What S Your Braden
“What’s Your Braden?” Post-test
Name:______Employee ID______
Unit:______Date:______
1. The sub-categories of the Braden Scale are totaled to determine the total level of risk of your
patient. How many sub-categories are there?
a. 2
b. 5
c. 4
d. 6
2. How often is the Braden Scale documented?
a. Once a shift on the CMR.
b. On admission
c. If there is any physical or cognitive deterioration in the patient’s condition.
d. All of the above
e. A & B
3. All but one of the sub-categories are rated from 1 to 4 with the exception of which sub-
category?
a. Moisture
b. Nutrition
c. Friction & Shear
d. Mobility
4. If the patient is at risk in the sub-categories of sensory perception, mobility and activity; what
interventions would you initiate?
a. Use of pressure reducing support surface ( soft care).
b. Place the patient on a turning schedule.
c. Use an incontinent cream to protect the skin from moisture.
d. All of the above.
e. A & B
5. A skin assessment and the Braden Scale do the same thing.
TrueFalse
6. Braden scale assessment is the first step in the identification of pressure ulcer risk facilitating
appropriate pressure ulcer prevention measures and cost effective use of health care resources.
TrueFalse
Using the Braden Scale with sub-category descriptors read the following case studies and answer the questions
An 80 year old female was admitted to your unit from the Emergency department after falling at home and lying on the floor for 2 days. Her admitting diagnosis is Stroke with left hemiparesis. Your assessment reveals a frail emaciated female with DTI (deep tissue injury) to her sacrum and heels. She is incontinent of urine and stool. There is peri-anal excoriation secondary to her incontinence. A foley catheter is placed upon admission. However, she remains incontinent of stool requiring her linen to be changed once a shift. She claims that she has not eaten in 2 days. Physical Therapy has seen her; she is too weak to make significant changes in bed but did get up to the chair with Therapy.
7. Based on the information above how would you score the Braden Scale sub-categories?
Sensory Perception ______
Moisture ______
Activity______
Mobility______
Nutrition______
Friction and Shear______
Total Score______
8. What is the risk for pressure ulcer development (circle the correct answer)?
23-19 No Risk
18-15 At Risk
14-13 Moderate Risk
12-10 High Risk
9-6 Very High Risk
9. Based on your answers indicate two interventions that you would take for this patient.
______
______
A 49 year old male is admitted to your unit following surgery for a torn rotator cuff that he sustained from playing hockey. He is moving freely while in bed and has already been up to the bathroom without assistance. The first thing that he says to you is that he is hungry and has not eaten since dinner last night. Your assessment reveals a well-nourished male, dry intact skin, with a sling on his left arm. His neuro-circulation check on his left upper extremity demonstrates a strong radial pulse, good capillary refill and the ability to move his fingers. He told you that he follows a high protein diet, eats three meals a day with an additional protein supplement between lunch and dinner. He also stated that he does not consume alcohol.
10. Based on the information above how would you score the Braden Scale sub-categories?
Sensory Perception ______
Moisture ______
Activity______
Mobility______
Nutrition______
Friction and Shear______
Total Score______
11. What is the risk for pressure ulcer development (circle the correct answer)?
23-19 No Risk
18-15 At Risk
14-13 Moderate Risk
12-10 High Risk
9-6 Very High Risk
12. Based on your answers indicate two interventions that you would take for this patient.
______
______
A 72 year old obese male is admitted to your unit with COPD. He is sitting up in the bed at a 90 degree angle and appears very short of breath. Respirations are 30 and regular with neck vein distension. Skin is diaphoretic. Pulse is rapid at 110. Skin is intact. He is incontinent of urine when he coughs or sneezes requiring an extra linen change each shift. He becomes even more short of breath with any activity but can get up to the chair with much assistance and is making only slight changes while in bed. His lunch tray arrives and he is unable to eat due to his respiratory difficulty. He says that he has not been able to eat other than small bites for over a week.
13. Based on the information above how would you score the Braden Scale sub-categories?
Sensory Perception ______
Moisture ______
Activity______
Mobility______
Nutrition______
Friction and Shear______
Total Score______
14. What is the risk for pressure ulcer development (circle the correct answer)?
23-19 No Risk
18-15 At Risk
14-13 Moderate Risk
12-10 High Risk
9-6 Very High Risk
15. Based on your answers indicate two interventions that you would take for this patient.
______
What’s Your Braden?
Clinical Competency
Name:______Employee ID:______Date:______
Unit:______Evaluator’s Name:______
Instructions: Each nurse is to evaluate the Braden score and discuss 2 pressure ulcer prevention interventions on two of their patients (DO NOT PUT ANY PATIENT IDENTIFIERS ON THIS FORM). The Skin Champion of the unit or Mary Whalen CWOCN will verify that the score and preventive measures are correct by their signature. The nurse will then submit this form along with their completed test and evaluation to their individual unit educator.
Successful Completion: To receive 1.5 contact hours, for “What’s Your Braden?”, participants must read the entire self-learning module, complete the post-test with a passing score of 80%, complete/submit an evaluation form and during monthly unit-based skins rounds accurately determine the Braden Score and pressure ulcer prevention interventions for 2 patients.
Expiration: The expiration date for this educational activity is June 22, 2014. No contact hours will be awarded to participants who submit evaluation forms and post-tests after this date. Please contact Professional Nursing Development with questions.
Thank-you
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