Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

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What is a key characteristic of a patient rated as 'chairfast' on the Braden scale?

  1. Cannot move from bed to chair

  2. Only walks with assistance

  3. Sits in a chair but cannot walk

  4. Moves independently for short distances

The correct answer is: Sits in a chair but cannot walk

A patient rated as 'chairfast' on the Braden scale is characterized by their ability to sit in a chair but lack the ability to walk. This designation indicates that the individual can transfer to a chair but is not capable of walking independently or moving more than a few feet. The purpose of the Braden scale is to assess a patient’s risk for pressure ulcers, and mobility is a crucial factor in this assessment. Patients who are chairfast typically rely on others for mobility assistance and cannot engage in activities that require walking, which would increase their risk for developing pressure injuries. Understanding this classification is essential for developing appropriate care plans that address the needs of these patients, helping caregivers take preventive measures in skin care and repositioning to avoid pressure ulcers.