NAME

PRESSURE SORE # RISK ASSESSMENT

4 3 2 1

NORTON SCALE

A

Physical condition

Good

Fair

Poor

Very bad

SCORE OF 14 AND BELOW AT RISK

B

Mental condition

Alert

Apathetic

Confused

Stuporous

C

Activity

Ambulant

Walk/help

Chairbound

Bedfast

D

Mobility

Full

Slightly limited

Very limited

Immobile

E

Incontinence

Fully continent

Occasionally

Usually/urine

doubly

DATE ASSESSMENT SCALE IMPLEMENTATION EVALUATION

REVIEW DATE

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