Integumentary Assessment Flashcards

1
Q

Braden Scale Assessment

A

Pressure Sore risk

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2
Q

Braden Scale Assessment: Sensory Perception

A

Completely Limited
Very Limited
Slightly Limited
No Impairment

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3
Q

Braden Scale Assessment: Nutrition

A

Very Poor
Probably inadequate
Adequate
Excellent

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4
Q

Braden Scale Assessment: Mobility

A

Completely Immobile
Very limited
Slight limited
No limitations

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5
Q

Braden Scale Assessment: Activity

A

Bedfast
Chairfast
Walks Occasionally
Walks Frequently

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6
Q

Braden Scale Assessment: Moisture

A

Constantly Moist
Moist
Occasionally Moist
Rarely Moist

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7
Q

Braden Scale Assessment: Friction-Shear

A

Problem
Potential Problem
No Apparent Problem

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8
Q

Health history questions

A
changes in moles? 
rashes, lesions, itching?
history of excessive bruising?
history of hair loss?
nail changes?
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