- Developed to identify individuals living in extended care and over the age of 65 who were at risk for developing a pressure ulcer.
- Patients are evaluated on five domains:
- Mental status
- Mobility (the amount and control of movement of one’s body)
- Activity (ability to ambulate)
- Nutrition (the process of food intake)
- Evaluation also includes recording of vital signs (which includes temperature pulse respirations and blood pressure), skin condition (which includes appearance, skin tone and sensation) and medications, but these are not scored.
- The scale omits items found to be important predictors of pressure ulcer development for people with SCI such as pulmonary disease, serum creatinine, extent of paralysis, severe spasticity, age, tobacco use/smoking, disease, cardiac disease, renal disease, and living in a nursing home or hospital.
- If the data required is normally collected as part of patient care, items on the scale would not represent a burden to either the client or the assessor. If not, the scale would place considerable rater burden and some respondent burden.
Body Function ▶ Functions of the Skin