Score fall-risk factors on the Morse Fall Scale — history of falling, secondary diagnosis, ambulatory aids, IV, gait, and mental status. Total points guide fall precautions.
Fundamental concept
Scoring fall history, secondary diagnoses, ambulation aids, IV therapy, gait, and mental status to target fall precautions.
Ms. Allen, 52, is oriented after cholecystectomy. She has no history of recent falls, no comorbid fall-risk diagnoses, walks independently without devices, has no IV after PACU discharge, and calls before getting up.
Score each Morse Fall Scale factor described in the scenario.
History of Falling
Secondary Diagnosis
Ambulatory Aid
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