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Informations:
Erreur:
ID
22530
Description
Formular aus dem KIS OpenVistA
Mots-clés
Versions (5)
- 22/02/2012 22/02/2012 -
- 06/06/2017 06/06/2017 - Martin Dugas
- 07/06/2017 07/06/2017 - Martin Dugas
- 15/06/2017 15/06/2017 - Martin Dugas
- 15/06/2017 15/06/2017 - Martin Dugas
Téléchargé le
6 juin 2017
DOI
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Licence
Creative Commons BY-NC 3.0
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BRADEN SCALE
Similar models
BRADEN SCALE
- StudyEvent: BRADEN SCALE
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item
SENSORY PERCEPTION: Ability to respond meaningfully to pressure.
integer
C2171315 (UMLS CUI [1])
CL Item
COMPLETELY LIMITED. Unresponsive to painful stimuli, due to diminished level of consciousness or sedation, OR Limited ability to feel pain over most of body surface (1)
C3693312 (UMLS CUI-1)
CL Item
VERY LIMITED. Responds only to painful stimuli, cannot communicate discomfort except by moaning or restlessness OR Has a sensory impairment, which limits the ability to feel pain or discomfort over 1/2 the body (2)
C3693309 (UMLS CUI-1)
CL Item
SLIGHTLY LIMITED. Responds to verbal commands but cannot always communicate discomfort or need to be turned, OR Has some sensory impairment, which limits ability to feel pain or discomfort in 1 or 2 extremities (3)
C3693310 (UMLS CUI-1)
CL Item
NO IMPAIRMENT. Responds to verbal command. Has no sensory deficit which would limit ability to feel or voice pain or discomfort (4)
C3693311 (UMLS CUI-1)
Item
MOISTURE: The degree to which skin is exposed to moisture.
integer
C2171313 (UMLS CUI [1])
CL Item
CONSTANTLY MOIST. Perspiration, urine, etc. keeps skin moist almost constantly. Dampness is detected every time a patient is moved or turned (1)
C3693320 (UMLS CUI-1)
CL Item
MOIST. Skin is often but not always moist. Linen must be changed at least once a shift (2)
C3693317 (UMLS CUI-1)
CL Item
OCCASIONALLY MOIST Skin is occasionally moist requiring an extra linen change approximately once a day (3)
C3693319 (UMLS CUI-1)
CL Item
RARELY MOIST Skin is usually dry; linen requires changing only at routine intervals (4)
C3693318 (UMLS CUI-1)
Item
ACTIVITY: Degree of physical activity.
integer
C2171311 (UMLS CUI [1])
CL Item
BEDFAST. Confined to bed (1)
C3693331 (UMLS CUI-1)
CL Item
CHAIR FAST. Ability to walk is severly limited or nonexistant. Cannot bear weight and/or must be assisted into a chair or wheelchair (2)
C3693330 (UMLS CUI-1)
CL Item
WALKS OCCASIONALLY. Walks occasionally during the day but for very short distances, with or without assistance. Spends majority of each shift in a bed or a chair (3)
C3693328 (UMLS CUI-1)
CL Item
WALKS FREQUENTLY. Walks outside the room at least twice a day and inside the room at least once every 2 hours during waking hours (4)
C3693329 (UMLS CUI-1)
Item
MOBILITY: The ability to change and control position.
integer
C2171312 (UMLS CUI [1])
CL Item
COMPLETELY IMMOBILE. Does not make even slight changes in body or extremity position without assistance (1)
C3693324 (UMLS CUI-1)
CL Item
VERY LIMITED. Makes occasional slight changes in body or extremity position but unable to make frequent or significant changes independently (2)
C3693321 (UMLS CUI-1)
CL Item
SLIGHTLY LIMITED. Makes frequent though slight changes in body or extremity position independently (3)
C3693322 (UMLS CUI-1)
CL Item
NO LIMITATIONS. Makes major and frequent changes in position without assistance (4)
C3693323 (UMLS CUI-1)
Item
NUTRITION: Usual food intake pattern
integer
C2171314 (UMLS CUI [1])
CL Item
VERY POOR. Never eats a complete meal. Rarely eats more than 1/3 of any food offered. Eats 2 servings or less of protein (meat or dairy products) per day. Takes fluids poorly. Does not take a liquid dietary supplement, OR Is NPO and/or maintained on clear liquids or IV for more than 5 days. (1)
C3693313 (UMLS CUI-1)
CL Item
PROBABLY INADEQUATE. Rarely eats a complete meal and generally eats only about 1/2 of any food offered. Protein intake includes only 3 servings of meat or dairy products per day. Occasionally will take a dietary supplement, OR Receives less than optimal amount of liquid diet or tube feeding. (2)
C3693314 (UMLS CUI-1)
CL Item
ADEQUATE. Eats over 1/2 of most meals. Eats a total of 4 servings of protein (meat, dairy products) each day. Occasionally will refuse a meal, but will usually take a supplement if offered, OR Is on a tube feeding or TPN regimen, which probably meets most of nutritional needs. (3)
C3693316 (UMLS CUI-1)
CL Item
EXCELLENT. Eats most of every meal. Never refuses a meal. Usually eats a total of 4 or more servings of meat and dairy products. Occasionally eats between meals. Does not require supplementation. (4)
C3693315 (UMLS CUI-1)
Item
FRICTION AND SHEAR:
integer
C2171310 (UMLS CUI [1])
CL Item
PROBLEM. Requires moderate to maximum assistance in moving. Complete lifting without sliding against sheets is impossible. Frequently slides down in bed or chair, requiring frequent repositioning with maximum assistance. Spasticity, contractures, or agitation leads to almost constant friction. (1)
C3693325 (UMLS CUI-1)
CL Item
POTENTIAL PROBLEM. Moves feebly or requires minimum assistance. During a move, skin probably slides to some extent against sheets, chair, restraints, or other devices. Maintains relatively good position in chair or bed most of the time, but occasionally slides down. (2)
C3693326 (UMLS CUI-1)
CL Item
NO APPARENT PROBLEM. Moves in bed and in chair independently and has sufficient muscle strength to lift up completely during a move. Maintains good position in bed or chair at all times. (3)
C3693327 (UMLS CUI-1)
Braden score
Item
TOTAL BRADEN SCORE
integer
C2171309 (UMLS CUI [1])
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