Calculate the Morse Fall Scale score

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History of Falls (3 Months)

No falls within the last 3 months


Secondary Diagnosis

Admitted for UTI but otherwise healthy


Ambulatory Aids

Grabs hold of a doorknob while walking


IV Access

Saline locked IV


Gait

Walks with head erect


Mental Status

Voices frustration about mobility limitations and asks for support to regain strength

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