Braden Scale case study to accompany AJN video discussion Patient Stan Smith, 83 yo, with a 10 y history of CKD (chronic kidney disease). He goes to dialysis MWF every week. He is married and has 3 grown children You've been called in to assist the team for a home health consult. The RN asks you to complete a skin assessment, including using the Braden scale for baseline documentation Stan fell off his stoop and fractured his ankle. He also has a quarter sized open wound on his opposite ankle from where he fell onto his wooded deck before he tumbled down the steps and broke his ankle Stan was placed in a walking cast, but because of his obesity, he needs to use a wheelchair and is currently non-weight bearing. Stan states "luckily my arms are strong, and I can move myself a little bit in my wheelchair". His son installed a trapeze over his bed so he can move himself "a few inches in his new hospital bed. Because of his kidney disease he has to limit his fluids and doesn't like the food his wife serves him from his kidney diet. He self reports only eating "about 1/2 of the food my wife brings me and I never feel like eating breakfast" Upon assessment he is alert oriented and appropriate. His vitals are stable and he rates his pain at 3/10 'when I take my pain medication" His skin is warm and dry, although slightly pale in color He is continent of urine, using the urinal unassisted and has been able to get himself on/off the bedpan for BMs. He admittedly states he has a hard time cleaning himself after toiloting due to his obesity