Answer to Question 1
A Braden score is an assessment of a patient's risk of developing pressure ulcers. The Braden score looks at 6 criteria: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
Mr. Campbell's Braden score is 17 . This indicates that he is currently at mild risk of developing pressure ulcers. Nutrition relates to the Braden score because it is one of the 6 criteria involved. Poor nutrition can lead to poor wound healing, poor skin turgor, decreased mobility/ activity, and decreased sensory perception and increases the risk of the patient developing a pressure ulcer. Poor nutrition also makes it more difficult for pressure ulcers to heal.
Answer to Question 2
Using K/DOQI guidelines, > 35 kcal/kg (using adjusted body weight) for individuals under the age of 60: 70.75 x 35 = 2476 kcal. This should include the kcal provided by dialysate.
ABW: 70.75 kg; 2476 - Will need to adjust to accommodate kcal form dialysate.
SBW: 61 kg; 2135 kcal- Will need to adjust to accommodate kcal form dialysate.
Using K/DOQI guidelines, 1.2-1.3 g protein/kg (using adjusted body weight): 70.75 x 1.2-1.3 = 85-92 grams with 50 HBV.
85-92 g protein (ABW); 73-79 g protein (SBW)
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