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Waterlow Score (Pressure Ulcer)
Build / BMI
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Average / BMI 20-25 (0)
Above average / BMI 25-30 (1)
Obese / BMI >30 (2)
Below average / BMI <20 (3)
Skin type (at risk areas)
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Healthy (0)
Tissue paper / Dry / Edematous (1)
Discolored (2)
Broken/spot (3)
Mobility
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Fully (0)
Restless/fidgety (1)
Apathetic (2)
Restricted (3)
Bedbound / Chairbound (4-5)
Continence
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Complete / Catheterized (0)
Occasional incontinence (1)
Cath + Fecal incontinence (2)
Doubly incontinent (3)
Additional risk factors
Neurological deficit (+4)
Surgery > 2 hours (+5)
Steroids / Cytotoxics (+4)
Score:
0