Calculate the Morse Fall Scale score

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History of Falls (3 Months)

Fell last year


Secondary Diagnosis

Admitted for UTI but otherwise healthy


Ambulatory Aids

Uses wheelchair


IV Access

Has saline locked IV but no infusions running


Gait

Walks unsteadily while watching the ground and does not lift head


Mental Status

Voices hesitation about walking without their cane

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