SEVERE RISK total HIGH RISK MODERATE RISK MILD RISK score < score 10-12 total score 13-14 total score 15-18 9 **Current/previous pressure damage = patient automatically scores HIGH RISK** Elements score Total score Current or previous Risk Category Signature Date Pressure damage (tick) Sensory perception YES HIGH RISK Moisture Activity Mobility NO Nutrition Friction & Shear Elements score Total score Current or previous Risk Category Signature Date Pressure damage Sensory perception YES HIGH RISK Moisture Activity _________________ ___________ Mobility NO Nutrition Friction & Shear Elements score Total score Current or previous Risk Category Signature Date Pressure damage Sensory perception YES HIGH RISK Moisture Activity _________________ ___________ Mobility NO Nutrition Friction & Shear Elements score Total score Current or previous Risk Category Signature Date Pressure damage Sensory perception Moisture YES HIGH RISK Activity ________________ ___________ Mobility NO Nutrition Friction & Shear Elements score score Current or previous Risk Category Signature Date Pressure damage Sensory perception YES HIGH RISK Moisture Activity _________________ ___________ Mobility NO Nutrition Friction & Shear
SEVERE RISK total score < 9 HIGH RISK score 10-12 MODERATE RISK total score 13-14 MILD RISK total score 15-18 **Current/previous pressure damage = patient automatically scores HIGH RISK** Elements score Total score Current or previous Pressure damage Risk Category (tick) Signature Date Sensory perception YES HIGH RISK Moisture Activity Mobility NO Nutrition Friction & Shear Elements score Total score Current or previous Pressure damage Risk Category Signature Date Sensory perception YES _________________ NO HIGH RISK ___________ Moisture Activity Mobility Nutrition Friction & Shear Elements score Total score Current or previous Pressure damage Risk Category Signature Date Sensory perception YES _________________ NO HIGH RISK ___________ Moisture Activity Mobility Nutrition Friction & Shear Elements score Total score Current or previous Pressure damage Risk Category Signature Date Sensory perception YES ________________ NO HIGH RISK ___________ Moisture Activity Mobility Nutrition Friction & Shear Elements score score Current or previous Pressure damage Risk Category Signature Date Sensory perception YES _________________ NO HIGH RISK ___________ Moisture Activity Mobility Nutrition Friction & Shear
Braden-Scale-V2.docx