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...