Braden 1
Your patient responds to verbal commands but cannot always communicate discomfort. There is an inability to feel pain in one or two extremities.
What is Sensory Perception #3: Slightly Limited
Name the risk factors of the Braden Scale
What is sensory perception, moisture, activity, nutrition, mobility, shear/friction
Your patient never eats a complete meal and rarely eats more than 1/2 of any food offered. This patient has poor fluid intake and refuses liquid dietary supplements. What is the Braden score for Nutrition?
What is Nutrition level #1: Very Poor
Your patient is completely unresponsive to painful stimuli due to diminished level of consciousness or sedation. What Braden Score do you give this patient for Sensory Perception?
What is Sensory Perception #1 Completely limited
Your patient's skin is usually but not always moist. You change the bed linens for this patient about once per shift. What score do you give this patient for moisture?
What is Moisture #2: Often moist
Your patient is damp every time you move or turn her. What is the Braden Score for Moisture for this patient?
What is Moisture #1: Constantly Moist
What is the frequency of documentation of the Braden Score and skin reassessments?
What is every shift.
Your patient requires moderate to max assistance in moving, and frequently slides down in the bed or chair. Spasticity, contractures or agitation leads to almost constant friction. What is the Braden Score for Friction and Shear?
What is Friction and Shear #1: Problem
Your patient is not able to walk, cannot bear own weight and must be assisted to the chair. What Braden Score do you award this patient for Activity?
What is Braden Activity Level # 2: Chairfast
Your patient does not make the slightest movements of his body or extremity without assistance. What Braden Scale Score would you give this patient?
What is Mobility #1: Completely immobile.
Your Patient eats most of his meals and never refuses meals. He occasionally eats between meals & doesn't require supplements. What is the Nutrition Score for this patient?
What is Nutrition #4. Excellent Nutrition
Your patient responds to verbal commands with no limitations to feel or voice pain or discomfort. What is this Patient's Braden score for Sensory Perception?
What is Sensory Perception#4: No Impairment
Your patient's skin is usually dry; linen only requires routine changes. What is the Braden Score for Moisture for this patient?
What is Moisture Level #4: rarely moist.
Your patient makes occasional or slight changes in body or extremity position but cannot make frequent or significant changes independently. What is the Braden Score for mobility?
What is Braden Mobility Score #2: Very Limited mobility
You have a patient who is rather feeble and requires minimal assistance. During repositioning, this patient slides against the sheets. The patient maintains a good position in the chair or bed but occasionally slides down. What Braden score would you give this patient?
What is Friction & Shear #2: Potential Problem
You have a patient who takes short walks occasionally during the day, with or without assistance. Most of the time, the Patient is in bed or his wheelchair. What Braden Score would you give this patient for activity?
What is Activity #3: Walks occasionally.
Your patient's skin requires a linen change approximately once per day. What Braden Scale score do you award this patient?
What is moisture level #3: occasionally moist
Your patient eats over half of most meals, with 4 servings of protein per day. Occasionally the patient refuses a meal, but takes supplements when offered. What is the Braden Score for Nutrition?
What is Nutrition # 3: Adequate
Your patient moves in bed and in the chair independently and has sufficient muscle strength to lift up completely during moving. What is the Braden Score for Friction and Shear?
What is Braden Friction & Shear #3: No apparent problem
Your patient makes frequent though slight changes in body or extremity position independently. What mobility score would you give to this patient?
What is Mobility #3: Slightly Limited
Your Patient rarely eats a complete meal, and generally eats only about 1/2 of any food offered. He eats 3 servings of meat or dairy products per day and occasionally takes dietary supplements. What score would you provide this patient for nutrition?
What is Nutrition #2: Probably inadequate nutrition
It is important to document the Braden Score and Skin Reassessment findings when?
What is: "during the same shift of discovery."
Your patient is confined to bed. What is the Braden Scale Score for this patient for Activity?
What is Activity #1
Your patient makes major and frequent changes in position without assistance. What is the Braden Score for mobility?
What is Mobility Score #4: No Limitations
Your Patient responds only to painful stimuli. He is sensory impaired which limits the ability to feel pain over 1/2 of his body. What Braden score would you give to this patient?
What is Sensory Perception #2: Very Limited