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Practice name: ______________________________
Braden Scale Pressure Injury Risk Assessment
Your information
Full Name *
Assessment Date
____ / ____ / ________
Sensory Perception
Moisture Exposure
Activity Level
Mobility
Nutrition Status
Friction & Shear
Additional details
Current Skin Assessment
Existing Pressure Injuries
Prevention Interventions
Contributing Comorbidities
Assessor Signature
Date
Braden Scale Pressure Injury Risk Assessment template from formisoft.com. formisoft.com/intake-templates/braden-pressure-injury