Braden Scale for Pressure Injuries
Braden Scale Sensory [radio name]Completely Limited- 1 [radio name]Very Limited- 2 [radio name]Slightly Limited- 3 [radio name]No Impairment- 4 Moisture [radio name]Constatly Moist- 1 [radio name]Often Moist- 2 [radio name]Occasionally Moist- 3 [radio name]Rarely Moist- 4 Activity [radio name]BedFast- 1 [radio name]ChairFast- 2 [radio name]Walks Occasionally- 3 [radio name]Walks Often- 4 Mobility [radio name]Completely Immobile- 1 [radio name]Very Limited- 2 [radio name]Slightly Limited- 3 [radio name]No Limitations- 4 Nutrition [radio name]Very Poor- 1 [radio name]Probably Inadequate- 2 [radio name]Adequate- 3 [radio name]Excellent- 4 Friction and Shear [radio name]Problem- 1 [radio name]Potential Problem- 2 [radio name]No Apparent Problem 3 Braden Score:[text name="variable_1" default="sample text"] Additoinal problems that may increase risk: [text name="variable_1" default="sample text"] Adjusted Score:[text name="variable_1" default="sample text"] [radio name]19 to 23 no risk [radio name]15 to 18 mild risk [radio name]13-14 moderate risk [radio name]10-12 High risk [radio name]9 or below severe risk
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Sandbox Metrics: Structured Data Index 0.9, 31 form elements, 78 boilerplate words, 3 text boxes, 28 radio buttons, 31 total clicks
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