We are working on an assignment using
We are working on an assignment using the Braden Scale. Our instructor wants us to complete the assignment before she discusses the scale with us. I have read the information in our textbook. We are supposed to score different scenarios that were given to us. I was hoping someone could review my scores and provide me feedback. CPA Braden Scale a. How would a nurse use this scale to prevent breaks in skin integrity? A nurse uses this scale to assess a patient’s risk for pressure sores. b. Score this patient…28-year-old male with a fracture of his left femur from a MVA-motor vehicle accident. He can feel his toes on both feet 4. Skin is intact except surgical incision left hip 4. He can get out of bed with crutches and one assist 4. Non-weight bearing left leg. Can ambulate 10′ with crutches 4. Excellent appetite 4. Can move in bed using a trapeze 3. This patient has a score of 23 and does not currently present a pressure sore risk. Sensory 4 Moisture 4 Activity 4 Mobility 4 Nutrition 4 Friction/Shear 3 c. Score this patient…75 -old-female with severe osteoarthritis. Complains of pain 7 “all over her joints” 3. Skin intact with good hygiene 4. Can transfer out of bed with one assist 4. Can ambulate with a walker and contact guard 8′ 3. Fair appetite 3. Can move in bed independently 3. This patient has a score of 20 and does not present a pressure sore risk. I reduced the activity because her pain level may be discouraging her, and she needs a contact guard. I reduced her mobility because of the combination of pain and the need I reduced her nutrition because of her appetite. Sensory 4 Moisture 4 Activity 3 Mobility 3 Nutrition 3 Friction/Shear 3 d. Score this patient…80-year-old female with dementia. Can follow verbal commands 4. Incontinent of urine and stool 1. Bedfast 1. Needs one assist to move in bed. Poor appetite, only eats 1/2 meal tray 1. Currently sitting in bed slumped to one side after eating a meal 1. This patient has a score of 8 and appears to be at severe risk for pressure sores. I reduced all categories to 1 with the exception of sensory due to her limitations. She can follow verbal commands so she has a 4 in sensory. Sensory 4 Moisture 1 Activity 1 Mobility 1 Nutrition 1 Friction/Shear 1 References Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. (2023). Skin Integrity and Wound Care. In Fundamentals of Nursing (pp. 1328-1329). essay, Elsevier.
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