Calculate the Morse Fall Scale score

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History of Falls (3 Months)

Last fall 4 months ago


Secondary Diagnosis

Admitting diagnoses include DM and HTN


Ambulatory Aids

Walks without assistance


IV Access

Has saline locked IV but no infusions running


Gait

Cannot walk without assistance of staff and grabs furniture for support


Mental Status

Refuses to use walker

Based on your responses, the Morse Fall Scale score is...