Calculate the Morse Fall Scale score

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History of Falls (3 Months)

Fell twice over the last 8 weeks


Secondary Diagnosis

Admitting diagnoses include DM, COPD, and CHF


Ambulatory Aids

Uses wheelchair


IV Access

Has cental line


Gait

Walks unsteadily with head down


Mental Status

Agrees to use call bell when wanting to get up

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