![]() These three populations are often seen in long-term care facilities, so it’s important to understand their unique situations. With regard to sensory perception, I want to stress the importance of assessing neuropathy in residents with diabetes, recognizing paralysis or loss of sensation in residents with spinal cord injury (SCI), and understanding how sensory perception may vary in residents with dementia. Please review the Braden Scale card for a deeper definition of each of these terms. The resident is scored on a scale of 1 to 4, as follows: In the Braden Scale, sensory perception is the ability to respond meaningfully to pressure-related discomfort. Braden Scale Scoring for Sensory Perception In this blog, I address sensory perception as defined by the Braden Scale and how this is applicable to residents of a long-term care facility. There are six categories within the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction or shear. The lower the number, the higher the risk is for developing an acquired ulcer or injury. The Braden Scale uses a scores from less than or equal to 9 to as high as 23. What is the Braden Scale?īriefly put, the Braden Scale is an evidenced-based tool, developed by Nancy Braden and Barbara Bergstrom, that predicts the risk for developing a hospital- or facility-acquired pressure ulcer or injury. However, we should still complete a Braden Scale on admission, during transfer, when receiving, and most importantly, with any change in condition. What is the correct way to score these patients? I believe that a less frequent Braden Scale assessment yields more accurate results. The resident behaves differently on different shifts, for example, being asleep on the night shift but up and about on days. Additionally, the frequency of Braden Scale use may contribute to a multitude of different scores. ![]() Working with long-term care and geriatric populations opens up a world of multiple pre-existing comorbidities and risk factors that aren’t always explicitly written into the Braden Scale categories. ![]() With that in mind, our evidence-based tool needs to be used correctly to yield accurate results. IntroductionĪs wound care professionals, the Braden Scale for Predicting Pressure Sore Risk® is near and dear to our hearts. It was updated and republished in January of 2021. The WoundSource Editors would like to congratulate Holly on her award.Įditor's Note: This blog was originally written and published in September of 2017. ![]() It has received the most views of any blog posted on WoundSource within the last year. Hovan, MSN, GERO-BC, APRN, CWOCN-AP, is the recipient of the 2021 Blog of the Year Award. Hovan, MSN, GERO-BC, APRN, CWOCN-APĮditor's note: This blog by Holly M. ![]()
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