Integumentary Assessment Flashcards
1
Q
Braden Scale Assessment
A
Pressure Sore risk
2
Q
Braden Scale Assessment: Sensory Perception
A
Completely Limited
Very Limited
Slightly Limited
No Impairment
3
Q
Braden Scale Assessment: Nutrition
A
Very Poor
Probably inadequate
Adequate
Excellent
4
Q
Braden Scale Assessment: Mobility
A
Completely Immobile
Very limited
Slight limited
No limitations
5
Q
Braden Scale Assessment: Activity
A
Bedfast
Chairfast
Walks Occasionally
Walks Frequently
6
Q
Braden Scale Assessment: Moisture
A
Constantly Moist
Moist
Occasionally Moist
Rarely Moist
7
Q
Braden Scale Assessment: Friction-Shear
A
Problem
Potential Problem
No Apparent Problem
8
Q
Health history questions
A
changes in moles? rashes, lesions, itching? history of excessive bruising? history of hair loss? nail changes?