Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
Purpose : Assessment of risk for the development of pressure sore or ulcer
Admin time : 5-10 min
User Friendly : High
Administered by : Nurses, healthcare professionals and carers at the patient/client interface
Content : Seven known risk factors that contribute towards the development of pressure ulcers.
These risk factors include the patient's:
age and gender
body mass index (BMI)
level of continence
skin condition (healthy or broken)
level of mobility (fully mobile to bed-bound)
individual risk factors, e.g. medication, surgery and trauma
The patient is then allocated a score for each of the above criteria. The total score, in conjunction with the nursing staff's clinical expertise, places the patient into one of three pressure sore risk categories:
a score of 10-14 indicates "at-risk"
a score of 15-19 indicates "high risk"
a score of 20 and above indicates "very high risk"
Author : Judy Waterlow, 1985
Copyright : Judy Waterlow
Free to download and use from copyright holder's website
This Tool is used in the assessment of
Back To : Pressure Ulcers
Pressure Ulcers is one of 4 conditions identified as
Back To : Geriatric Syndromes