Blog Categories
Blog
Acid Reflux
Acne
ACL Injuries
Acupressure
Acupuncture
Aids for Daily Living
Aircast A60 Ankle Brace
Aircast AirSelect Short Walker Boot
Alarms and Alerts
Airway Clearance
Amplified Telephones
Ankle Pain
Ankle Supports
Anatomical Models
Arthritis
Autism
Arm Slings
Back Pain
Bauerfeind
Bedroom
Bedwetting
Best Christmas Gifts
Bidets
Bio Bidet Supreme BB 1000
Boxia Drop Foot AFO Brace
Breathing
Brand Focus
Bunions
Care Support
Cast Care
Christmas
Circulation Boosters
Comfort
Cold Therapy
Compression Stockings
Cubital Tunnel Syndrome Elbow Splint
Deep Vein Thrombosis
Dementia
DeVilbiss VacuAide
Diagnostics
Donjoy Armor Professional Knee Brace with Fourcepoint
Donjoy Reaction Web Knee Brace
Dry Skin
Education
Education and Development
Elderly Care
Electronic Cigarettes
Emergency Preparedness
Emergency Evacuation Sledge
Epilepsy
Exercise
Fall Management
Fitness
Fire Safety
Foot and Ankle Pain
Foot Care
Football
Gardening
General Health
GERD
Golf
Great Gifts
Halloween
Hand and Foot Warmers
Hand and Wrist Pain
Harley Bed Relaxer Bed Wedge Cushion
Health and Care Videos
Health And Care Expert Series
Healthy Skin
Hearing Impairment
Heat Therapy
HEINE
Hernias
Humidifiers
Hygiene
Hyperextension
Hyperhidrosis
Indoor Games
Infographics
Insoles
Keeping Warm
Kinesiology Tape
Kitchen
Knee Braces
Knee Pain
Learn About Conditions
Magnetic Therapy
Massage
Maternity
Medical Supplies
Medication Management
MicroCurrent Therapy
Mobility
Nasal and Sinus
Nativity
Neck Pain
Ophthalmoscopes and Otoscopes
Ostomy Care
Oval-8 Finger Splint
Pain Management
Pelvic Health
Pet Health
Physiotherapy
Pillows
Post Surgery
Posterial Tibial Tendonitis
Pressure Relief
Pressure Relief Bed Fleece
Product Focus
Raynaud's Disease
Rehabilitation
Running
Seasonal Affective Disorder
Sensory Furniture
Sensory Toys
Serola Sacroiliac Belt for Back Pain
Sexual Health
Shoes
Shoulder Pain
Showering
Skincare
Skiing
Sleep Better
Smoking Alternatives
Snoring
Socks
Special Offers
Sports Equipment
Sports Supports and Braces
Stay Cool This Summer
Stroke Recovery
Students
Sweating
The Original Copper Heeler
Therapeutica Spinal Alignment Sleeping Pillow
Tinnitus
Thermal Clothing
Top 5 Guides
Travel Aids
Visual Impairment
Walking Sticks
Wandering
Walker Boots
Winter Essentials
Wrist Supports & Braces
Repetitive Strain Injury

What is the Braden Scale?

Monday, 26 March 2018  |  Paul

If you or someone you are caring for is temporarily or permanently confined to a bed or wheelchair, pressure sores are a real possibility you want to avoid at all costs. Pressure sores, also known as pressure ulcers, pressure injuries, bedsores or decubitus ulcers, occur due to pressure applied to soft tissues, resulting in completely or partially obstructed blood flow to the tissue.

Luckily, this can be easily prevented by using numerous pressure relief products available on the market, but first it's important to know how serious the risk of developing a pressure ulcer is. This short article will help you learn how to evaluate the patient's risk of developing a sore, and find the best possible solution to prevent this from happening.

What is the Braden Scale?

Simply put, the Braden Scale is a test developed to help professionals, especially nurses and caretakers, asses the patient's risk of developing a pressure ulcer by examining six criteria. The total score can range from six to 23, with the lower score indicating a higher risk.

Criteria for Assessment

You can use the table below to assess your or your patient's risk of developing a pressure ulcer right away. While we advise consulting your GP or specialist whenever possible, this offers a quick view into the current situation.

