Search
Morse fall risk assessment scale
Procedure:
1) History of falling within the last 3 months
- 0 [] no
- 25 [] yes
2) gait characteristics/abnormality
- 0 [] no normal/bedrest/ wheel chair
- 10 [] yes weak
- 20 [] yes impaired
3) mental status (patient's own assessment of ability to walk)
- 0 [] oriented to own ability
- 15 [] overestimates/forgets limit
4) secondary diagnosis (of any kind listed in medical chart)
- 0 [] no
- 15 [] yes
5) ambulatory aid (used during gait)
- 0 [] no none/bedrest/nurse assistance/wheel chair
- 15 [] yes crutches/cane/walker
- 20 [] yes furniture
6) intravenous therapy/saline lock
- 0 [] no
- 20 [] yes
Scoring: 49 & below = low risk
Related
falls in the elderly
General
numerical rating scale (NRS)