Braden Scale
Sensory Perception help_outline

Poor sensation in both legs

Moisture help_outline

Occasionally incontinent of urine

Activity help_outline

Walks around room and hallways frequently

Mobility help_outline

Makes frequent but small changes in extremity position

Nutrition help_outline

Eats 1/2 of every meal

Friction and Shear help_outline

Moves weakly without assistance

Sensory Perception close

1: Completely limited: unresponsive; cannot feel pain on most of body
2: Very limited: responds to pain; cannot express pain; cannot feel pain on 1/2 of body
3: Slightly limited: responds to voice but cannot always express pain; cannot feel pain in 1 or 2 extremities
4: No impairment: alert; no sensory deficits

Moisture close

1: Constantly moist: linens changed frequently
2: Very moist: linens changed at least once a shift
3: Occasionally moist: linens changed once a day
4: Rarely moist: skin is dry; only routine linen changes

Activity close

1: Bedfast: confined to bed
2: Chairfast: can be placed into chair but cannot walk
3: Walks occasionally: can only walk short distances
4: Walks frequently: walks inside and outside room frequently

Mobility close

1: Completely immobile: cannot make even slight changes in position
2: Very limited: makes only occasional, slight changes in position
3: Slightly limited: makes frequent but only slight changes in position
4: No limitation: changes position without assistance

Nutrition close

1: Very poor: never eats more than 1/3 of meal; 2 or fewer servings of protein; NPO for 5 or more days
2: Inadequate: never eats more than 1/2 of meal; 3 servings of protein a day; sub-optimal tube feeds
3: Adequate: eats more than half of meal; 4 servings of protein a day; on tube feeds or TPN
4: Excellent: eats full meals; more than 4 servings of protein a day; may eat between meals

Friction and Shear close

1: Problem: slides frequently against sheets; requires frequent repositioning with maximum assistance
2: Potential problem: slides occasionally against sheets; requires occasional repositioning with minimal assistance
3: No apparent problem: moves independently

Braden score