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Morse Fall Scale

Calculate the Morse Fall Scale score

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History of Falls (3 Months)

Fell 2 months ago

Secondary Diagnosis

Admitting diagnoses include COPD and CAD

Ambulatory Aids

Uses cane

IV Access

No IV access

Gait

Walks with hesitant gait, but lifts head occasionally

Mental Status

Refuses to use cane

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