{"text":"NHS NATVNS \nR \u00a2 puME \nand Clyde 48655% ? \n\u2018 FA t;(;_;wm 08\/09\/1955 \nADAPTED WATERLOW PRESSURE AREA Dd A s ROKD \nRISK ASSESSMENT CHART _Loc': K;;-\u2018;g:\u2018, 065 9B \nL cn:-\u00b09\u00b09555328' \nMore than one score\/category can be used: 10+= \u2018At Risk\u2019: 15+= \u2018High Risk\u2019: 20+= \u2018Very High Risk\u2019 \nComplete assessment on admission\/1% visit, if there is a change in individuals condition and repeat regularly according to local protocol \nSex \nMale 1 \nFemale 2 \nA - \n14 -49 \n50 -64 \n65 -74 \n175-80 \n81+ \nfor \nA - BMI 20-24.9 \nAbove - BMI 25-29.9 \nObese - BMI > 30 \nBelow - BMl <20 \nContinence \nCom \nincontinent urine \n| faeces \nincontinent (urine & faeces \nSkin - Visual Risks Area \nTissue ile \nOedematous \nmoist to \nDiscoloured \nBroken (established \nFully mobile \nto move) O \nRestricted (restricted by sever or disease \nBedbound (unconscious\/unable to \nChairbound (unable to leave chair without assistance 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