Calculate the Morse Fall Scale score

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History of Falls (3 Months)

Last fall 4 months ago


Secondary Diagnosis

Admitting diagnoses include DM and CAD


Ambulatory Aids

Grabs hold of a doorknob while walking


IV Access

Saline locked IV


Gait

Walks with stooped gait but does not lose balance


Mental Status

Insists that their mobility limitations are imaginary

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