Risk assessment tools: Appendix G
Examples of 4 pressure injury risk assessment tools, however this list is not an exhaustive. These tools were identified, by the expert panel and external reviewers or through the systematic review process. The most common, valid, and reliable wound assessment tools for use in adults are the following (not in order of importance):
Braden scale; Norton scale; interRAI Pressure Ulcer Risk Scale (PURS) and the Waterlow scale.
Source: Table adapted from Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline 2019. interRAI PURS Pressure Ulcer Risk Scale (PURS) from Canadian Institute for Health Information. interRAI Home Care (HC) Outcome Scales [job aid]. Ottawa, ON: CIHI; 2024
Reference: Registered Nurses’ Association of Ontario, (2024). Pressure injury management: Risk assessment, prevention and treatment - Fourth edition. Toronto, Canada: Author. pp. 100-101.
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