The Waterlow Score, developed by Judy Waterlow in 1985 and revised by Queensland Health in 2005, assesses risk across six categories (Scott & Longstaffe, 2020, "Waterlow score" section, para. 2). It integrates the Malnutrition Screening Tool (MST) for nutritional evaluation and has a "Special risks" section. Scores above 10 indicate risk, scores above 15 indicate high risk, and scores above 20 indicate very high risk. The back contains prevention strategies and wound guidelines and definitions.

Simple or surgical wounds: use the progress notes

Clinical Excellence Commission. (2021). Skin assessment - Information for clinicians. https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0008/664226/Skin-assessment-information-for-clinicians.PDF

The social aspect considers family support.

The psychology aspect evaluated the patient's emotional state.

Reference: Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2020). Potter and Perry’s Fundamentals of Nursing (6th ed.). Elsevier Australia. https://clinicalkeymeded.elsevier.com/books/9780729587983