Norton Scale + PUSH Tool
Norton pressure-sore risk scale (Norton 1962; five items 1-4, <= 14 at risk) alongside the PUSH wound-healing tool (PUSH Tool 3.0; length x width score 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 size score
- 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 on PUSH Tool 3.0.
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; the trend over time is the metric.
- PUSH size score
- From length x width in cm2: 0 closed; 1 under 0.3; 2 to 0.6; 3 to 1.0; 4 to 2.0; 5 to 3.0; 6 to 4.0; 7 to 8.0; 8 to 12.0; 9 to 24.0; 10 over 24.
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 size score (0-10; see the table in the summary)
- PUSH: exudate amount (0 none, 1 light, 2 moderate, 3 heavy)
- PUSH: tissue type (0 closed, 1 epithelial, 2 granulation, 3 slough, 4 necrotic)
The other 2 fields
- PUSH: greatest wound length (optional; with the width it sets the size score)
- PUSH: greatest wound width (optional)
How this is calculated
Citation
Norton D, McLaren R, Exton-Smith AN. An Investigation of Geriatric Nursing Problems in Hospital. Churchill Livingstone, 1962. PUSH Tool 3.0, National Pressure Injury Advisory Panel (size, exudate and tissue-type tables as reproduced in World J Clin Cases 2024, PMC11235428). Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.