Significant changes in bed but get up to chair with Therapy

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Question

An 80 year old female was admitted to your unit from the emergency department after falling at home and lying on the floor for 2 days. Her admitting diagnosis is stroke with left hemispheresis. Your assessment reveals a frail emaciated female with DTI (deep tissue injury) to her sacrum and heels. she is incontinent for urine and stool. There is peri - and excoriation secondary to her incontinence. A Foley catheter is placed upon admission. However, she remains incontinent of stool requiring her linen to be changed once a shift. She claims that she has not eaten in two days. Physical therapy has seen her, she is too weak to make significant changes in bed but get up to the chair with Therapy. Write the score for this scenario using the Braden scenario.

Reference no: EM133846031

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