[Verified Answer]: Directions: Use the Braden Scale to assess…

Directions: Use the Braden Scale to assess the following patient’s level of risk for development of pressure ulcers. -> SENSORY PERCEPTION • Your patient is 78-year-old female admitted from the long-term care facility for abdominal surgery. She is alert and oriented x 4. • Past medical history: Diabetes Mellitus, Heart Failure and Obesity. • She has a Jackson Pratt (JP) drain placed in the right upper quadrant (RUQ) of the abdomen to drain fluid from the surgical incision. The output is serosanguineous, ranging from 30-50cc every shift. It is sutured in place and has a dry gauze dressing over the insertion site. • She has some neuropathy (sensory impairment) in her feet due to Diabetes. • She has occasional urine leakage while in bed. Linens are changed daily and usually one extra time each day due to the moisture. • Her activity is limited and she cannot bear weight on her own. She is only able to transfer to chair with assistance. • She can make minor changes in body position while in bed but requires the assistance of one person when turning in bed. • She has had a decreased appetite and takes in only about 1⁄2 of her meals offered. She usually drinks a dietary supplement daily. • She occasionally slides down in bed and during movement and her skin tends to rub against the sheets.