Adapted Waterlow Pressure Area Risk Assessment Chart
How to use this tool well
- Use this tool together with your clinical judgement.
- An indication of risk should be followed with action.
The primary aim of this tool is to assist you to assess risk of
a patient/client developing a pressure ulcer. Use this together
with your clinical judgement.
The Waterlow consists of seven items: build/weight, height, visual
assessment of the skin, sex/age, continence, mobility, and
appetite, and special risk factors, divided into tissue
malnutrition, neurological deficit, major surgery/trauma, and
The tool identifies three 'at risk' categories,
- a score of 10-14 indicates 'at risk'
- a score of 15-19 indicates 'high risk', and
- a score of 20 and above indicates very high risk.
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Published Date: 17/03/2009