of the Graduate School (1995-2006) and the College of Professional Studies (2002-2011) at Creighton University in Omaha, Nebraska. She also established the Lois Turner and Odessie Taylor Endowed Scholarship in honor of two African American women who were pioneers in the field of nursing. Dr. Braden’s primary research focused on the development of the Braden Scale, a method for identifying patients at risk for pressure ulcers (bedsores).</p>

    To view Dr. Barbara Braden's publications, visit PubMed

    Are you Dr. Barbara Braden? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Dr. Nancy Bergstrom

    About the Creator

    Nancy Bergstrom, PhD, RN, FAAN, is a retired associate dean of research at UTHealth School of Nursing and director of the Center on Aging at the University of Texas Health Science Center. She was also inducted into the Nursing Research Hall of Fame. Dr. Bergstrom’s research was focused primarily on pressure ulcer reduction.

    To view Dr. Nancy Bergstrom's publications, visit PubMed

    Are you Dr. Nancy Bergstrom? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Barbara Braden
    Are you Dr. Barbara Braden?
    Dr. Nancy Bergstrom
    Are you Dr. Nancy Bergstrom?