Which parameter is most likely to have contributed to the patient’s high Waterlow score?


#1

An 89-year-old woman presented with general deterioration and worsening
mobility. She had vascular dementia, and a history of recent falls and urinary
incontinence. She consumed 21 units of alcohol per week.
Her Waterlow score was 21/50.
Investigations:
serum albumin 30 g/L (37–49)
Which parameter is most likely to have contributed to the patient’s high
Waterlow score?

A: alcohol consumption
B: cognitive status
C: continence
D: history of recent falls
E: serum albumin level

Correct answer: C
Explanation
The Waterlow score is a tool used to assess the risk of development of a
pressure sore. It utilises the following parameters to risk-stratify the patient:
body weight, nutritional status, continence, skin type, mobility, age and sex. It
may be used both in an acute setting or in care homes.