What is the Braden Scale used for in nursing?

• A. Assess risk for pressure ulcers
• B. Determine nutritional status
• C. Evaluate pain intensity
• D. Measure wound depth

Answer: (A)

The Braden Scale is a risk assessment tool used to identify patients at risk for developing pressure ulcers. It looks at six factors that influence risk: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. Each factor is scored, and the total score ranges from 6 to 23—the lower the score, the higher the risk. Clinically, the nurse adds up the scores to determine risk level and then puts preventive measures in place, such as regular turning, skin care, keeping skin dry, using pressure-relieving surfaces, and ensuring adequate nutrition. It isn’t used to measure current nutritional status, pain intensity, or wound depth—tools or scales specialized for those assessments are used instead.