Place I.

D label here or write below:

c Patient name: ͙͙͙͙͙͙͙..
File number: ͙͙͙͙͙͙
c c48c


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ccc48 Model
c c
Hospital c c c c c c c c c c
Nursing c Administrationc
c c c c c c c c c c c
c c BRADEN
c c RISKc ASSESSMENT
c c SHEET
c c c c c

Risk factor 1 2 3 4 score

Sensory Perception Completely Very limited Slightly limited No impairment

limited
Moisture Constantly Very moist Occasional moist Rarely moist
moist
Activity Bed bound Chair bound Walks Walks frequently
Occasionally
Mobility Completely Very limited Slightly limited No limitations
immobile
Nutrition Very poor Probably Adequate Excellent
inadequate
Friction and shear Problem Potential No apparent
problem problem
Total score

ëOW RISK (SCORE >15) MODERATE RISK (SCORE13-14) HIGH RISK (SCORE <12)
Ongoing assessment for Change Initiate and document plan of care Includes ͞Moderate Risk
in status related to any of the on kardex and Unit specific Progress Intervention͟
six risk areas Plus requested referral to:
-Activity level (I,e,turning -physiotherapy
,positioning) -Occupational therapy
-Continence management -Dietitian
-Monitoring of pressure point areas
- Monitoring nutrititional status
Document reassessment -Shin care tools used : prevention c
Weekly on kardexcc mattresses or treatment (I.e. air
mattresses ), creams ,bed hoop,
trapeze, dressings

c Patient education prevention c

c

Nurse Name:



Signature:

Date:c
Time:

c