Ms. Mandrake is alert and oriented to person, place, and time. She loves watchin
ID: 122759 • Letter: M
Question
Ms. Mandrake is alert and oriented to person, place, and time. She loves watching game shows, doing crossword puzzles, and talking on the phone with family, friends, and her Bible study group. She is fully continent of bowel and bladder and only requires a bed linen change when the linens are dirty (every few days). She has dry skin and uses a moisturizer on her hands and face. She eats three balanced meals and occasional snacks without any difficulty with swallowing. Ms. Mandrake states with a smile, “I am healthy for a chair-ridden person.” She has chronic pain due to the arthritis and she states it is mostly controlled below a 5 on a 0 to 10 pain scale. 3. Using the Braden Scale, calculate Ms. Mandrake’s score. (see Table 10-3, in textbook, p. 168).
Explanation / Answer
As per the question, Ms. Mandrake is a conscious ,oriented ,slightly immobiled chair ridden patient with no impairement.
Braden scale given below
Ms. Mandrake has no impairement so we can give score 4
Body surface is dry so score can be 4
she is a chair ridden patient , score is 2
She is able to move and can do anything wxcept standing. score is 4
she eats well. score can be consider as 4
friction or shear would be independant. score is 3
hence total Braden score is 21 and it is considered as low risk
thanks and best of luck,
expecting your valueble feedback
SENSORY/ MENTAL MOISTURE ACTIVITY MOBILITY NUTRITION FRICTION/ SHEAR 1. Totally limited 1. Constantly moist 1. Bedfast 1.100 % immobile 1. Very poor 1. frequent sliding 2.Very limited 2. Very moist 2. Chairefast 2. Very limited 2. Below half of daily portion 2. Freeble corrections 3. Slightly limited 3. Occassionally moist 3. walks with assistatnce 3. Slightly limited 3. Most of portion 3 Independant corrections 4. No impairement 4. Dry 4. Walks without assistance 4.Full mobility Eat everythingRelated Questions
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