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.
Mr. Boone, 79, fell twice this admission. He has a UTI and dehydration as secondary diagnoses, shuffles barefoot to the bathroom using the rolling IV pole for balance, still has a peripheral IV, and tries to stand alone when urgent.
Apply Morse scoring to this repeat faller.
History of Falling
Secondary Diagnosis
Ambulatory Aid
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