Norton Scale + PUSH Tool

Norton pressure-sore risk scale (Norton 1962; five items 1-4, <= 14 at risk) alongside the PUSH wound-healing tool (NPIAP 2005; length x width band 0-10, exudate 0-3, tissue type 0-4, total 0-17).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Norton: physical condition
3
Norton: mental condition
4
Norton: activity
2
Norton: mobility
2
Norton: incontinence
3
PUSH: length x width band
6
PUSH: exudate amount
2
PUSH: tissue type
3

Result: Norton 14 of 20 (at risk; <=14 at risk per Norton 1962); PUSH 11 of 17 per NPIAP 2005.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Norton >=19
Low pressure-injury risk.
Norton 15-18
Medium risk.
Norton <=14
At risk per Norton 1962.
PUSH 0-17
Lower total = better healing per NPIAP 2005; trend over time is the metric.

What you enter

  • Norton: physical condition (1-4)
  • Norton: mental condition (1-4)
  • Norton: activity (1-4)
  • Norton: mobility (1-4)
  • Norton: incontinence (1-4)
  • PUSH: length x width band (0-10)
  • PUSH: exudate amount (0-3)
  • PUSH: tissue type (0-4)
How this is calculated

Norton D, McLaren R, Exton-Smith AN. An Investigation of Geriatric Nursing Problems in Hospital. Churchill Livingstone, 1962. PUSH Tool 3.0: NPIAP/NPUAP 2005 (Ratliff CR, Rodeheaver GT).

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.