Morse fall risk assessment scale

Procedure

History of falling within the last 3 months
- 0 [] no
- 25 [] yes
gait characteristics/abnormality
- 0 [] no normal/bedrest/ wheel chair
- 10 [] yes weak
- 20 [] yes impaired
mental status (patient's own assessment of ability to walk)
- 0 [] oriented to own ability
- 15 [] overestimates/forgets limit
secondary diagnosis (of any kind listed in medical chart)
- 0 [] no
- 15 [] yes
ambulatory aid (used during gait)
- 0 [] no none/bedrest/nurse assistance/wheel chair
- 15 [] yes crutches/cane/walker
- 20 [] yes furniture
intravenous therapy/saline lock
- 0 [] no
- 20 [] yes

Scoring: 49 & below = low risk