- nutritional status.
- sensory perception.
- past history of skin breakdown.
- activity level.
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
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.