The Waterlow score (or Waterlow scale) gives an estimated risk for the development of a pressure sore in a given patient. The tool was developed in 1985 by clinical nurse teacher Judy Waterlow. It is available both on a two-sided score card and on an app.
Scoring criteria The following areas are assessed for each patient and assigned a point value.
Build/weight for height Skin type/visual risk areas Sex and age Malnutrition Screening Tool Continence Mobility
Additional points in special risk categories are assigned to selected patients.
Tissue malnutrition Neurological deficit Major surgery or trauma Potential scores range from 1 to 64. A total Waterlow score ≥10 indicates risk for pressure ulcer. A high risk score is ≥15. A very high risk exists at scores ≥20. The reverse side of the Waterlow card lists examples of preventive aids and interventions.
Criticism While packaged conveniently as a laminated card, the score has received criticism owing to its large number of scored items. This, combined with a lack of operational definitions, may reduce its reliability.
See also Pressure ulcer Wound healing Braden Scale for Predicting Pressure Ulcer Risk
References
