The Braden Scale For Predicting Pressure Sore Risk Essay

The Braden Scale For Predicting Pressure Sore Risk Essay

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According to Iranmanesh, Rafiei, and Sabzevari (2012), pressure ulcers occur as a result of “... tissue necrosis that develops when soft tissue is compressed between a prominent bone and the external surface for a long time” (para. 1). In addition, certain risk factors can predispose patients to forming pressure sores such as age, malnutrition, incontinence, dehydration, immobility, and/or friction and shearing forces (Armour-Burton, Fields, Outlaw, & Deleon, 2013). The goal of this paper is to examine the purpose, frequency of use, background, and clinical significance of using “the Braden Scale for Predicting Pressure Sore Risk (Braden Scale) ...” among hospitalized adults (i.e., 18 years and older) in acute care settings (Carreau et al., 2013, p. 28). In addition, to evaluate the effectiveness of the Braden Scale, identify screening recommendations, and provide two methods for educating nurses on use of the screening tool.

According to Carreau et al. (2013), the purpose of the Braden Scale is to identify patients at risk, in addition to, determining their severity of risk of developing a pressure sore. By doing so, healthcare providers (HCPs) can incorporate interventions into a patient’s plan of care to prevent pressure sores and achieve positive outcomes (Iranmanesh et al., 2012). For example, at the Dallas Veterans Affairs Medical Center (DVAMC), the Braden Scale is completed for all acute care patients upon admission, every 24 hours, and/or a change in the patient’s condition warrants further assessment (M. Jones, personal communication, April 6, 2016). According to M. Jones (personal communication, April 6, 2016), DVAMC nurses complete the Braden Scale according to best practice guideline recommendations to detect patien...


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...sores (Armour-Burton et al., 2013; Iranmanesh et al., 2012). According to Armour-Burton et al. (2013), the development of HAPUs can compromise skin integrity, which increases a patient’s risk for infection, pain, length of stay, morbidity, and/or mortality. Fortunately, nurses can use the Braden Scale to identify patients at risk for developing HAPUs in a variety of clinical settings (Carreau et al., 2013; Iranmanesh et al., 2012). By doing so, nurses can incorporate intervention strategies into a patient’s plan of care to prevent pressure sores and achieve positive outcomes (Iranmanesh et al., 2012). According to Olin (2012), “nurses cannot expect to make significant progress in preventing pressure ulcers if pressure ulcer risk assessment, prevention planning, prevention intervention, and outcomes evaluation function as distinct and unrelated activities” (para. 3).

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