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Each factor is rated with defined descriptions ranging from severely impaired function to no impairment, then combined into a total score. The document also provides risk level interpretation tied to total score thresholds and includes fields for assessment date, evaluator signature, attending physician, and patient record details.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/braden-scale/316958/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/braden-scale/316958.png","ImageObject",300,407,{"name":92,"@type":93},"Ava Thompson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the Braden Scale measure?","Question",{"text":112,"@type":113},"It measures pressure injury risk by scoring sensory perception, moisture, activity, mobility, nutrition, and friction/shear.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How are risk levels determined on this scale?",{"text":117,"@type":113},"Risk levels are interpreted using the total score thresholds shown in the document, mapping lower totals to higher risk categories.",{"name":119,"@type":110,"acceptedAnswer":120},"What information is recorded with an assessment?",{"text":121,"@type":113},"The form includes assessment date, evaluator signature/title, attending physician, record number, and room/bed details, along with a signature section for assessors.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},316958,1790905063,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1649267921044,"https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1786009248482753345","| SEVERE RISK: Total score 9 HIGH RISK: Total score 10-12 MODERATE RISK: Total score 13-14 MILD RISK: Total score 15-18 |  |  |  |  |  |  |  |  |  |  |  | DATE OF ASSESS 􀂨 |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| RISK FACTOR |  | SCORE/DESCRIPTION |  |  |  |  |  |  |  |  |  |  | 1 | 2 | 3 | 4 |\n| SENSORY PERCEPTION\u003Cbr>Ability to respond meaningfully to pressure-related discomfort |  | 1. COMPLETELY LIMITED – Unresponsive (does not moan, flinch, or grasp) to painful stimuli, due to diminished level of consciousness or sedation,\u003Cbr>OR\u003Cbr>limited ability to feel pain over most of body surface. |  | 2. VERY LIMITED – Responds only to painful stimuli. Cannot communicate discomfort except by moaning or restlessness,\u003Cbr>OR\u003Cbr>has a sensory impairment which limits the ability to feel pain or discomfort over ½ of body. | 3. SLIGHTLY LIMITED – Responds to verbal commands but cannot always communicate discomfort or need to be turned,\u003Cbr>OR\u003Cbr>has some sensory impairment which limits ability to feel pain or discomfort in 1 or 2 extremities. |  |  |  | 4. NO IMPAIRMENT – Responds to verbal commands. Has no sensory deficit which would limit ability to feel or voice pain or discomfort. |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MOISTURE\u003Cbr>Degree to which\u003Cbr>skin is exposed to moisture |  | 1. CONSTANTLY MOIST– Skin is kept moist almost constantly by perspiration, urine, etc. Dampness is detected every time patient is moved or turned. |  | 2. OFTEN MOIST – Skin is often but not always moist. Linen must be changed at least once a shift. | 3. OCCASIONALLY MOIST – Skin is occasionally moist, requiring an extra linen change approximately once a day. |  |  |  | 4. RARELY MOIST – Skin is usually dry; linen only requires changing at routine intervals. |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ACTIVITY\u003Cbr>Degree of physical activity |  | 1. BEDFAST – Confined to bed. |  | 2. CHAIRFAST – Ability to walk severely limited or nonexistent. Cannot bear own weight and/or must be assisted into chair or wheelchair. | 3. WALKS OCCASIONALLY – Walks occasionally during day, but for very short distances, with or without assistance. Spends majority of each shift in bed or chair. |  |  |  | 4. WALKS FREQUENTLY– Walks outside the room at least twice a day and inside room at least once every 2 hours during waking hours. |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MOBILITY\u003Cbr>Ability to change\u003Cbr>and control body position |  | 1. COMPLETELY IMMOBILE – Does not make even slight changes in body or extremity position without assistance. |  | 2. VERY LIMITED – Makes occasional slight changes in body or extremity position but unable to make frequent or significant changes independently. | 3. SLIGHTLY LIMITED – Makes frequent though slight changes in body or extremity position independently. |  |  |  | 4. NO LIMITATIONS – Makes major and frequent changes in position without assistance. |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| NUTRITION\u003Cbr>Usual food intake pattern\u003Cbr>1NPO: Nothing by mouth.\u003Cbr>2IV: Intravenously.\u003Cbr>3TPN: Total\u003Cbr>parenteral nutrition. |  | 1. VERY POOR – Never eats a complete meal. Rarely eats more than 1/3 of any food offered. Eats\u003Cbr>2 servings or less of protein (meat or dairy products) per day. Takes fluids poorly. Does not take a liquid dietary supplement,\u003Cbr>OR\u003Cbr>is NPO1 and/or maintained on clear liquids or IV2 for more than 5 days. |  | 2. PROBABLY INADEQUATE – Rarely eats a complete meal and generally eats only about ½ of any food offered. Protein intake includes only 3 servings of meat or dairy products per day. Occasionally will take a dietary supplement\u003Cbr>OR\u003Cbr>receives less than optimum amount of liquid diet or tube feeding. | 3. ADEQUATE – Eats over half of most meals. Eats a total of 4 servings of protein (meat, dairy pro","cbCaidjvFofUA08p","https://ap.wps.com/l/cbCaidjvFofUA08p","pdf",290679,"English","# Risk categories by total score\n## Sensory perception\n## Moisture\n## Activity\n## Mobility\n## Nutrition\n## Friction and shear\n## Total score and risk interpretation\n## Assessment details and signatures","[{\"question\":\"What does the Braden Scale measure?\",\"answer\":\"It measures pressure injury risk by scoring sensory perception, moisture, activity, mobility, nutrition, and friction/shear.\"},{\"question\":\"How are risk levels determined on this scale?\",\"answer\":\"Risk levels are interpreted using the total score thresholds shown in the document, mapping lower totals to higher risk categories.\"},{\"question\":\"What information is recorded with an assessment?\",\"answer\":\"The form includes assessment date, evaluator signature/title, attending physician, record number, and room/bed details, along with a signature section for assessors.\"}]","Braden Scale | PDF",1789926813]