An adult client is fully able to detect and respond to pain and discomfort. He has no incontinence or mobility limitations. He is of normal weight and consumes a nutritious diet. The client has no problem with rubbing, friction, or shear. What is the Braden score for this client?

Question

Quizplus · Accepted Answer

The Braden Scale for Predicting Pressure Sore Risk assesses six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. In this scenario, the client has no issues with sensory perception (able to detect and respond to pain and discomfort), moisture (no incontinence), activity (no limitations mentioned), mobility (no limitations mentioned), nutrition (consumes a nutritious diet), and friction and shear (no problem mentioned). Each of these categories would be scored at the highest level, which typically ranges from 3 to 4 points per category, leading to a total score of 23, indicating the lowest risk for pressure sores.

An Adult Client Is Fully Able to Detect and Respond