Ger 13 Pressure Ulcers Flashcards
This is a scale used for assessing risk for pressure ulcers.
Braden scale
On the Braden scale, what is a good result for 1. sensory perception?
less sensory loss is better
On the Braden scale, what is a good result for moisture?
less is better
On the Braden scale, what is a good result for activity?
more is better
On the Braden scale, what is a good result for mobility?
ability to change position without help is better
On the Braden scale, what is a good result for nutrition?
Ability to eat more na doften is better
On the Braden scale, what is a good result for friction and shear?
ability to keep good posture in bed/chain without help is better
Is a higher or lower # (from 1-4) is better on the Braden scale?
higher
At what point or higher is there no risk on the Braden scale?
> 19
At what range should is it at risk, and you should manage moisture?
15-18
At what range is there a modeerate risk, and you should manage nutrition?
13-14
At what range is there a high risk and u should manage friction and shear?
10-12
What range is there a very high risk and u should manage general care and gentle handling?
< 9
What are the 5 points of usual locations for pressure ulcers?
(think things that contact a bed when u lay down)
Sacrum Heels Ischial tuberosities Greater trochanters Lateral malleoli
True or False: a stage I ulcer shows redenned skin that doesnt blanch when pressed.
True