BED SORE

• Presented by,
MR. SWAPNIL
WANJARI
Definition
Pressure ulcers, also known as pressure sores,
pressure injuries, bedsores, and decubitus
ulcers, are localized damage to the skin and/or
underlying tissue that usually occur over a bony
prominence as a result of pressure, or pressure in
combination with shear and/ or friction.
Braden Scale Pressure Ulcer Table
Domain Category Score
Sensory Perception Completely Limited 1
Very Limited 2
Slightly Limited 3
No Impairment 4
Moisture Constantly Moist 1
Very Moist 2
Occasionally Moist 3
Rarely Moist 4
Activity Bedfast 1
ChairfastWalks 2
Walks Occasionally 3
Walks Frequently 4
 continue....
Mobility Completely Immobile 1
Very Limited 2
Slightly Limited 3
No Limitation 4

Nutrition Very Poor 1

Probably Inadequate 2
Adequate 3
Excellent 4

Friction And Problem 1

Shere Potential Problem 2
No Apparent Problem 3
 Severity Of Total Score
Between 19 to 23 No Risk
Between 15 to18 Mild Risk
Between 13 to 14 Moderate Risk
Between 10 to 12 High Risk
Below and At 9 Very High Risk
Prevention