Please watch the following recorded lecture and respond to the discussion question below.
Introduction
Lesson 1A: Skin Health
What risk assessment tools are used in your organization?
Instructions: You must post your responses in the comments section below before the live lesson on Day 1. The instructor will review your comments and have a debrief discussion at the start of the next live session. The comments section will not be moderated otherwise.
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Braden Skin Assessment
Braden Scale
In addition to the Braden scale, I use the risk assessment question prompts when submitting an eConsult through OTN.
We use the Braden Skin assessment.
We also monitor nutritional status via viewing the pt's BMI when charting weights, meal intake and fluid intake.
During care we perform head to toe skin assessments reporting, treating and monitoring ulcers, skin tears, abrasions, poor skin turgor, edema.
we use the Braden skin assessment, falls risk assessment, pain scale, intake/output documentation, ADL assessment, swallowing assessment and general skin inspection during care
we use braden scale, fall risk assessments, dietary assessments, head to toe assessments when performing care
Braden Scale we use frequently. Working on the dual diagnosis unit we are quite involved with patient care. They often need help with ADL's so frequent skin assessments are key.
In the organization I work at we do many assessments upon admission and throughout a patients stay. A risk assessment is completed for how violent a patient can be. Falls assessment are done in order to find out if the patient is at a increased risk for falls. Choking assessments are complete in order to find out if a patient is at increased risk for choking or if they need a certain dietary requirements.
At a previous organization, we used a 60 second foot assessment to assess risk of developing foot ulcers in patients with Diabetes. It included the use of a monofilament to test for loss of protective sensation.
At Waypoint, the Braden Scale is a risk assessment tool in Meditech used to assess risk pressure injury for all patients.
We use the Brayden scale for risk assessment at our facility assessing sensory perception, moisture, activity, mobility, nutrition, and friction.
the Braden Scale
most of our patients are independent therefore rely on them for info
pt's that require assistance with ADLs general skins are done during care
health assessment during admission interview
We utilize several risk assessments: VRAG (Violence Assessment), SORAG (Sexual Offender assesment), Braden (Skin integrity/friction/shear assessment), Falls/TUG assessments (Falls risk), Swallowing Assessment (Risk for aspiration but also meeting nutritional needs)
In the institution where I work, we use the Braden scale and skin inspection while providing nursing care.
- during care staff generally perform systemic inspections, looking for skin breakdown in high pressure areas.
-in one facility where I work, staff consistently use the Braden scale
-otherwise general systemic checks, including inspection of skin, especially on admission or changes in clinical status, and especially of pressure areas