Question 1

How does the Braden Scale II © differ from the Braden Scale?

Accepted Answer

The Braden Scale II was released in January 2022 and is the most current tool available. Taxonomy has changed since 1988 when the original Braden Scale was released. The language was modernized to be congruent with current practice standards. The tool was also updated to add clarity to the scoring sections, and the content within the sections was modified to provide clarity for accuracy in scoring. The changes were made in collaboration with Drs. Braden and Bergstrom to ensure that the validity of the tool was not affected. In addition, the Braden Scale II © license now includes a toolkit to further support your education model and scoring accuracy.

Question 2

How do I license the Braden Scale Toolkit?

Accepted Answer

The Braden Scale Toolkit is only available with the purchase of the Braden Scale license. Click here to contact us to discuss licensing requirements, terms/conditions and fee.

Question 3

Is there more available beyond the Braden Scale Toolkit to help my facility reduce Pressure Injuries?

Accepted Answer

For more information on a comprehensive safety program designed to prevent pressure injuries, contact HD Nursing to learn about the Braden Hester Pressure Injury Prevention Program at www.hdnursing.com

Question 4

How do I know if my organization has been granted a license to use the Braden Scale?

Accepted Answer

Click here to contact a Braden Scale representative who will confirm whether or not your organization has an active Braden Scale license.

Question 5

What is the Braden Scale?

Accepted Answer

Braden Scale is the gold standard tool developed by Dr. Barbara Braden and Dr. Nancy Bergstrom used to identify risk of a patient/resident developing a pressure injury.

The tool reviews risk in 6 categories or sub-scales including: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.

Question 6

Is the Braden Scale a skin assessment tool?

Accepted Answer

A skin assessment includes the visual and tactile assessment of the skin to determine color, moisture, temperature, texture, turgor, blanching, and presence of skin lesions or wounds.
 
The Braden Scale identifies risk of developing a pressure injury.

Question 7

What is the recommended frequency for using the Braden Scale II?

Accepted Answer

The evidence shows that on-going risk assessment improves the accuracy and the predictive ability of the Braden Scale II. The frequency of on-going assessment varies by clinical area and the stability or condition of the patient.

In the acute care setting we recommend using the Braden Scale II upon admission, with shift change, and with any change in patient condition that warrants additional assessment.

In the long-term care and nursing homes with skilled designations we recommend using the Braden Scale II upon admission and weekly thereafter. In nursing home with long-term patients, the assessment should be done on admission, weekly for the first month, and monthly thereafter.

We recommend that home care nurses perform the assessment with each RN visit, as these tend to correlate to skilled need patients.

Question 8

Is there a special Braden Scale for long-term care?

Accepted Answer

The Braden Scale II has been tested for many settings, including long-term care. There is no special version for long-term care.

Question 9

Does the Braden Scale II © apply to the pediatric population?

Accepted Answer

The Braden Scale II has not been specifically tested in patients under the age of 18. However, the Braden QD developed by Martha Curley and associates was developed for younger children and has been tested in the pediatric ICU population.

Question 10

When I look at different sites discussing the Braden Scale, some say low risk is 15-16 and others say 18. Has this number changed over the years?"

Accepted Answer

Yes, the correct cut-off score is now considered to be 18 (See Bergstrom, et. al, Nursing Research, 1998).

Question 11

Accepted Answer

Supplementary information sections should be readily available in your EMR to account for this. These can be designed as hover over information or row information adjacent to the actual flowsheet. Clinicians should be educated on how to access this information.

Question 12

Accepted Answer

A complete educational toolkit to support appropriate scoring of the Braden Scale II © was developed by HD Nursing and is available as a part of your Braden License.
The tools include:
The Braden Scale II © Education Module - an interactive SCORM compliant module with embedded test to load in your LMS
The Braden Scale II © Presentation - a voice - over slide presentation on how to score the Braden Scale
The Braden Scale Glossary to support inter-rater reliability through use of working definitions for each subscale score.
The Braden Scale downtime form in the event your EMR is down, and you need to revert to paper documentation. The paper form can be used to support educational activities as well.

Question 13

History of the Braden Scale

Accepted Answer

The Braden Scale for Predicting Pressure Sore Risk was developed during a Robert Wood Johnson project while writing an NIH proposal to study pressure ulcer risk factors. The Braden Scale was initially tested for reliability and validity with results published in Nursing Research in 1987. A larger multi-site study was conducted in a variety of settings resulting in revisions in the recommendations for the critical cutoff score and the timing of assessment. Results were published in Nursing Research in 1998 with a follow-up report in Nursing Research in 2002.
 
Prevention Plus previously managed the intellectual property, copyrights and licenses related to the Braden Scale.  Prevention Plus was founded in 1998 by Barbara Braden and Nancy Bergstrom is based on their extensive research in patient care. Health Sense Ai acquired Prevention Plus and the intellectual property, copyrights and licenses related to the Braden Scale in 2021.

Question 14

Accepted Answer

License fees ensure HSAI is able to continually evaluate the ongoing performance of the Braden line of clinical tools. We use fees to support research and development of pressure injury prediction and prevention resources for clinical staff globally and support the use of these tools in underdeveloped and underserved regions and nations to ensure impoverished and marginalized communities can still benefit from our gold standard tools.

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