homeback Norton Scale to Stratify Risk of Pressure Sores

 
Physical Condition

Good (4 points)

Fair (3 points)

Poor (2 points)

very bad (1 point)
Mental Condition

Alert (4 points)

Apathetic (3 points)

Confused (2 points)

Stupor (1 point)
Activity

Walks independently (4 points)

Walks with assistance (3 points)

Chair-fast (2 points)

Bed-bound (1 point)
Mobility

Fully mobile (4 points)

Slightly limited (3 points)

Very limited (2 points)

No mobility (1 point)
Incontinence

None (4 points)

Occasionally (3 points)

Usually, of urine (2 points)

Usually, of stool and urine (1 point)

 
Important: Inputs must be complete to perform calculation.

 
Total Criteria Point Count:
 

 
  Norton Score

 
18 to 20 Points:5% risk
15 to 17 Points:21% risk
12 to 14 Points:32% risk
0 to 12 Points:48% risk

 

 
References
  1. Norton D. Calculating the risk: reflections on the Norton Scale. 1989. Adv Wound Care. 1996 Nov-Dec;9(6):38-43. PubMed ID: 9069755 PubMed Logo
  2. Norton D. Calculating the risk: reflections on the Norton Scale. Decubitus. 1989 Aug;2(3):24-31. PubMed ID: 2775471 PubMed Logo
  3. Wellard S, Lo K. Comparing Norton, Braden and Waterlow risk assessment scales for pressure ulcers in spinal cord injuries. Contemp Nurse. 2000 Jun;9(2):155-60. PubMed ID: 11855004 PubMed Logo

 
Associated Medical Subject Headings [MeSH]
 
        20th Century,   80 and over,   Adolescent,   Adult,   Aged,   Clinical Nursing Research,   Female,   Health,   Health Status,   History,   Humans,   Male,   Middle Aged,   Nonparametric,   Nursing Assessment,   Nursing Audit,   Nursing Evaluation Research,   Pressure Ulcer,   Retrospective Studies,   Risk Assessment,   Risk Factors,   Sensitivity and Specificity,   Severity of Illness Index,   Spinal Cord Injuries,   Statistics

 
Associated ICD10-CM Codes
 
   L89.899Pressure ulcer of other site, unspecified stage

 
Associated ICD9-CM Codes
 
   707.0Pressure ulcer
   707.09Other pressure ulcer
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