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 




Braden Scale

Sensory
Completely Limited- 1
Very Limited- 2
Slightly Limited- 3
No Impairment- 4
Moisture
Constatly Moist- 1
Often Moist- 2
Occasionally Moist- 3
Rarely Moist- 4
Activity
BedFast- 1
ChairFast- 2
Walks Occasionally- 3
Walks Often- 4
Mobility
Completely Immobile- 1
Very Limited- 2
Slightly Limited- 3
No Limitations- 4
Nutrition
Very Poor- 1
Probably Inadequate- 2
Adequate- 3
Excellent- 4
Friction and Shear
Problem- 1
Potential Problem- 2
No Apparent Problem 3

Braden Score:
Additoinal problems that may increase risk:
Adjusted Score:

19 to 23 no risk
15 to 18 mild risk
13-14 moderate risk
10-12 High risk
9 or below severe risk




Result - Copy and paste this output:

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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