Waterlow Pressure Ulcer Risk Assessment Chart

Waterlow score is the score that is used to assess the risk of Pressure ulcer that occurs in the pressure points of the human body due to the pressure or combination of shear and pressure. The below section of this page provides you the Waterlow Pressure Ulcer Risk Assessment Chart which provides you the score according to your category. Waterlow score table also provides you the severity level of the total score with which you can take suitable measures.

Waterlow Score Table

DomainCategoryScore
Build/weight for heightBMI Average (20 -24.9)0
BMI Above Average (25 - 29.9) 1
BMI Obese ( ≥ 30)2
BMI Below Average( ≤ 20)3
ContinenceComplete / Catheterised0
Urine Incontinence1
Faecal incontinence2
Urinary and faecal incontinence3
Skin TypeHealthy0
Tissue Paper 1
Dry1
Oedematous1
Clammy, Pyrexia1
Discoloured (Grade/Stage 1)2
Broken / Spot (Grade / Stage 2-4)3
MobilityFull0
Restless / Fidgety 1
Apathetic2
Restricted3
Bedbound e.g. Traction 4
Chair bound e.g. Wheelchair5
SexMale1
Female 2
Age14-491
50-64 2
65-743
75-804
81+5
Malnutrition Screening tool A- Has patient lost weight recently
Yes - go to B-
No - go to C-
Unsure - go to C2
B- Weight loss score
0.5-5kgs1
5-10kgs2
10-15kgs3
>15kgs4
C- Patient eating poorly or lack of appetite
No0
Yes1
Nutrition score: if >2 refer for nutrition assessment /intervention
Tissue malnutritionTerminal Cachexia / Multiple organ failure8
Single organ failure (resp,renal,cardiac) / Peripheral vascular disease5
Anaemia (Hb <8)2
Smoking1
Neurological DeficitDiabetes, MS, CVA4-6
Motor / Sensory 4-6
Paraplegia (Max of 6)4-6
Major Surgery / Trauma Orthopaedic / Spinal5
On table > 2 hrs5
On table > 6 hrs8
MedicationCytotoxics/long term/high dose steroids, anti inflammatory4
Severity Of Total Score
>=10Risk
>=15High Risk
>=20Very High Risk
Pressure Ulcer Preventive Interventions

The above Waterlow Pressure Ulcer risk assessment chart that provides you the Waterlow Score is the most useful one for you to take care of your pressure points.


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