The presence of pressure ulcers of a minor stage in our patients has been associated in our hospital to the implementation of the Clinical Practice Guide by the RNAO on PU prevention, which has permitted greater control of patients at risk through systemic evaluation by using the Braden scale
, along with continuous evaluation of the record of events in all care services.
The second instrument used was the Braden scale
, validated in Brazil and available in the literature for health professionals to use to identify PU risks.
Resident profile (sample) Room Admission Age Requires Requires Remains date feeding assistance in bed assistance with fluids in day Yes/No Y/N Y/N Up in Independently Nutrition risk Weight Confused recliner mobile score from and/or in day Braden Scale
agitated Y/N Y/N Y/N 24-hour Calculated Deficit or fluid fluid surplus intake requirement fluids 30ml/kg Table 2.
Is the Braden scale
score associated with postoperative morbidity in women undergoing urogynecologic procedures for stress incontinence and pelvic organ prolapse?
Her caregivers tested her using the Braden scale
, but neglected to factor in heart disease, uncontrolled diabetes, renal disease, and other afflictions, because none of those items is specifically listed on the Braden scale
(1987) on the predictive validity of the Braden Scale
revealed that the sensitivity of the Braden Scale
in adult intensive care patients was 83% while the positive predictive validity was 60.6%.
(1987) The Braden scale
for predicting pressure sore risk.
FOR PREDICTING PRESSURE SORE RISK Patient's Name () Evaluator's Name () Date of Assessment () SENSORY 1.
The Braden scale
is the most widely used and its validity has been verified (Bergstrom et al 1998; VandenBosch et al 1996; Barnes and Payton 1993).
Thus, staff can perform a Braden Scale
or Norton Scale exam as a part of the routine admission, so they will be less likely to forget this important assessment.
The team reviewed several risk assessments and decided that variables in the Braden Scale
could reflect the pediatric orthopedic population.
In a study conducted by Stratis Health, a Minneapolis-based quality improvement organization, eight hospitals were shown to reduce the incidence of pressure ulcers by focusing on caregiver education--in particular the use of the Braden Scale
to conduct daily skin inspections.