RAPS_Scale v.1
A tool for risk assessment of pressure sore development, the RAPS scale has been shown to have particularly high predictive validity in the setting of medical and infectious disease wards. A score of 31 or less indicates high risk. Individual assessment should as a rule be applied as predisposed patients might be high risk despite a score above 31. Use with caution in surgical and orthopaedic setting.
To calculate the total score of the RAPS scale.
Use to assess the risk of pressure ulcers in a patient. RAPS is an acronym for Risk Assessment Pressure Sore, and is included in the Senior Alert registry. It consists of ten variables, most of which has been used in previous scales such as the modified Norton and Braden scales. The maximum score is 39 and each factor contribute points as follows: - General physical condition (1-4) - Physical activity (1-4) - Mobility (1-4) - (Skin) Moisture (1-4) - Food intake (1-4) - Fluid intake (1-4) - Sensory perception (1-4) - Friction and shear (1-3) - Body temperature (1-4) - s-Albumin (1-4) The cut-off point indicating high risk is a score of 31 or less. Predictive validity is highest for patients undergoing treatment in medical and infectious disease wards.
Do not use outside of context of risk assessment of pressure ulcers. Use with caution on patients undergoing treatment in other wards than medical or infectious disease wards (ie. surgical/orthopaedic) as predictive validity suggests the RAPS scale does not cover all factors of importance in these circumstances. Individual assessment should as a rule be applied as predisposed patients might be high risk despite a score above 31.
Lindgren M, Unosson M, Krantz AM, Ek AC. A risk assessment scale for the prediction of pressure sore development: reliability and validity. Journal of advanced nursing. 2002 Apr 1;38(2):190-9.
OBSERVATION.raps_scale.v1, EVALUATION.raps_assessment.v1
