What is a normal Waterlow score?

The risk assessment process uses the Waterlow Score Card that covers the 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)

What is a Stage 3 decubitus?

Stage 3 bedsores (also known as stage 3 pressure sores, pressure injuries, or decubitus ulcers) are deep and painful wounds in the skin. They are the third of four bedsore stages. These sores develop when a stage 2 bedsore penetrates past the top layers of skin but has yet not reached muscle or bone.

What is Waterlow skin assessment?

The Waterlow Score is an interdisciplinary assessment that determines an individual’s risk of developing a PI. The scale is a baseline assessment of a client’s condition that covers a wide variety of factors including mobility, continence, malnutrition and special risks.

What does Restricted mean on a Waterlow score?

Mobility: Restless/Fidgety: could lead to skin tears from. friction, needs assistance to move safely. Apathetic: lethargy due to illness; medical or psychological illness can lead to continual sitting or lying without moving. Restricted: Mobility is restricted due to medical needs.

What is the Waterlow scale used for?

The Waterlow score (or Waterlow scale) gives an estimated risk for the development of a pressure sore in a given patient. The tool was developed in 1985 by clinical nurse teacher Judy Waterlow.

How effective is the Waterlow assessment tool?

It found that, overall, 71% of patients were considered to be at some degree of risk when assessed using the waterlow scale. The scores from this risk assessment tool suggest that nearly three quarters of patients admitted to a general hospital may need pressure ulcer prevention strategies.

How does the Waterlow score calculator work?

How does the Waterlow score calculator work? This health tool represents a pressure ulcer risk assessment and can be used as a prevention tool. It is based on the Waterlow assessment, which is the most used in the UK clinical system.

How are Waterlow scores calculated for surgical patients?

Preoperative Waterlow scores were extracted from nursing notes with their time of documentation relative to surgery. Current policy at our institution dictates that the Waterlow score is calculated by nursing staff on the day of admission for all surgical patients. A widely adopted revision of the Waterlow score,…

What is the Waterlow score for a pressure ulcer?

Waterlow score is the score that is used to assess the risk of Pressure ulcer that occurs in the pressure points of the human body due to the pressure or combination of shear and pressure. The below section of this page provides you the Waterlow Pressure Ulcer Risk Assessment Chart which provides you the score according to your category.

When is the best time to get a Waterlow score?

When collected for the first time, it should be performed within 4 hours of admission. Some specialists consider that the score can be simplified and improved by removing the gender item. Obtainable scores range between 0 and 49. The Waterlow score is interpreted in the following way: ■ 20 and above: Patient is at very high risk.