Upon assessment of Jane, the RN observes that the client's skin is very dry, thin, and has multiple reddened non-blanchable areas on the bilateral buttocks. Her heels are dark red/purplish in color. The stage 3 pressure ulcer had a duoderm - type dressing in place. When the dressing was removed, the wound bed had yellow slough. The RN must identify potential skin impairments and maintain skin integrity interventions to help prevent further skin breakdown. Based on the Braden what score would you get for Jane?

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