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The main risk assessment tool used (92.3%) was the Braden Scale for predicting pressure injuries.
The standard hospital practice for the RN was to conduct a comprehensive skin assessment using the Braden scale. In the new prevention plan, the unit adopted a practice of performing thorough skin assessments with a second RN to improve accuracy for patients on admission or transfer to the unit.
To conduct this study, information consigned in the clinical record was obtained, which included socio-demographic variables (age, gender, educational level, type of occupation, and place of origin); related to the prior health status (antecedents, comorbidities, prior PU development); related to hospital admission and evolution of the health status (admission diagnosis, hospitalization service, areas of the skin at risk of PU, score on the Braden scale, complications, date of PU onset, stage of the ulcer, its location, time of hospital stay).
However, the use of the Braden scale occurs mostly in hospital settings and in a more systematic way in intensive care units, reflecting the lack of scientific research of its use in institutionalized elderly.
* Those with a higher deficit also had higher Braden Scale scores for nutrition (meaning they were at risk of having poor nutrition).
(4.) Braden scale information available at http://www.bradenscale.com/.
The skin assessment template format is based on the Braden Scale used to predict the risk for pressure sore development (Braden, 1988) (see Figures 1-4).
He noted that all agreed that a Braden scale is universally used to stage the seriousness of decubitus ulcers or pressure sores.
In addition of the use of a pressure-ulcer risk assessment tool (Braden Scale, Norton scale, Waterlow scale, etc.), there is a more objective method of identifying whether a person is at a higher risk for a pressure ulcer.
In this edition, the "Aids to Success" chapter has been reorganized along nursing process lines and incorporates new tools such as the Joint Commission safety guidelines, the Braden Scale for Predicting Pressure Sore Risk, HIPAA information, signs of pediatric and geriatric abuse, a high-alert medication list, tips for troubleshooting IV pumps, and NANDA-I 2009-20011 nursing diagnoses.