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.
A patient with autonomic neuropathy fell at home last month. Secondary diagnosis includes orthostatic hypotension. He ambulates with a cane, has no IV, gait is weak with slow turns, and he acknowledges needing help standing.
Assign Morse scores for orthostatic hypotension and recent fall history.
History of Falling
Secondary Diagnosis
Ambulatory Aid
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