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Morse Fall Scale

Mrs. O has a history of falling, secondary diagnoses, uses furniture for ambulatory support, has an impaired gait and understands her limitations, resulting in a total score of 120, categorizing her as high risk for falls.

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Aila Golias
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388 views1 page

Morse Fall Scale

Mrs. O has a history of falling, secondary diagnoses, uses furniture for ambulatory support, has an impaired gait and understands her limitations, resulting in a total score of 120, categorizing her as high risk for falls.

Uploaded by

Aila Golias
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Patient’s Name: MRS O.

Variable Note Score


History of Falling
 Yes= 25 YES 25
 No= 0
Secondary Diagnosis
 Yes = 15 15
 No= 0
Ambulatory Aids
 Furniture = 30 FURNITURE 30
 Crutches, cane, walker= 15
 None, bed rest, wheelchair,
nurse assist= 0
Intravenous Therapy
 Yes= 20 NO 0
 No= 0
Gait/Transferring
 Impaired = 20 IMPAIRED 20
 Weak = 10
 Normal, bed rest = 0
Mental Status
 Understands limitations = 15 UNDERATAND 15
 Does not understand LIMITATIONS
limitations = 0
Total Score 120

HIGH RISK FOR FALL

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