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Assessing skin

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A video on assessing skin for risk level of

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Assessing skin

  1. 1. Assessing Skin Injury Risk Level in Incontinent Patients By Lori Lamb, BSN, RN, WOC/ETN
  2. 2. What am I looking at?
  3. 3. The Braden Scale
  4. 4. PRESSURE ULCEREuropean Pressure Ulcer Advisory Panel and National Pressure UlcerAdvisory Panel. Treatment of pressure ulcers: Quick Reference Guide.Washington DC: National Pressure Ulcer Advisory Panel; 2009.
  5. 5. Six Indicator Sensory PerceptionFriction Moisture& Shear Braden ScaleNutrition Activity Mobility
  6. 6. Determine the Score1 2 3 4
  7. 7. Definitions of IAD Risk Levels HIGH RISK SERVERE FUNGAL EARLY RASH MODERATE
  8. 8. Incontinence Associated Skin Injuries
  9. 9. Skin Injury Risk Levels by Assessment Tool
  10. 10. References• Junkin J, Selekof JL. Prevalence of incontinence and associated skin injury in the acute care patient. J Wound Ostomy Continence Nurs. 2007;34:260-269• Braden Scale for Preventing Pressure Sore Risk. Prevention Plus. 2001 Available at: http://www.bradenscale.com/bradenscale.htm. Accessed February 8, 2011.• European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Treatment of pressure ulcers: Quick Reference Guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009.

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