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Calculate the Morse Fall Scale score
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History of Falls (3 Months)
Fell 1 month ago
Secondary Diagnosis
Admitted for cellulitis but otherwise healthy
Ambulatory Aids
Grabs hold of a doorknob while walking
IV Access
IV was removed 20 minutes ago
Gait
Walks unsteadily while watching the ground and does not lift head
Mental Status
Voices frustration about mobility limitations and asks for support to regain strength
Based on your responses, the Morse Fall Scale score is...
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