Calculate the Morse Fall Scale score

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History of Falls (3 Months)

No falls within the last 3 months


Secondary Diagnosis

Admitting diagnoses include COPD and CHF


Ambulatory Aids

Walks without assistive devices


IV Access

IV was removed 20 minutes ago


Gait

Walks with hesitant gait, but lifts head occasionally


Mental Status

Oriented to own ability

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