From the Research
The Braden scale for moisture is a component of the Braden Scale for Predicting Pressure Sore Risk that assesses a patient's degree of skin exposure to moisture, scored from 1 to 4, with 1 indicating "constantly moist" and 4 indicating "rarely moist". This assessment is crucial because prolonged exposure to moisture can soften skin and make it more vulnerable to breakdown and pressure injuries. Moisture can come from various sources including perspiration, urine, feces, wound drainage, or other bodily fluids. According to the most recent study 1, the Braden scale is still widely used, but its accuracy in predicting pressure injury risk in critically ill patients may be limited compared to other scales like the CALCULATE scale. However, the Braden scale for moisture remains an essential component of pressure ulcer risk assessment, and healthcare providers should implement appropriate interventions based on the moisture score, such as more frequent skin checks, use of moisture barriers, absorbent pads, or specialized incontinence management for patients with higher moisture risk. Regular reassessment is necessary as a patient's condition changes. The scoring for the Braden scale for moisture is as follows:
- 1: constantly moist
- 2: very moist
- 3: occasionally moist
- 4: rarely moist It is essential to note that the Braden scale is just one tool for assessing pressure ulcer risk, and a comprehensive approach to prevention and management should be taken, considering multiple factors and using the most accurate and reliable assessment tools available, such as the CALCULATE scale for critically ill patients 1.