An 82-year-old woman is being admitted to a long-term care facility. Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale. To determine a Braden Scale score, the nurse evaluates all of the following EXCEPT

  • nutritional status.
  • sensory perception.
  • past history of skin breakdown.
  • activity level.
Number 3 is correct.
The Braden Scale assesses nutritional status, sensory perception, activity level, moisture, mobility, and friction/shear. It does not consider past history of skin breakdown.