Braden Scale (Pressure Injury Risk)

Bedside risk-stratification tool for hospital-acquired pressure injury (decubitus ulcer), summing six subscales — lower scores meaning higher risk — to trigger prevention measures.

Sensory Perception (ability to respond meaningfully to pressure-related discomfort)

1 - Completely limited (unresponsive) 2 - Very limited (responds only to painful stimuli) 3 - Slightly limited (responds to verbal commands but cannot always communicate) 4 - No impairment

Moisture (degree to which skin is exposed to moisture)

1 - Constantly moist 2 - Very moist 3 - Occasionally moist 4 - Rarely moist

Activity (degree of physical activity)

1 - Bedfast 2 - Chairfast 3 - Walks occasionally 4 - Walks frequently

Mobility (ability to change and control body position)

1 - Completely immobile 2 - Very limited 3 - Slightly limited 4 - No limitation

Nutrition (usual food intake pattern)

1 - Very poor 2 - Probably inadequate 3 - Adequate 4 - Excellent

Friction & Shear

1 - Problem (requires moderate to maximum assistance) 2 - Potential problem (moves feebly, slides down) 3 - No apparent problem