Risk Factor Score 1 Score 2 Score 3 Score 4
Sensory Perception Completely Limited Very Limited Slightly Limited No Impairment
Moisture Constantly Moist Often Moist Occasionally Moist Rarely Moist
Activity Bedfast Chairfast Walks Occasionally Walks Frequently
Mobility Completely Immobile Very Limited Slightly Limited No Limitations
Nutrition Very Poor Probably Inadequate Adequate Excellent
Friction and Shear Problem Potential Problem No Apparent Problem  
  • Sensory perception evaluates the patient's ability to respond meaningfully to pressure-related discomfort.
    • Completely limited: limited ability to feel pain over most of the body.
    • Very limited: has a sensory impairment which limits the ability to feel pain or discomfort over half of the body.
    • Slightly limited: has some sensory impairment which limits the ability to feel pain or discomfort in one or two extremities.
    • No impairment: has no sensory deficit which would limit ability to feel or voice pain or discomfort.
  • Moisture evaluates the degree to which the skin is exposed to moisture.
    • Constantly moist: skin is kept moist almost constantly by perspiration, urine, etc.
    • Often moist: Skin is often but not always moist.
    • Occasionally moist: skin is occasionally moist, requiring an extra linen change approximately once a day.
    • Rarely moist: skin is usually dry.
  • Activity evaluates the degree of physical sensitivity.
    • Bedfast: confined to bed.
    • Chairfast: the ability to walk is severely limited or nonexistent.
    • Walks occasionally: walks occasionally during the day, but for very short distances, with or without assistance.
    • Walks frequently: walks outside the room at least twice a day.
  • Mobility evaluates the patient's ability to change and control their body position.
    • Completely immobile: does not make even slight changes in body or extremity position without assistance.
    • Very limited: makes occasional slight changes in body or extremity position but is unable to make frequent or significant changes.
    • Slightly limited: makes frequent though slight changes in body or extremity position independently.
    • No limitations: Makes major and frequent changes.
  • Nutrition evaluates the usual intake pattern.
    • Very poor: the patient is maintained on clear liquids or IV for more than five days.
    • Probably inadequate: rarely eats a complete meal and generally eats only about half of any food offered.
    • Adequate: eats over half of most meals.
    • Excellent: eats most of every meal. Never refuses a meal.
  • Friction and shear
    • Problem: requires moderate to maximum assistance in moving.
    • Potential problem: moves freely or requires minimum assistance.
    • No apparent problem: moves in bed and in chair independently.

Braden Scale Score Range

Each category is rated on a scale of one to four, or one to three in case of the last one, which combines a possible total of 23 points. A score of 23 means there is no risk for developing a pressure ulcer, while a lower score signifies a possible problem. The Braden Scale assessment score scale is as follows:

Potential Risk Score
Very High Risk 9 or less
High Risk 10 - 12
Moderate Risk 13 - 14
Mild Risk 15 - 18
No Risk 19 - 23

How Can I Prevent Pressure Sores?

If you believe you or a person you are caring for is at risk for developing pressure ulcers, we advise you to consult a doctor to find the best possible solution. In some milder cases, however, pressure ulcers can be prevented and treated with proper care and use of pressure relief aids.

The action you want to take depends on the results of the test:

Braden Score 15 - 18 (Mild Risk)

Pressure Relief Bed Fleece

  • Manage the patient's moisture, nutrition, friction and shear

Braden Score 13 - 14 (Moderate Risk)

  • Use the same protocol as for patients at mild risk
  • Position the patient at 30° lateral incline using foam wedges

Foam Wedge

Braden Score 10 - 12 (High Risk)

  • Use the same protocol as for patients at moderate risk
  • When turning the patient, make small shifts in their position as well

Braden Score 9 or Less (Very High Risk)

Prime Comfort active Mattress

Supporting any part of the body, be it the hips, heels, elbows, back or the coccyx, that is in constant contact with a hard surface is the most important aspect when it comes to caring for a patient who is at risk. To find a possible solution for preventing or treating a milder sore, explore our range of products that specialise in Pressure Relief, and include everything from Wheelchair Fleeces to Memory Foam Mattresses and Heel Protectors.

Do you have any experience with pressure sores? Share your thoughts below or find us on Facebook and Twitter.

Tags: Learn about Conditions, Pressure Relief, Pressure Relief Bed Fleece, Pressure Relief Cushions

Heel Pressure Relief Fleece Protectors (Pair)
  • Wool pile heel protectors
  • Add comfort and protection to heels
  • Soft strap for extra comfort
  • Supplied in a pair

Memory Foam Prop-Up Bed Wedge
  • A comfortable positioning aid for sleeping or sitting
  • Useful for a range of conditions, such as hernias
  • Effective during leg elevation to eliminate fatigue
  • Memory foam moulds to user's shape for comfort

Pressure Relief Bed Fleece
  • Suitable for the relief from and prevention of pressure sores and ulcers
  • Made from 100% pure new wool to absorb perspiration
  • Ideal for use on beds, chairs, sofas and wheelchairs
  • Allows the skin to breathe more effectively

Harvest Prime Comfort Active Pressure Relief Alternating Mattress
  • Combines pressure relief of foam and alternating air
  • Suitable for patients at very high risk of pressure sores
  • Complete with 10 independent removable air cells
  • Waterlow score: 10+ / Braden Scale score: 6 - 9