Document Detail


Predictive Power of the Braden Scale for Pressure Sore Risk in Adult Critical Care Patients: A Comprehensive Review.
MedLine Citation:
PMID:  22948495     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Critical care is designed for managing the sickest patients within our healthcare system. Multiple factors associated with an increased likelihood of pressure ulcer development have been investigated in the critical care population. Nevertheless, there is a lack of consensus regarding which of these factors poses the greatest risk for pressure ulceration. While the Braden Scale for Pressure Sore Risk is the most commonly used tool for measuring pressure ulcer risk in the United States, research focusing on the cumulative Braden Scale score and subscale scores is lacking in the critical care population. This author conducted a literature review on pressure ulcer risk assessment in the critical care population, to include the predictive value of both the total score and the subscale scores. In this review, the subscales Sensory Perception, Mobility, Moisture, and Friction/Shear were found to be associated with an increased likelihood of pressure ulcer development; in contrast, the Activity and Nutrition subscales were not found to predict pressure ulcer development in this population. In order to more precisely quantify risk in the critically ill population, modification of the Braden Scale or development of a critical care specific risk assessment tool may be indicated.
Authors:
Jill Cox
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-31
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  -     ISSN:  1528-3976     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-9-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Jill Cox, PhD, RN, APN,C, CWOCN, Medical/Surgical Advanced Practice Nurse/Wound, Ostomy and Continence Nurse, Englewood Hospital and Medical Center, Englewood, New Jersey.
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