An adult patient is fully able to detect and respond to pain and discomfort. He has no incontinence or mobility limitations. He is of normal weight and consumes a nutritious diet. The patient has no problem with rubbing, friction, or shear
What is the Braden score for this patient?
a. 0
b. 15
c. 20
d. 23
D
The Braden scale evaluates six major risk factors: sensory perception, moisture, activity, mobility, nutrition, and friction and sheer. Each category is rated on a scale of 1 to 4, excluding the friction and shear, which is rated on a scale of 1 to 3 . The final score reflects the patient's risk: the lower the score, the more likely the patient will develop a pressure ulcer. The patient receives four points for sensory perception, moisture, activity, mobility, and nutrition and three points for friction and shear, making a total of 23 points, which is a perfect score.
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