Norton Pressure Sore Risk Scale
First standardised pressure-injury risk score (Norton 1962). Five domains each 1–4. Total 5–20 (lower = higher risk). Score ≤14 = at risk; ≤12 = high risk.
Score interpretation
→ Routine repositioning per hospital protocol. Reassess on transfer or clinical change.
→ Pressure-relieving mattress / cushion. Two-hourly repositioning chart; skin checks with each turn. Nutrition (MUST) and continence support. Daily skin assessment.
→ Active pressure-redistributing surface (alternating/low air-loss). Hourly position changes if practical. Tissue-viability nurse referral. Nutritional optimisation including ONS. Document SSKIN bundle every shift.
Interpretation bands for the Norton. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Chlorhexidine gluconate with isopropyl alcohol · Skin antiseptic
- Chlorhexidine with cetrimide · Skin antiseptic / wound cleanser
- Barrier creams and ointments · Topical skin protectant
- Chlorhexidine · Antiseptic / disinfectant (bisbiguanide)
- Cefalexin · First-Generation Cephalosporin — Skin / Soft Tissue / UTI
- Palivizumab · RSV Prophylaxis — Monthly Monoclonal Antibody (High-Risk Infants)
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.