Morse Fall Scale

Purpose/Background
Predicts risk of falling.
 
Consists of six variables that are quick and easy to score, and it has been shown to have predictive validity and interrater reliability.
 
Widely used in acute care settings, both in the hospital and long-term care inpatient settings.
Instructions
Each of the six parameters are awarded a number of points and their sum makes up for the final score.
 
Scores below 25 indicate a low fall risk, scores between 25 and 45 indicate a moderate risk whilst scores above 45 suggest the patient is at a high fall risk.
References
Schwendimann, R.; De Geest, S.; Milisen, K. (May 2006). “Evaluation of the Morse Fall Scale in hospitalised patients”. Age and Ageing. 35 (3): 311–313. doi:10.1093/ageing/afj066.
1. History of falling?



2. Secondary diagnosis (more than 1 diagnosis)



3. Ambulatory aid




4. IV/Heparin lock or saline



5. Gait




6. Mental status



RESULTS
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